Revenue Cycle Specialist

• Manage claims by evaluating payments, denials, registration issues, appeals, and required research for all UBCP practices
• Follow through on accounts with inactive, ineligible, or unverifiable insurance coverage
• Review, document, and process patient refunds, account adjustments, and posting follow-through
• Review and address assigned correspondence within seven calendar days
• Provide customer service and conduct pre-collection activities for assigned self-pay balances
• Identify trends in rejected, denied, or unpaid claims and recommend reimbursement solutions
• Communicate with practices, payers, patients, and internal partners to resolve account issues
• Document account activity, corrections, decisions, and process improvements in appropriate systems
• Maintain at least 95% accuracy and meet productivity, quality, and timeliness standards
• Support Epic optimization, quality initiatives, compliance requirements, risk mitigation, and other Revenue Cycle duties as assigned
• Share knowledge, request feedback, and collaborate with team members to achieve departmental goals

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