Revenue Cycle Specialist

• Prepare and submit physician and clinic claims to third party insurance carriers electronically or by hard copy billing
• Secure needed medical documentation required or requested by third party insurances
• Follow up with third party insurance carriers on unpaid claims until paid or only self-pay balance remains
• Process rejections by making accounts private and generating a letter of rejection to patients, or correct billing errors and resubmit claims
• Work with physician or medical record staff to ensure correct diagnosis/procedures are reported
• Ensure proper documentation and charge entry of patient charges
• Keep updated on billing and insurance changes
• Monitor claims for missing information and authorization/control numbers
• Support clinic mission, vision, values, standards, policies, procedures, confidentiality standards, and ethical behavior
• Maintain third party billing logs
• Ensure documentation complies with regulatory agency requirements and best practices

• Prepare and submit physician and clinic claims to third party insurance carriers electronically or by hard copy billing
• Secure needed medical documentation required or requested by third party insurances
• Follow up with third party insurance carriers on unpaid claims until paid or only self-pay balance remains
• Process rejections by making accounts private and generating rejection letters, or correct billing errors and resubmit claims
• Work with physician or medical record staff to ensure correct diagnosis and procedures are reported
• Ensure proper documentation and charge entry of patient charges
• Keep updated on billing and insurance changes
• Monitor claims for missing information and authorization/control numbers
• Support clinic mission, vision, values, standards, policies, procedures, confidentiality standards, and ethical behavior
• Maintain third party billing logs
• Ensure documentation complies with regulatory agency requirements and best practices