Revenue Cycle Operations Specialist

Role Overview

• Ensure proper resolution of all registration, coverage, and eligibility related issues
• Post all manual adjustments as necessary and select the appropriate adjustment codes
• Resolve external clearinghouse edits and payor rejections
• Make updates to patient registration and initiate rebilling of accounts
• Attend and actively participate in monthly conference calls with assigned physician group

Requirements

• Associate degree or equivalent experience
• 3 years of experience in registration billing and denial management environment-related field
• Billing Certification Preferred – Epic Resolute Professional/Hospital Billing Admin (Proficiency, Proficiency w/ Honors, or Certification)
• Strong knowledge of third-party payor reimbursement, eligibility verification process, and government and payor compliance rules

Benefits

• Health insurance
• 401(k) matching
• Paid time off
• Remote work options
• Professional development opportunities