Facilities Revenue Cycle Specialist - Remote

Overview

The Facilities Revenue Cycle Specialist is responsible for reviewing and processing facility claims in various stages of the revenue cycle to ensure maximum reimbursement and operational service commitments are met for assigned clients.

In Short

• Review and process facility claims for timely reimbursement.
• Monitor outstanding facility accounts receivable.
• Communicate proactively with facility payers.
• Prepare and send invoices to facility payers.
• Maintain communication with facilities for responsiveness.
• Work independently to resolve issues and follow through.
• Meet regularly with management to discuss reimbursement strategies.
• Stay updated on industry regulations and changes.
• Provide excellent customer service to internal and external clients.
• Support company mission and values in all interactions.

Requirements

• High School Diploma required.
• 1-2 years of experience in health insurance claims or accounts receivable.
• Ability to organize, prioritize, and multi-task.
• Knowledge of compliance and facility payer requirements.
• Understanding of HIPAA regulations and facility payment methods.
• Detail-oriented and resourceful.
• Proficient in Microsoft Office programs.
• Strong analytical and critical thinking skills.
• Ability to work independently and in teams.
• Continuous improvement mindset.

Benefits

• Hourly pay range of $17.00 - $20.00.
• Eligibility for a discretionary bonus plan.
• Comprehensive benefit package including health coverage.
• Retirement plan options available.
• Paid time off.