Revenue Cycle Specialist - Remote

Overview

MedScope, a division of Medical Guardian is a rising leader in the medical alarm industry, seeks a seasoned Revenue Cycle Specialist with health insurance claims experience to fill a role in the Billing Department. In this role, you will use our customized system in tandem with other applications to send recurring monthly claims and invoices, receive payments, and respond to denials of payment with the goal of resubmitting for payment. You will also perform monthly/quarterly payment audits, analyze the reasons for denied payments or returned claims, and work toward resolution. Ability to analyze data and think critically a must.

In Short

• Monthly submission of invoices/claims, electronic and on paper, in large and small batches.
• Payment application through our customized system.
• Review and examination of non-paid invoices/claims, to work through the denial resolution process for resubmission or other appropriate resolution.
• Month end reporting and analysis of accounts, large and small, including deciphering the reason(s) for invoices that are open and unpaid after aging for 90 days.
• Audit accounts for payment and analyze the reason(s) that payment has been denied.
• Phone work as needed, including customer interactions and receiving payments over the phone via credit card.

Requirements

• Experience in health insurance claims.
• Strong analytical skills.
• Ability to work with customized billing systems.
• Excellent communication skills for customer interactions.
• Detail-oriented with a focus on accuracy.

Benefits

• Full-time remote position.
• Competitive hourly rate.
• Opportunity to work in a growing industry.
• Flexible work schedule within specified hours.