Revenue Cycle Specialist (Biller) in at Sight Partners

Required to answer patient phone calls. Work denials and worklist within 24 hours of receipt. Work Accounts Receivables report within benchmarks. Work Unbilled/Exclusion list within 24 hours of receipt. Work Denials related to coding issues.

Duties/Responsibilities:

• Performs initial charge review to determine appropriate ICD-10 and CPT codes to be used to report physician services to third-party payers.
• Review and research insurance denials received through insurance remittances, correspondence, or Clearinghouse rejections in an accurate and timely manner.
• Provide timely and efficient follow-up on all outstanding AR using assigned by the practice management worklist reports, using various systems including payer portals, phone inquiries, and/or written communications.
• Ensure timely communication of denials or trends that require the practice's knowledge and/or actions.
• Work collaboratively with other RMC team members and offices to ensure overall account accuracy and issue resolutions are completed.
• Effectively communicate payer billing guidelines to clients and other staff in a timely manner.
• Consistently meets and/or exceeds client AR objectives in each outstanding aging category (30,60,90+) Work denials and worklist within 24 hours of receipt.
• Performs other related duties as required and assigned.

• Good working knowledge of medical terminology and anatomy is required.
• Knowledge of current third-party billing and collection regulatory guidelines and requirements.
• Good interpersonal skills and a basic understanding of team management concepts.
• Ability to gather and interpret clinical data.
• Ability to work independently in a fast-paced environment.
• Demonstrate excellence in communication skills, ability to convey information verbally and in writing

Education and Experience:

• A high school diploma or GED completion is required.
• Billing or Coding Certification (CPC, CPC-A, COPC, CPB) or willing to obtain certification within 6 months of employment.
• Two (2) years experience with CPT ICD-10 coding of physician services preferred.

Benefits:

• Competitive Salary $19 - $21
• Medical, Dental, and Vision Insurance
• Robust Ancillary Benefits
• 401(k) Plan with employer contribution
• Company Paid Life Insurance
• Generous PTO/Holiday
• EEO Statement