Sr. Revenue Cycle Billing Specialist

The Senior Revenue Cycle Billing Specialist is responsible for recovering outstanding payments from aging medical insurance claims, investigating denials, and securing necessary attachments and supporting documentation. The role involves thorough documentation, validation of patient information, and fostering positive relationships with state and Federal agencies.

Requirements

• Complete claim submissions with all requisite forms and attachments
• Investigate denials and initiate written appeals as needed
• Assess client-provided information to determine the appropriate insurance to bill, and secure necessary attachments and supporting documentation for each claim
• Research account details to identify essential attachments or supporting documents for inclusion with each claim
• Safeguard the accuracy and integrity of all billed claims
• Thoroughly document all actions in the CUBS system and other relevant computer systems
• Validate patient information and insurance benefits
• Craft written appeals for account resolutions
• Compose correspondence to clients when necessary
• Achieve assigned goals and objectives set by management regularly
• Uphold the confidentiality of account information consistently
• Engage actively in the Corporate Compliance Program and maintain awareness
• Assist with other projects delegated by management
• Foster positive relationships with state and Federal agencies
• Expedite the resolution of accounts in a timely manner
• Maintain a well-organized and tidy workspace

Benefits

• Paid Time Off
• 401k Matching