Job Title: Sr. Revenue Cycle Specialist: Medicare Collections
Location: Remote
Duration: 5+ Months
Duties:
- is hiring Sr. Revenue Cycle Specialists who excel in Medicare Collections for our Revenue Operations Department. Successful individuals in this role are highly ambitious, results-driven, and strong in root cause analysis.
- This position requires a high level of attention to detail, critical thinking, and the ability to work well as part of a fast-paced team.
- In addition, the ideal candidate has a high level of multitasking abilities, strong mathematical and analytical skills, and is driven by moving metrics to achieve success.
- Specialists in this role will contact Medicare Administrative Contractors (MACs) to reconcile outstanding accounts receivable (debit balances), research and resolve problem accounts, and request adjustments or rebills on claims.
- Seeking a candidate in or near Irvine, CA, Federal Way, WA, or Denver, CO. Remote positions will also be considered.
Essential Duties and Responsibilities:
- Research, initiate follow-up, and resolve all unpaid or underpaid system debit balances on Medicare insurance claims; includes but is not limited to remit review, calling payer(s) and clinics, rebilling, navigating payer portals, and taking adjustments
- Uses critical thinking, problem-solving and analytical skills to determine the root cause of our underpayment and follow appropriate policy and procedure to remediate
- Navigate through various payer systems and multiple internal systems to ensure timely and accurate resolution of Medicare claims
- Uses exceptional organization, written, and verbal communication skills to produce detailed documentation of research and actions taken on claims
- Ad hoc monthly reporting of outstanding debit balances and trends
- Stay current on communication relating to healthcare reimbursement and regulatory changes
- Develop and maintain positive working relationships with clinical personnel, teammates, and payer representatives
- Works well under pressure in a fast-paced environment and meets expectations of deadlines, and carries out assignments to completion while maintaining a positive attitude
- Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and *** policies
- Consistent and punctual attendance as scheduled is an essential responsibility of this position
Skills:
- 2+ years of Medicare Experience (required)
- 2+ years of experience with generic accounting, transactions, or medical billing systems (preferred)
- Healthcare and medical billing/collections/denial remediation experience (required)
- Intermediate computer proficiency in Microsoft Office tools including Excel, PowerPoint and Outlook (preferred)
Qualifications:
- Highschool Diploma or equivalent (required); Associate or Bachelor's degree (preferred)
- Proficiency in Microsoft Office tools including Excel, Word, and Outlook (required)
- Experience working with Medicaid and Medicare payers (required)
- Healthcare revenue cycle, medical billing, and collections experience (3-5 years+) preferred
Job Type: Contract
Pay: $20.00 - $22.00 per hour
Expected hours: 40 per week
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Work setting:
Education:
- High school or equivalent (Required)
Experience:
- medical billing/collections: 2 years (Required)
- Medicare: 2 years (Required)
Work Location: Remote