Remote Revenue Cycle Specialist at 8912

Posted in General Business 14 days ago.

Type: Full-Time
Location: Nashville, Tennessee

Job Description:

Physician Business Solutions is currently looking for Revenue Cycle Specialists to join our growing team. Individuals who excel in this role are highly ambitious, results-driven, and comfortable thinking 'outside the box.' In this role, you will need to be flexible and able to work on special projects as assigned within the Revenue Cycle Team.

We are currently seeking and interviewing ambitious and team-oriented, analytically minded individuals who enjoy problem-solving and researching in a fast-paced and FUN work environment!

Essential Duties and Responsibilities:

Achieve and maintain 95% or greater net collections as defined by the Revenue Cycle manager
Conduct payment follow-up activities on outstanding insurance and patient accounts
Review, revise, re-process, and follow-up on all denials
Enter charges and post payments
Daily close activities based on client
Month end reporting, based on client
Identify trends related to denials/coding and delinquent claims and communicate effectively with the client manager for feedback to the client
Manage and supervise clearinghouse reports monitoring for rejections and denials
Work across multiple client projects at a time
Work across multiple practice management systems
Build strong working relationships with clients and assigned team members
Report status to project managers and management

Required Knowledge, Skills, and Abilities:

Extensive and current working knowledge of medical billing, and collections of physician medical claims for multiple specialties. Primary Care, Orthopedics, Pediatrics and DME a plus.
Extensive and current working knowledge of various insurance carriers' payment regulations including various reimbursement schemes, coinsurance and deductibles, and contractual adjustments
Knowledge of Medicare, Medicaid, managed care, and commercial insurances
Working knowledge of HIPAA regulations and compliance
Works with payers to determine reasons for denials, corrects and reprocesses claims for payment in a timely manner
Ability to reduce claims in the over 90-day categories and maintain company's collection standards
Mails, faxes, or emails all appropriate collections correspondence
Identifies uncollectible accounts and acquires approval for Bad-Debt Write-off
Maintains relationships with insurance companies
Strong interpersonal and communications skills to be able to work successfully in a team-oriented environment
Technical aptitude
High attention to detail and the ability to multi-task
Organization and time management skills


Minimum Education level: High school
Associates Degree from college preferred or Certificate from a technical school for billing
Medical Billing Certificate is a plus
Medical Coding Certificate is a plus


Minimum 5 years of experience in revenue cycle
Experience using various Practice Management systems is preferred such as Athena, Nextgen, Office Practicum or Kareo


Employee development and training programs
Eight week paid maternity leave
Two week paid paternity/adoptive leave
Business casual dress
Local charity support

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