Revenue Cycle Specialist I / Hybrid / Full Time (JR555) bei Sharp Community Medical Group
Sharp Community Medical Group · San Diego, Vereinigte Staaten Von Amerika · Hybrid
- Junior
- Optionales Büro in San Diego
- Generates revenue by working with patient accounts to include making payment arrangements, collection on accounts, and monitoring and pursuing delinquent accounts.
- Customer Service – answering incoming patient billing and health plan inquiries on daily basis.
- Outbound and inbound phone calls to insurance companies, verifying insurance eligibility and benefits.
- Verifies claim status including working on denials, and appeal status.
- Verification of patient statements; verify patient statements are accurate before sending documents out to patients.
- Maintains work operations by following policies and procedures and reporting compliance issues.
- The ability to maintain a high level of confidentiality with knowledge of HIPPA regulations.
- Problem-solving and ability to research and resolve discrepancies, denials, appeals, collections.
- Adheres to professional standards, policies and procedures, federal, state, and local requirements and standards.
- Triage priorities, delegate tasks if needed, and ability to handle conflict in a reasonable fashion.
- Enhances billing departments and practice reputation by accepting ownership for accomplishing new and different requests and exploring opportunities to add value to job accomplishments.
- Other duties as assigned.
- High School diploma required.
- Medical Insurance billing certificate preferred.
- 1-3 years medical billing experience.
- 1-3 years customer service experience preferred.
- Comfortable using math processes.
- Proficiency with electronic practice management (EPM) electronic medical records (EMR).
- Knowledge of Microsoft Office products.
- Knowledge of insurance guidelines, including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems
- Knowledge of CPT/ICD/HCPS coding
- Knowledge of medical terminology and HIPPA regulations
- Ability to multitask and prioritize well
- Competent use of computer systems, software, and 10 key calculators
- Excellent written and verbal communication skills
- A calm manner and patience working with either patients or insurers
- High level of customer service
- Ability to work well in a team environment
- Able to triage priorities, delegate tasks if needed, and handle conflict in a reasonable fashion
- Problem-solving skills to research and resolve discrepancies, denials, appeals, collections
- The ability to maintain a high level of confidentiality
- Adhere to all company policy and procedures
- Comprehensive benefits including Medical, Dental, Vision, Short-Term and Long-Term Disability, and 401K.