Revenue Cycle Specialist – The Pain Center of Virginia – Martinsburg, WV

PRIMARY RESPONSIBILITIES:

• Daily follow-up of A/R accounts assigned in the EMR; this includes multiple tasking lists to include denial management, aged receivables, special projects etc.
• Work all denials immediately base on assigned accounts to ensure timely response and to avoid timely filing issues
• File level one and level two appeals
• Report any and all trending payer issues to manager and/or peers
• Work collaboratively with peers to cover workloads, time off requests and special projects
• Work cross-functionally with EDI/claims, charge coordinator, cash applications specialist and patient advocate.
• Communicate all issues or potential issues to leadership
• Meet KPI standards and follow all SOPs/Policies and procedures related to position and Revenue Cycle Management compliance and payer standards.

• Perform other office duties as assigned by manager.

POSITION REQUIREMENTS:

EDUCATION/EXPERIENCE:

• High School Diploma or GED
• Minimum of five years’ experience in Accounts Receivable collections or related functions
• Proficient knowledge in reading and understanding insurance EOBs
• Strong knowledge of payer rules, coordination
• of benefits, collections and appeals process of claims

KNOWLEDGE/COMPETENCIES & SKILLS:

• Proficient knowledge of ICD-10 and CPT-4 codes/
• Comprehension of medical terminology
• Familiarity with NCCI, federal and commercial insurance guidelines and policies preferred
• Excellent written, verbal, and interpersonal communication skills.
• Proficiency with Microsoft excel and word
• Accurate and efficient data entry skills
• Strong attention to detail
• Proficient computer software and database skills.
• Strong analytical skills.
• Ability to multi-task and work in a fast paced, high volume environment.

PHYSICAL DEMANDS:

• Regularly required to sit 4-7 hours/day and stand 1-3 hours/day.
• Intermittently required to stoop, bend, speak and listen.

Job Type: Full-time

Pay: $15.00 – $20.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Supplemental Pay:

Work Location:

• One location

Company’s website:

• www.thepaincenterus.com

Benefit Conditions:

• Waiting period may apply

Work Remotely: