Revenue Cycle Specialist I / Hybrid / Full Time (JR583)

Sharp Community Medical Group
San Diego, CA
Category Customer Service
Job Description
The Revenue Cycle Specialist's role supports our business by proactively working the accounts receivable to include follow-up, appeals, and denials and utilizing complex problem-solving skills to contribute to the organization’s revenue.

Requirements

  • 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.

Benefits

  • Comprehensive benefits including Medical, Dental, Vision, Short-Term and Long-Term Disability, 401K, and more!
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