
Medical Revenue Specialist
6 days ago
This position is focused on decreasing claim rejections and recovering aging or stale claims. To achieve this, the specialist will need to have a strong understanding of the revenue cycle management process.
Main Responsibilities:- Login to the client's billing system to review and manage denied or aging claims.
- Work claim queues to identify root causes of denials and submit appropriate documentation or corrections.
- Make outbound phone calls to insurance payers to check claim statuses, appeal denials, and resolve payment issues.
- Escalate recurring denial trends or system/process bottlenecks to the RCM lead.
- Maintain accurate and detailed notes of all payer interactions and claim activities.
- Assist with additional RCM workflows as needed to support clean and efficient revenue operations.
The ideal candidate for this role will have 1-3 years of experience in medical billing, revenue cycle management, or claims follow-up. They should be familiar with payer portals and billing systems, have high attention to detail, strong written and verbal communication skills, and be comfortable speaking with payers over the phone and navigating insurance systems.
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