Revenue Cycle Claims Specialist
16 hours ago
Job Overview:
We are seeking a detail-oriented professional to support the revenue cycle operations of our healthcare client. This role is primarily focused on reducing claim denials and recovering aging or stale claims.
- This individual will be responsible for reviewing and managing denied or aging claims within the client's billing system.
- The ideal candidate will work claim queues to identify root causes of denials and submit appropriate documentation or corrections.
- Outbound phone calls to insurance payers will be made to check claim statuses, appeal denials, and resolve payment issues.
- Recurring denial trends or system/process bottlenecks will be escalated to the client's RCM lead.
- Accurate and detailed notes of all payer interactions and claim activities will be maintained.
This opportunity is ideal for someone with experience in medical billing or claims follow-up who thrives in a fast-paced, process-driven environment.
Key Responsibilities:- Additional RCM workflows may be assisted with as needed to support clean and efficient revenue operations.
Familiarity with payer portals and billing systems (e.g., Kareo, Athena, AdvancedMD) is required. Strong written and verbal communication skills in English are also necessary. Comfortable speaking with payers over the phone and navigating insurance systems.
Qualifications:- 1-3 years of experience in medical billing, revenue cycle management, or claims follow-up.
- Familiarity with payer portals and billing systems (e.g., Kareo, Athena, AdvancedMD).
- High attention to detail and ability to work independently on repetitive or process-heavy tasks.
- Strong written and verbal communication skills in English.
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