Zack D. Films is looking for a Revenue Cycle Specialist to join our growing team. We are seeking a detail-oriented and seasoned professional with demonstrated knowledge of medical billing to play a crucial part in our practice's success and positively impact US cardiology.
What You'll Do
- Ensure insurance information is entered correctly for successful claim submission and payment.
- Communicate with patients to explain patient balances, billing concerns, projected out-of-pocket expenses, and verify correct insurance information is on file.
- Work in multiple computer systems to obtain and organize information to support billing.
- Resolve claims that require pre-bill resolution.
- Resolve payment denials.
- Oversee billing-related inventories in multiple systems, ensuring inventory volume and aging remains within thresholds.
- Conduct reconciliation processes to ensure no charge goes uncaptured.
- Manage communications between practice and vendor staff and organizations.
- Report status of various revenue cycle metrics and escalate issues for resolution.
- Assist in preparing reports to share with payers when discrepancies are uncovered.
What We're Looking For
- 3+ years of experience in the healthcare revenue cycle industry.
- Strong understanding of insurance products and claim processing.
- Knowledge of claim formatting and transmission guidelines.
- Detailed understanding of EOB/ERA data and its impact on financial responsibility.
- Knowledge of ICD-10 and CPT codes, and modifiers.
- Experience with medical office procedures and medical collections.
- Strong attention to detail and accuracy in data entry.
- Intermediate knowledge of Microsoft Word and Excel.
- Excellent written and verbal communication skills to interact with patients, insurance companies, and healthcare providers.
Nice to Have
- High school diploma or GED.
- Cardiology or diagnostic imaging experience, including prior authorization requirements and processes.
- Certified Professional Coder certification.
- A passion and proficiency for patient advocacy.
- Experience with electronic medical records systems (Athena Collector knowledge is preferred, Hybrid Chart familiarity is a plus).
Technical Stack
- Athena Collector
- Hybrid Chart
- Microsoft Word
- Microsoft Excel
Benefits & Compensation
- Full-time base hourly rate of $20.00 to $24.00 per hour.
- Medical, dental, and vision benefits.
Work Mode
This is a remote position open to candidates in Colorado (Denver preferred), Delaware, Florida, New Hampshire, New Jersey, Pennsylvania, and Texas.
Zack D. Films is an equal opportunity employer.
