Revenue Cycle Specialist 1 - Remote

Pay Rate: $22.00/hr.

Duties and Responsibilities

• Monitors and Sends Claim Files and Paper Claims to Commercial, Medicare and Medicaid
• Monitors and works Rejections from 277 files
• Monitors and works denials from 835 files
• Posts payments manually when required
• Processes QA and mail statements
• Monitors, reviews and works outstanding AR
• Answers provider, submitter, client questions regarding claims and claims related issues
• Performs Quality Assurance Audits
• Any other duties assigned and relevant to the RCM of the project

Required Skills

• Excellent oral and written communication skills
• Ability to organize and analyze data
• Ability to execute tasks within a tight deadline
• Ability to properly execute tasks outlined in a process and escalate issues/problems in a timely manner
• Demonstrated accuracy and strong attention to detail
• Proficiency with Microsoft Office, particularly Excel
• Ability to understand industry standards such as 837, 999, 277 and 835 files and rejection and denial management

Qualifications

• High School Diploma or equivalent experience required
• Up to 5 Years Relevant Experience
• Coding Certificate a plus

Supervisory Responsibility

• None

Working Conditions

• Office Setting

All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the California Fair Chance Act, City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, and Los Angeles County Fair Chance Ordinance. For unincorporated Los Angeles county, to the extent our customers require a background check for certain positions, the Company faces a significant risk to its business operations and business reputation unless a review of criminal history is conducted for those specific job positions.