Revenue Cycle Claim Specialist

Full-time - Entry Level

Columbia, SC

Ambulatory Health Care Services

About the position

The Revenue Cycle Claim Specialist will be assigned to specific Practice Locations and is responsible for increasing billing efficiency, accuracy and profitability through working Missing Slips and creating claims. Responsibilities will include, review of insurances, billing services, payer specific billing guidelines and other Billing duties and tasks as assigned by Revenue Cycle Supervisor, Sr. Lead Revenue Cycle Specialist and/or Revenue Cycle Director. This position may be considered for a future hybrid schedule.

Responsibilities

• Effectively communicates with Revenue Cycle Leadership staff to clarify coding and billing for accuracy.
• Track and report insurance, billing and coding errors that impact claim creation.
• Report identified coding and practice management system issues to Revenue Cycle Leadership.
• Attend required Revenue Cycle meetings in person and/or via Zoom or Teams.
• Perform daily Encounter review to assure general documentation supports coding on Superbills.
• Perform Daily Day End review to identify the need for additional claim edits and validate charges.
• Review and prepare claims for submission to various insurance carriers.
• Responsible for responding to emails and Athena text pertaining to claim corrections.
• Responsible for performing other billing task as directed by Revenue Cycle Leadership.

Requirements

• Education - Min. High School Diploma with some college
• Minimum 2 years working Registration in a Physician's office
• Minimum 1 year experience performing Patient Check-in/Registration (Athena experience required)
• Minimum 1 year experience performing Claim Creation (Athena experience required)
• Minimum 2 years Medical Billing and Insurance experience.
• Training or working knowledge of ICD-10 and CPT coding.
• Current working knowledge of Medical software (Athena)
• Knowledge of FQHC Billing