Revenue Cycle Specialist Biomedix Vascular Solutions

The Revenue Cycle Specialist will be responsible for all aspects of billing medical claims for our clients enrolled in advisory services. This will include but not be limited to: verifying patient eligibility, preparation and submission of authorization requests, preparation and submission of claims, denied and unpaid claims resolution, cash posting, answering billing questions, and patient billing and collections. The Revenue Cycle Specialist will work under the guidance of the Senior Manager, Revenue Cycle Management to ensure all claims are handled properly.




Essential Job Functions:





Maintains the following revenue cycle management standards for each client enrolled in advisory services:
90% of accounts billed within 10 business days from date of service, with 100% billed within 30 business days
90% of denied claims worked within 1 business day of notification, with 100% of denials worked within 2 business days
90% of cash applications and adjustments made within 1 business day of notification, with 100% made within 2 business days
100% of patients receive monthly statements
Maintain Days Sales Outstanding (DSO) of 45 days of less
Prepare, review, and submitting clean claims to various insurance companies either electronically or via paper
Prepare, review and send patient statements
Process and post payments from insurance companies and patients
Follow-up on unpaid or denied claims and if necessary submit corrected claims
Prepare, review and send refunds to patients and insurance companies
Answer questions from patients, clients, and insurance companies
Identifies and resolves patient billing complaints and report complaints to manager
Follow and report status of delinquent accounts to manager
Performs various collection activities including contacting patients and insurance companies via telephone, fax, and/or email
Prepare, review and work all billing related reports
Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations
Participate in education activities and attend staff meetings
Conducts self in accordance with BioMedix Advisory Services' employee handbook

Non-Essential Job Functions:

Other tasks as designated by supervisor/manager


Professional Requirements:

2+ years of experience performing medical billing in a multi-physician practice or healthcare related organization
Experience working with Medicare, Medicaid and other third party payors
Knowledge of Medicare, Medicaid and other third party payors billing standards and policies
Strong understanding of medical billing and collection practices
Knowledge of HIPAA guidelines/regulations
Strong understanding of medical terminology
Excellent written, verbal communication, and interpersonal skills
Excellent customer service skills
Well organized and detail-oriented
Excellent time management skills
Ability to work independently or as part of a team
Ability to work effectively and efficiently under tight deadlines, high volumes, and competing priorities
Ability to read, understand and follow oral and written instructions preferred
Fluency in spoken and written English preferred
Ability to operate a computer and basic office equipment preferred
Experience with Microsoft Office software (i.e. Word, Excel, Outlook, and PowerPoint) preferred
Ability to operate a multi-line telephone system
Associate's or Bachelor's Degree preferred
Professional Medical Billing and Coding training preferred

Travel:

5%

Location:	4215 White Bear Parkway St. Paul, MN 55110 United States