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Revenue Cycle Specialist

Signature Performance Omaha, NE
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Job Description

Job Description

Position Purpose:

 

This position is responsible for successfully billing, processing of payments and adjustments, contact with and resolution of claims files with insurance plans and government entities.

Essential Job Functions include the following. Other duties may be assigned.

  • Review billing documents as assigned for submission to insurance plans and government entities (Medicare, Medicaid, Tricare etc.). Clearing all edits necessary for clean claim submission
  • Refer all needed claims to proper management personnel when unable to achieve clean claim status for submission
  • Review and understand EOB's/RA's (Explanation of Benefits and Remittance Advice documents received from insurance payers and government entities.
  • Process all required payments, adjustments to accounts when claim payment is received if required in client or company systems.
  • Contact insurance plans and government entities using online systems, email, and phone to resolve unpaid claims
  • Provide data to management on trends found with payers in claims adjudication process affecting claims payment
  • Provide excellent customer service in keeping with Signature's legacy both internal and externally
  • Assist with process design and redesign as needed for Signature's client
  • Maintain expertise in multiple current client systems
  • Maintain up to date knowledge of revenue cycle management, industry trends
  • Perform other duties as necessary.
  • Acts as an effective team member.

 

Knowledge & Experience:

  • 2+ years health care revenue cycle experience within a physician office, hospital or insurance plan claim processing unit
  • Participate in revenue cycle training
  • General knowledge of CPT/HCPCS and ICD.10 coding requirements
  • Strong attention to detail outstanding written and verbal communication skills
  • Computer proficiency including Microsoft Office, Word, Excel and Outlook
  • Ability to function effectively in a fast-paced environment
  • Personal traits of a high-level commitment, motivation, energy, team orientation, professionalism, trust, personal honesty and integrity, and a demonstration of placing others in a place of high value.
Work Schedule
Monday-Friday, 8am-5pm

Job Details

Date Posted November 13, 2019
Date Closes December 13, 2019
Address 10330 regency pkwy dr
Located In Omaha, NE
Job Type Full-time Employee
Compensation Hourly Wage, $16.00 - $17.00
Start Date 2019-12-09
SOC Category 31-9099.00 Healthcare Support Workers, All Other
Zipcode 68114
Name Joe Harris
Address 10330 Regency Parkway Dr Ste 305
City, State and Zip Omaha NE 68114
FAX 402-939-0663

This job offers the following benefits

  • 401(k) Retirement Savings Plan
  • Dependent-Care Spending Accounts
  • Flexible Spending Accounts
  • Health-Care Spending Accounts
  • Accidental Death and Dismemberment
  • Dental
  • Dependent Life Insurance
  • Employee Assistance Program (EAP)
  • Life Insurance
  • Long-Term Disability
  • Medical
  • Short-Term Disability
  • Supplemental Insurance
  • Vision
  • Voluntary Life Insurance
  • Employee Referral Program
  • Paid Holidays
  • Paid Vacations
  • Tuition Reimbursement
  • Wellness Program

This job requires the following skills

  • Ability to Work Under Pressure
  • Excellent Communications
  • Healthcare Administration
  • Medical Documentation Management

Course(s) relevant to the skills listed for this position

At a Glance
Enjoy these benefits
  • 401(k) Retirement Savings Plan
  • Dependent-Care Spending Accounts
  • Flexible Spending Accounts
  • Health-Care Spending Accounts
  • Accidental Death and Dismemberment
  • And More ...
Location