Overview
Revenue Cycle Specialist Jobs in Casa Grande, Arizona, USA at The Staff Pad
Position: Revenue Cycle Specialist I
The Staff Pad is looking for a Revenue Cycle Specialist I in Nogales, Arizona. You will provide staff support to the Revenue Cycle Manager in maintaining and operating the firm’s business systems.
Essential Functions:
1. Patient Relations:
– Demonstrate excellent patient relations skills by greeting patients warmly and engaging with care.
2.
Team Support
:
– Respond positively and helpfully to requests from colleagues.
3. Claims Processing:
– Process all insurance claims (electronic/hardcopy) timely, including:
– Entering treatment codes into billing software (Nextgen) accurately.
– Verifying patient demographics and insurance details.
– Communicating with providers and clinical staff to resolve billing issues.
– Submitting medical claims to clearinghouses/insurance companies.
– Posting insurance payments/denials to patient accounts.
– Resolving claim denials or rejections due to coding or missing information.
– Following up on accounts until balances are cleared or moved to self-pay.
– Managing credit accounts for refunds to insurance companies or patients.
– Contacting insurers about claim denials or over payments.
– Processing insurance correspondence and maintaining account records.
– Stay updated on billing codes and medical terminology.
– Train team members as needed.
4. Daily Reporting:
– Create reports, verify payment entries, balance end-of-day postings, and maintain accurate logs.
5. Work Prioritization:
– Prioritize and complete tasks promptly.
6. Claim Correspondence:
– Handle claim correspondence with insurance companies, answer calls, and provide information.
7. Patient Assistance:
– Help patients with forms, answer account inquiries, and address billing errors.
8. Patient Account Specialist Support:
– Provide assistance when necessary.
9. Confidentiality Compliance:
– Maintain HIPAA-compliant confidentiality for all patient accounts.
10.
Professionalism
:
– Ensure courteous treatment of all patients and staff by the business office.
Requirements:
1. Understanding of medical billing practices, clinic policies, and procedures.
2. Familiarity with medical terminology, ICD-10, CPT, and HCPCS coding.
3. Knowledge of insurance company operations.
4. Proficiency with filing, computers, calculators, and office equipment.
5.
Problem-solving
and data interpretation skills for billing.
6. Ability to establish effective relationships with
diverse
groups.
7. Uphold confidentiality of sensitive information.
8. Clear and efficient
communication skills
.
9. Strong mathematical skills.
10. Poise and efficiency in responding to inquiries.
11. Bilingual proficiency (English/Spanish).
Educational Requirements:
– High School Diploma or equivalent.
– Preferred:
Medical Administrative Assistant or Medical Billing and Coding Program.
Experience:
– Minimum 5 years of experience in a medical office or medical billing role.
– Healthcare certification preferred (additional experience may substitute for certification).
– Eligibility for
promotion
based on managerial discretion and performance.
Title: Revenue Cycle Specialist
Company: The Staff Pad
Location: Casa Grande, Arizona, USA
Category: Healthcare, Administrative/Clerical
