Sprinter Health
Healthcare
RevenueCycleSpecialist
“Revenue Cycle Specialist at Sprinter Health. Skills: Revenue cycle management, AR reconciliation, Claim submission, Rejection resolution. Reconcile payments against expected. Identify underpayments”
Industry & Context.
Root cause analysis
What They're Looking For.
Must Have
3+ years medical billing experience, Experience with multiple work queues, Experience with ERA/EOB reconciliation, Familiarity with 837 claim files, Familiarity with 277 rejection reports, Familiarity with ERA/835 remittance files, Experience with Medicaid managed care, Experience with Medicare Advantage payers
Nice to Have
Resolving capitation disputes, Resolving encounter-based payment disputes, Startup RCM environment experience, Value-based care exposure, Risk-adjusted billing models exposure, CMS-1500 experience, UB-04 experience
What You'll Do.
Reconcile payments against expected
Identify underpayments
Resolve underpayments
Identify overpayments
Identify missing remittances
Resolve missing remittances
Investigate payment posting flags
Resolve payment posting flags
Communicate with payer representatives
Resolve outstanding balance disputes
Coordinate with RCM platform team
Track platform AR work
Perform pre-submission claim scrubbing
Catch submission errors
Verify patient eligibility
Verify patient benefits
Validate prior authorization requirements
Confirm auth numbers on claims
Flag pre-submission error patterns
Resolve claim rejections
Distinguish clearinghouse fixes
Distinguish payer fixes
Coordinate with platform team
Maintain rejection tracking log
Tag rejections by error type
Tag rejections by payer
Tag rejections by root cause
Work with Denial Specialists
How You'll Work.
Team & Collaboration
RCM platform team; Denial Specialists
Applying for this Revenue Cycle Specialist role?
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