MAX Surgical Specialty Management
Healthcare
RevenueCycleSpecialist–FullCycleManagement
“Revenue Cycle Specialist – Full Cycle Management at MAX Surgical Specialty Management. Skills: Revenue cycle management, Claims processing, Accounts receivable follow-up. Review patient insurance information. Complete billing processes”
Industry & Context.
Resolve billing edits; Resolve claim denials; Analyze claim denials; Resolve underpayments; Resolve rejections; Identify and resolve coding issues
What They're Looking For.
Must Have
High School Diploma required, 3+ years healthcare revenue cycle management, 1 year experience using Dental Software Network, Proficient in all Microsoft Office applications, Proficient in medical office software, Proven experience in healthcare billing
Nice to Have
Medical Billing and/or Coding Certification highly preferred
What You'll Do.
Review patient insurance information
Complete billing processes
Complete collections processes
Complete appeal processes
Complete cash processes
Ensure clean claims submission
Prepare claims for electronic submission
Resolve billing edits
Obtain required attachments
Verify insurance coverage
Verify patient eligibility
Resolve claim denials
Follow up with insurance companies
Maintain communication about billing
Maintain communication about insurance
Interpret dental EOBs
Research insurance policies
Research insurance benefits
Research insurance exclusions
Provide accurate information to patients
Provide accurate information to management
Monitor outstanding claims
Follow up with insurances for timely payments
Follow up with third-party payers
Follow up with self-pay accounts
Document information on accounts
File secondary insurance claims
Review credit-balance accounts
Submit corrected claims
Submit appeals to Insurances carriers
Perform appropriate adjustments
Provide feedback to management
Identify coding issues
Resolve coding issues
Manage 3rd party payor denials
Manage 3rd party payor overpayments
Manage 3rd party payor underpayments
Contact patients regarding coordination of benefits
Contact patients regarding insurance payments mailed to patient
Contact patients regarding outstanding patient balance
Analyze insurance claim denials
Resolve insurance claim denials
Resolve underpayments
Track actions taken on denied claims
Document actions taken on denied claims
Communicate with leadership
Communicate with patients
Communicate with insurance representatives
Clarify billing discrepancies
Identify trends to improve claim submission
Communicate with healthcare providers
Manage claim denials related to authorization
Manage claim denials related to medical record
Utilize phone etiquette
Communicate effectively with patients
Process credit card payments
Make outbound self-pay collection calls
Perform other duties as assigned
How You'll Work.
Team & Collaboration
Integral part of RCM team; Support assigned offices; Work with internal teams
Communication Scope
Interpersonal skills; Customer service skills
Applying for this Revenue Cycle Specialist – Full Cycle Management role?
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