Revenue Cycle Specialist

hace 1 mes


Madrid, Madrid, España Trinity Health Mid-Atlantic A tiempo completo
Job Summary:

The Billing Analyst is responsible for performing a variety of clerical duties related to the efficient and service-oriented operation of a medical practice. This role is a key part of the revenue cycle team, ensuring that all billable services are processed and submitted to insurance companies in a timely manner.

Key Responsibilities:

• Monitor and resolve claims work queues, including Front End, Referrals & Authorizations, and Clinical Workflow.
• Review denial/rejections and write-off dashboards for trends and provide necessary education to providers and front-end users.
• Ensure all necessary referral documentation is obtained and documented to secure appropriate revenue.
• Run monthly reports to identify any outbound referrals and communicate back to the manager for any improvement opportunities.
• Work within the working queue to review all charges and submit to claims scrubber.
• Identify any problematic charges for further review to correct coding/billing issues.
• Adhere to productivity/quality guidelines.
• Communicate effectively and professionally with other departments within the organization.

Requirements:

This role requires strong organizational and communication skills, as well as the ability to work in a fast-paced environment. The ideal candidate will have experience in medical billing and a strong understanding of the revenue cycle process.

What We Offer:

Trinity Health Mid-Atlantic offers a competitive salary and benefits package, as well as opportunities for professional growth and development. We are committed to providing a work environment that is supportive, inclusive, and respectful of all employees.
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