Revenue Cycle Specialist
Verbal Beginnings is recruiting for a Revenue Cycle Specialist to work in our Columbia, Maryland office. The Revenue Cycle Specialist within the Billing Department supports the core functions of the department throughout the revenue cycle. The Revenue Cycle Specialist is responsible for the revenue cycle generation processes and managing third party billing information. This position ensures all documentation is present and claims are billed in a timely manner and without error. In addition, the Revenue Cycle Specialist coordinates with the third-party billing company and insurance company representatives to resolve systemic claims issues with the insurance systems and/or within Verbal Beginnings' practice management system. This position will work in a fast paced environment to evaluate and address, or if necessary, forward to the appropriate team member, a high volume of incoming requests from clients and providers to the Billing Department regarding authorization, credentialing, and billing issues. The Revenue Cycle Specialist will be cross trained with other members of the department to help as needed with credentialing, authorizations, and billing.Duties and Responsibilities:Verify all of the information for claims billing is accurate and resolves missing and unclear billing information.Work with insurance companies and the billing company to resolve systemic issues that affect claims.Follow up with insurance companies on unpaid, denied claims.Assist providers with non-routine inquiries regarding authorizations, credentialing, billing.Audit timesheets for billing errors and making corrections as needed.Coordinate with funding sources to provide necessary documentation for medical record requests.Coordinate with Operations to ensure proper ongoing training for staff as insurance regulations/requirements change.Manage the company's Electronic Medical Records system and act as a resource for providers.Other duties as assigned.Preferred Education and ExperienceMinimum of two (2) years of Health Information Management experience or Bachelor's Degree in Business, Healthcare Administration, or equivalent.Interpersonal skills to handle inquiries and to be able to follow up with providers and clientsPreferred experience with Electronic Health Records, Central ReachMust know how to operate Mac products, use web browsers, e-mail, multiline telephones, photocopiers, fax machines, projectors, Google Workspace, cloud-based software and online survey software.Extreme tactfulness and diplomacy to work with insurance companies and internal and external customersMust be very detail oriented and manage workloads effectively to meet set deadlinesAbility to work in a fast-paced, high volume environmentAbility to work independently to complete a variety of tasksAbility to manage time effectivelyAbility to problem solveAbility to assess current processes for areas of improvement and follow through to proposal and potential implementation of solutionsOther DutiesPlease note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.