Revenue Cycle Specialist

Summary

Join MedScope as a Revenue Cycle Specialist to utilize customized systems for health insurance claims and perform payment audits, analysis, and resolution. This full-time remote position requires critical thinking, analytical skills, and excellent communication.

Requirements

• Proficiency in the Microsoft Office suite of applications required
• Strong analytical and mathematical skills
• Intelligent individual with excellent oral and written communication skills
• Critical thinking - ability to decipher when things are missing or incorrect
• Accurate and organized with the ability to multitask
• Friendly phone demeanor - will be in direct contact with customers and referring sources
• Must be able to work both independently and collaboratively on a small team, and be accustomed to working with deadlines
• Punctual and reliable with a professional appearance and demeanor

Responsibilities

• Monthly submission of invoices/claims, electronic and on paper, in large and small batches
• Payment application through our customized system
• Review and examination of non-paid invoices/claims, to work through the denial resolution process for resubmission or other appropriate resolution
• Month end reporting and analysis of accounts, large and small, including deciphering the reason(s) for invoices that are open and unpaid after aging for 90 days
• Audit accounts for payment and analyze the reason(s) that payment has been denied
• Phone work as needed, including customer interactions and receiving payments over the phone via credit card

Benefits

• Health Care Plan (Medical, Dental & Vision)
• Paid Time Off (Vacation & Public Holidays)
• Short Term & Long Term Disability
• Retirement Plan (401k)