Revenue Cycle Specialist (Remote)

Align ENT & Allergy is currently seeking a detail-oriented and experienced Revenue Cycle Specialist to join our team. As a physician-led ENT and Allergy practice management company, Align ENT & Allergy provides business support to private practices through a true partnership model. In this remote position, you will play a critical role in managing the revenue cycle processes for our practices, ensuring accurate and timely reimbursement for medical services.

Responsibilities

• Manage healthcare billing processes, including claim creation, submission, and follow-up
• Perform insurance verification for patients scheduled for appointments, ensuring accuracy and completeness of information
• Submit claims to insurance companies electronically or via paper submission
• Monitor and track claim status for timely reimbursement
• Conduct follow-up on outstanding insurance accounts receivable to resolve unpaid claims and minimize aging of accounts
• Review and analyze denied claims, identify trends, and implement strategies to reduce denials
• Collaborate with insurance companies and patients to resolve billing inquiries and disputes
• Collaborate with the billing team to address any coding or billing discrepancies that may impact reimbursement
• Stay up-to-date with coding and billing regulations and guidelines
• Provide training and support to staff regarding revenue cycle processes
• Communicate effectively with patients, insurance companies, and internal stakeholders to resolve billing inquiries and disputes

Requirements

• Proficiency with the MEDENT Electronic Medical Record (EMR) system is mandatory
• Minimum of 3 years of experience in revenue cycle management or medical billing
• Strong understanding of medical coding (ICD-10, CPT) and billing processes
• Extensive experience with insurance claim submission and reimbursement
• Proficiency in using medical billing software and electronic health record systems
• Excellent attention to detail and analytical skills
• Strong problem-solving and decision-making abilities
• Ability to work independently and collaboratively in a remote setting
• Excellent communication and interpersonal skills
• Commitment to maintaining patient confidentiality and data security

Benefits

Pay to commensurate with experience.

Benefits:

401(k)

• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

Day shift

• Monday to Friday