Revenue Cycle Specialist

Responsibilities Perform core revenue-cycle functions, including billing, claims filing, data entry, charge entry, insurance follow-up, denial management, payment posting, billing-record review, and customer service Bill and submit Rural Health Clinic claims to insurance carriers daily Research, correct, resubmit, and appeal front-end claim edits, clearinghouse returns, rejected or denied claims, and claims receiving no response Review accounts receivable and prioritize follow-up based on aging, payer requirements, and reimbursement opportunity Reconcile explanations of benefits and post payments, with the goal of ending each day at a zero balance Maintain accurate patient, provider, practice, fee, and charge information in the billing system Meet with the Billing Team Supervisor to identify and resolve reimbursement issues and billing obstacles Perform other duties as assigned Required qualifications High school diploma or GED At least two years of medical claims billing experience Experience submitting claims and processing client invoice billing Ability to abstract clinical information from medical records, charts, and other documents Ability to assign appropriate ICD-10 and CPT/HCPCS codes according to established procedures Knowledge of insurance billing guidelines, including Medicare, Medicaid, and other payers Knowledge of payer updates, bundling and unbundling, medical necessity, coding requirements, and medical terminology Proficiency with general computer applications, Microsoft Word and Excel, and EMR or EHR systems Preferred qualifications Associate degree or higher One or more relevant credentials, including CCS, CCSP, CPC, CPC-P, RHIA, COC, or CPCH Position details Location: Flowood, Mississippi Work arrangement: On-site