Offer summary
Qualifications:
Bachelor's degree or five years healthcare experience, At least two years of healthcare experience.Key responsabilities:
- Research denials from payors
- Perform payor compliance review and communication
Job Description:
Baptist Health is looking for a Revenue Cycle Specialist to join our team.
This is a remote position that requires residency in KY or IN
The Revenue Cycle Specialist will research denials from all commercial and governmental payors. Performs payor compliance review on accounts to determine medical necessity of services, pre and post service as well as pre and post billing. Obtains pre-determinations, prior authorizations, and retro authorizations when required by payor. Responds to all account reviews with the best possible efforts to ensure reimbursement, recover outstanding revenue, and prevent future revenue loss while meeting all appropriate payor or government timelines. Recovery efforts include but are not limited to written letter, email, web site, and telephonic communication.
Minimum Education, Experience, Training and Licensures Required
Bachelor's degree
Minimum of two years healthcare experience
In lieu of bachelor's degree, five years of healthcare experience including two years in a revenue cycle related area such as registration, patient financial services, or managed care
FyerX - Your Trusted Marketing Partner
FastLane Group
Novartis
Gympass
We Are Working