Revenue Cycle Support (remote)

Title: Revenue Cycle Support
Location: USA/Remote
Reports to: Revenue Cycle Manager
FLSA Classification: Non-Exempt
Full-Time or Part-Time: Full-Time
Salary Range: $18 - $24
*Starting pay varies based on location and experience, in compliance with specific state wage regulations. Competitive rates tailored to your geography and expertise.

Position Overview:
Under the direction of the Revenue Cycle Manager, the Revenue Cycle Support is responsible for the follow-up on unpaid primary and secondary claims, claim denials, underpaid, and overpaid claims in accordance with established guidelines.

Key Responsibilities:

• Claim Management:

  • Execute follow-up on claims per MMGS and carrier protocols.
  • Identify the root causes of claim denials and underpayments; process appeals in accordance with carrier policies.
  • Identify denial, underpayment, or other unpaid claim trends or patterns; report these trends and patterns to the Revenue Cycle Specialist.

• Financial Transactions and Transfers:

  • Perform balance and pending patient transfers and other related tasks.
  • Assist with customer contact as overflow from the Patient Service Center.
  • Maintain an accounting of daily activities.
  • Document notes in the billing system according to protocols, ensuring adequate detail and clarity.

• Performance and Quality Control:

  • Maintain a production rate of 40 claims per day for anesthesia claims and 35 claims per day for pain claims.
  • Maintain an accuracy rate of 95% on follow-up per audit guidelines.
  • Seek first-time resolution on each claim.

• Other Responsibilities:

  • Perform any other duties as deemed necessary by the Revenue Cycle Manager or other management.
  • Participate in team activities and contribute to the overall improvement of services to Coronis Health’s clients.

Qualifications:

• Knowledge of medical billing, including carrier reimbursement policies and appeal procedures.
• Understanding of HIPAA and related legal and ethical considerations regarding patient information.
• High school diploma or equivalent; one (1) year of experience in medical billing or an equivalent combination of education and experience.
• Proficient in MMGS billing system, Microsoft Word, and Excel.
• Excellent communication, organization, and time management skills.
• Demonstrated ability to meet minimum production and accuracy standards.
• Flexibility to assist in other accounts and areas as needed.
• Detail-oriented with the ability to follow instructions and written guidelines on account specifics.

Physical Requirements:

• Ability to sit, talk, and hear for extended periods; occasionally stand, walk, push, pull, bend, stoop, kneel, and reach.
• Frequent use of hands for fingering, grasping, and handling.
• Ability to read documents in both handwritten and electronic forms.
• Ability to lift or carry objects weighing up to 20 lbs.

Additional Information:

This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities, and working conditions may change as needs evolve.

Coronis Health is committed to creating a diverse and inclusive environment where all employees are treated fairly and with respect. We are an equal-opportunity employer, providing equal opportunities to all applicants and employees regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or any other protected characteristic. We welcome and encourage applications from candidates of all backgrounds.