Vertical Careers, Inc.

  • San Dimas, CA


  • Long-term.

  • Full-time.

Earnings Cycle Specialist – Insurance Billing

Job Summary:

The business are trying to find a skilled Revenue Cycle Specialist to sign up with the Revenue Cycle group. The Revenue Cycle Specialist will supply assistance, issue resolving and interaction on all matters. This is a full-time on-site function (San Dimas HQ).

This task description is utilized as a standard for significant responsibilities. The business schedules the right to alter or designate extra responsibilities as required.

Essential Functions/Responsibilities:

  • Responsible for working payer correspondence and aged receivable
  • Resolve payer rejections and rejections through the appeals procedure as needed by each payer
  • Follow up with insurance provider concerning the status of impressive claims and needed actions for resolution
  • Communicate payment and rejection patterns that affect earnings to management
  • Ensure total and precise repayment for medical claims
  • Provide client service to clients through phone and e-mail interactions
  • Compose correspondence consisting of claim kinds, appeals, and notices to suitable celebrations.
  • Assist with arranging through Revenue Cycle mail that concerns the workplace
  • Complies with HIPPA and other compliance requirements to secure privacy
  • Adhere to criteria and pursue constant enhancement on metrics such as touches to resolution, appeal resolution rate, and typical work time per claim.
  • Efficiently browse numerous computer system applications and record all actions taken in proper systems.

Qualifications:

  • 2-5 years of high-volume insurance coverage, rejections and appeals, client collections, or customer care experienced chosen.
  • Ability to carry out at a high level of performance and quality
  • Experience with lab billing is a plus
  • Experience with Quadax and Waystar is a plus
  • Excellent composed and oral interaction abilities
  • Basic mathematics abilities to properly analyze payment & change deals (need to have the ability to check out & comprehend an EOB)
  • Proficiency with Google Workspace, is a plus
  • Ability to work separately and be resourceful with the capability to multi-task
  • High school diploma or equivalent
  • Associate and/or bachelor’s degree in Healthcare Administration chosen

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Vertical Careers, Inc.

  • Apply Now.