Revenue Cycle Specialist at Lighthouse… · Columbus

Position: Revenue Cycle Specialist 

Job Summary: The Revenue Cycle Specialist supports revenue cycle processes within our organization by working the assigned claims, recognizing patterns, escalating issues, and accelerating claim payment.

Duties and Responsibilities:

Duties include, but are not limited to:

• Review and resolve insurance denials to obtain final adjudication.
• Analyze accounts receivable reports to follow up on unpaid claims.
• Submit required documentation to insurance payers as requested.
• Follow up with insurance payors on incorrectly paid claims.
• Correct demographic and payor information and submit it to payors.
• Work with Front Desk Teams to support Patient Collections.
• Collect Patient Payments.
• Process Hardship, Scholarship, and Payment Plans.
• Manage reports on recognized payor patterns/projects.
• Escalate emergent and systemic issues to supervisor.
• Ability to work in fast paced environment.
• Additional responsibilities as assigned.

Required Experience/Certifications:

• Associates Degree in Health Care Management or related field or equivalent experience.
• 3 years of relevant experience with claims processing and Electronic Medical Records
• Valid State of Ohio Driver's License and insurance
• Must pass BCI check, all Corporate Compliance checks, and employment drug screen

Schedule: This is a PRN position, on an as needed basis