Revenue Cycle Account Reimbursement Specialist

Key Responsibilities

• Serve as a billing resource answering questions related to payer requirements, denials
• Follow up on unpaid and underpaid insurance claims to support timely collection
• Research claim issues and complete corrections, reconsiderations, and appeals
• Review and interpret explanations of benefits to ensure payments are reconciled
• Identify trends involving denials, underpayments, and overpayments
• Partner with coding, charge and reimbursement teams to resolve billing issues
• Recommend process improvements that strengthen revenue cycle performance
• Coordinate medical-record requests and process insurance
• Communicate with patients to research and resolve payment related inquiries
• Manage and resolve billing cases
• Collaborate with clinic managers and revenue cycle staff to improve procedures