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About the role
Key responsibilities & impact- Review and work assigned accounts to resolve denied, underpaid, and unpaid insurance claims.
- Analyze payer responses, remittance advice, and denial codes to determine the appropriate resolution.
- Correct and rebill claims as needed to ensure accurate claim submission.
- Prepare and submit appeals for underpayments and erroneous denials with appropriate supporting documentation.
- Contact insurance carriers to obtain claim status, clarify denials, and facilitate payment.
- Document all account activity, payer communications, and follow-up actions in the billing system.
- Monitor accounts to ensure timely follow-up and resolution within established productivity standards.
- Identify payer trends and recurring billing issues and communicate findings to management.
- Collaborate with internal departments to resolve claim edits, coding, registration, or documentation issues affecting reimbursement.
- Maintain knowledge of payer policies, reimbursement guidelines, and applicable regulations.
- Meet productivity and quality goals while maintaining a high level of accuracy and attention to detail.
- Perform other revenue cycle duties as assigned.
Requirements
What you’ll need- Experience researching and resolving denied, underpaid, and unpaid insurance claims.
- Working knowledge of CPT, HCPCS, ICD-10-CM, and medical billing terminology.
- Ability to interpret explanation of benefits (EOBs), electronic remittance advice (ERAs), and payer correspondence.
- Strong analytical, problem-solving, and organizational skills with excellent attention to detail.
- Effective written and verbal communication skills and the ability to work independently.
- Proficiency with electronic medical record (EMR) and practice management/billing systems, as well as Microsoft Office applications.
Benefits
Comp & perks- 🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account BRSi Website LinkedIn All Job Openings 201 - 500 employees ⚕️ Healthcare Insurance 💸 Finance ☁️ SaaS Healthcare Insurance
- Finance
- SaaS BRSi is a company that specializes in providing customized solutions to improve healthcare efficiency and revenue management. With over 30 years of experience, BRSi focuses on empowering revenue growth and compliance through advanced technology platforms. The company offers solutions that maximize reimbursements, streamline federal programs, and enhance operational efficiency for publicly funded healthcare providers and other organizations. BRSi's expertise in healthcare financial processes and health information technology helps in delivering superior patient care through better financial health. Revenue Cycle Specialist 🔥 3 minutes ago 🏢🏡 Houston – Hybrid ⏰ Full Time 🟡 Mid-level 🟠 Senior ✨ Revenue Cycle Specialist Apply Now Find Hiring Managers Customize resume + cover letter Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
- Review and work assigned accounts to resolve denied, underpaid, and unpaid insurance claims.
- Analyze payer responses, remittance advice, and denial codes to determine the appropriate resolution.
- Correct and rebill claims as needed to ensure accurate claim submission.
- Prepare and submit appeals for underpayments and erroneous denials with appropriate supporting documentation.
- Contact insurance carriers to obtain claim status, clarify denials, and facilitate payment.
- Document all account activity, payer communications, and follow-up actions in the billing system.
- Monitor accounts to ensure timely follow-up and resolution within established productivity standards.
- Identify payer trends and recurring billing issues and communicate findings to management.
- Collaborate with internal departments to resolve claim edits, coding, registration, or documentation issues affecting reimbursement.
- Maintain knowledge of payer policies, reimbursement guidelines, and applicable regulations.
- Meet productivity and quality goals while maintaining a high level of accuracy and attention to detail.
- Perform other revenue cycle duties as assigned. 🎯 Requirements
- Experience researching and resolving denied, underpaid, and unpaid insurance claims.
- Working knowledge of CPT, HCPCS, ICD-10-CM, and medical billing terminology.
- Ability to interpret explanation of benefits (EOBs), electronic remittance advice (ERAs), and payer correspondence.
- Strong analytical, problem-solving, and organizational skills with excellent attention to detail.
- Effective written and verbal communication skills and the ability to work independently.
- Proficiency with electronic medical record (EMR) and practice management/billing systems, as well as Microsoft Office applications. Apply Now 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score 🌐 Worldwide Built by Lior Neu-ner. I'd love to hear your feedback — Get in touch via DM or support@remoterocketship.com Search Search Jobs by country Search jobs by city Search jobs by job title Search entry-level jobs Search junior-level jobs Search senior-level jobs Search jobs by tech stack Search jobs by contract type Search remote internships Search remote part-time jobs Remote jobs Anywhere in the World Companies Hiring Anywhere in the World Companies Hiring Sales People Anywhere in the World Companies Hiring Software Engineers Anywhere in the World Resources Advice Tips for finding remote jobs Interview questions and answers Resume examples Cover letter examples Post a job Affiliates Privacy policy Terms of service Job board SEO course AI Apply Copilot OpenClaw job finder Find jobs using your resume Jobs by Country Remote jobs anywhere in the world (Worldwide remote jobs) Remote jobs United States Remote jobs Australia Remote jobs Brazil Remote jobs Canada Remote jobs France Remote jobs Ireland Remote jobs Germany Remote jobs Netherlands Remote jobs Spain Remote jobs UK Popular Jobs Remote data analyst jobs Remote customer support jobs Remote executive assistant jobs Remote marketing jobs Remote product designer jobs Remote product manager jobs Remote project manager jobs Remote recruiter jobs Remote sales jobs Remote software engineer jobs Jobs by Type Remote full-time jobs Remote part-time jobs Remote contract jobs Remote internship jobs Remote entry-level jobs Remote jobs with no experience required Remote junior jobs (1-3 years of experience) Digital nomad jobs Remote jobs with no degree required Freelance remote jobs Temporary remote jobs Remote jobs hiring now Stay at home mom jobs
ATS Keywords
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Hard Skills & Tools
Claims AnalysisDenial Code InterpretationRebilling ClaimsAppeals PreparationPayer Policy Knowledge
Soft Skills
Problem-SolvingOrganizational SkillsAttention to DetailIndependent Work
