Revenue Cycle Specialist

• Provide high-quality radiology services to hospitals and healthcare facilities
• Collaborate with physicians and healthcare teams to ensure patient care
• Contribute to innovative clinical practices and technology

Radiology specialist providing services to healthcare facilities across the U.S.

Radiology specialist at Radiology Partners providing high-quality services to healthcare facilities in the U.S. Collaborating with healthcare teams to enhance patient care and innovate clinical practices.

• Submit accurate claims for infusion therapies, injectable medications, and physician-administered drugs to insurance payers
• Track claims to ensure timely processing and reimbursement
• Identify and address claim rejections and denials promptly
• Reconcile payments and outstanding balances for infusion and injectable drug claims
• Maintain detailed records of payer communications and payment status
• Confirm insurance eligibility and coverage for infusion therapies and physician-administered drugs
• Collaborate with pharmacy and clinical teams to obtain prior authorizations when required
• Ensure claims comply with payer policies, coding standards, and regulations
• Maintain organized and accurate documentation for audit purposes
• Identify opportunities to optimize the infusion and medical benefit drug billing process

Infusion and Specialty Drug Revenue Cycle Specialist managing accounts receivable processes

Infusion and Specialty Drug Revenue Cycle Specialist

Infusion and Specialty Drug Revenue Cycle Specialist managing accounts receivable processes related to physician-administered drugs. Collaborating with pharmacy teams and insurance companies for efficient revenue cycle management.

• 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.

Revenue Cycle Specialist managing accounts for insurance claim resolution

Revenue Cycle Specialist managing accounts for insurance claim resolution. Collaborating with internal teams and payers to ensure timely and accurate claim processing.

Revenue Cycle Specialist jobs in Texas

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Revenue Cycle Specialist

Infusion and Specialty Drug Revenue Cycle Specialist

Revenue Cycle Specialist