Remote Revenue Cycle Specialist Jobs in the US

Find remote revenue cycle specialist opportunities with fresh hourly updates. Open to US candidates.

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9 Companies

Revenue Cycle Credentialing Specialist

Exact Sciences

Changing the way we think about detecting and treating cancer.

Revenue Cycle Specialist9 hours ago

Full Time Remote JuniorTeam 5,001-10,000Since 1995H1B Sponsor

Company Site LinkedIn

• Facilitate contract implementation by being proactive and reactive, with internal and external parties to ensure the public and private payer contract paperwork and credentialing is in alignment with corporate goals, contracts, and/or regulations. • Prepare and maintain credentialing files and reports for all payors and government entities. • Expand both government and commercial payor profiles to include all lines of business units due to mergers and acquisitions; complete updates required by contracts for credentialing, disclosure, and demographic information. • Process and file applications with third party payors according to each payor’s individual requirements and addresses discrepancies, as requested, by payors. • Conduct all follow up steps until payor approval, completion, and acceptance is obtained. • Update NPI records according to provider specifications. • Enroll provider in Medicare/Medicaid as prescribed by each program's requirements. • Track licensure, accreditation, and insurance certificate expiration dates to ensure timely processing to be compliant with mandates for contractual agreements with state and federal regulations with payors. • Complete requests for re-credentialing for payors, commercial, and government entities. • Accept and process all requests from payers for credentialing information, updates, and new contracts and assays. • Answer questions, inquiries, and process requests from all internal and external stakeholders related to credentialing information. • Enroll all business units in Medicare/Medicaid programs. • Address enrollment deficiencies and payor issues regarding commercial and government entities. • Assist with electronic funds transfer (EFT) and electronic data interchange (EDI) enrollment, tracking, and filing. • Serve as liaison between parent subsidiaries, third party billing agents, payors, commercial, Government entities, and all stakeholders to ensure revenue/reimbursement pull through. • Maintain historical data and files. • Interface with multiple departments to provide updates and stay abreast of current initiatives that could affect credentialing and enrollment. • Monitor incoming emails for Odxclaimsupport, Payor Credentialing, GovTeam, ManagedCareContracts, Contact ManagedCare, and CommercialOpsFax.

View details: Revenue Cycle Credentialing Specialist

Wisconsin

$67.6K - $101.4K / year

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Revenue Cycle Specialist

Rosecrance Behavioral Health

Mental Health & Substance Use Treatment

Revenue Cycle Specialist15 hours ago

Full Time Remote JuniorTeam 1,001-5,000Since 1916H1B No Sponsor

Company Site LinkedIn

• Responsible for the collection of outstanding balances from commercial insurance and self-pay payers • Continuously improving revenue cycle processes • Manage client business accounts, policy applications and collection activities • Work eight-hour shift five days a week and be available to work additional hours when necessary • Overtime may be required • Responsible for overall credit and collections activities of client accounts • Maintain integrity of accounts receivable ledger, including aged receivable monitoring on an ongoing basis • Responsible for maintaining current knowledge of revenue components including benefit plans, contract terms and rates and billing forms and codes • Check status of claims through use of telephone, websites and/or other means available • Document adjustments needed to client accounts • Identify & recommend adjustments needed to client accounts • Pursue collection activities and follow up for balances outside of established norms • Coordinate collection activities with outside agencies, including court appearances, as needed • Maintain consistency in application of credit policies throughout the revenue cycle – from admission to final account resolution • Perform secure handling of cardholder data, including encryption, data storage limitations, and adherence to security protocols • Participate in mandatory Payment Card Industry (PCI) training, access controls, and regular security assessments, all aligned with PCI Data Security Standard (DSS) guidelines • Provide feedback & education to departments/internal customers with regards to issues that impact revenue flow and or capture • Provide appropriate documentation and reports designed to assist in fiscal management of the agency • Serve as a member of the Revenue Cycle Team and participate in all team meetings and activities • Understand and comply with all the principles established by the Rosecrance Corporate Compliance Program and Code of Conduct • Perform all responsibilities in compliance with the mission, vision, values, and expectations of Rosecrance • Deliver exceptional customer service consistently to every customer

View details: Revenue Cycle Specialist

Illinois

$20 / hour

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Revenue Cycle Specialist

EMS Management & Consultants, Inc.

The leading provider of revenue cycle management and technology solutions for the EMS industry.

Revenue Cycle Specialist5 days ago

Full Time Remote Mid LevelTeam 501-1,000H1B No Sponsor

Company Site LinkedIn

• The Revenue Cycle Specialist is responsible for reviewing and processing claims in various stages of the revenue cycle in a timely and compliant manner • Monitor overall client performance, identify potential loss or delay in revenue to ensure maximized reimbursement for assigned clients • Initiate timely and proactive communication to payers to identify deficiencies and provide appropriate feedback to operational staff in order to resolve and prevent issues • Prioritize, process, and delegate correspondence, rejections, denials, appeals, static claims, and all other follow up on claims in accordance with compliance standards and payer and client specifications • Work independently to define problems, identify causes, and initiate steps necessary for resolution in a timely manner • Regularly meet, and effectively communicate with, Supervisor Claims Management, onshore and/or offshore team members to ensure highest level of reimbursement is achieved • Holistically approach client performance by utilizing big picture analysis, critical and lean thinking, innovation, curiosity, tenacity, and consistent and timely follow though • Monitor and measure client performance outcomes in comparison to client commitments; identify barriers, seek and suggest solutions when desired outcomes are not achieved • Stay abreast of industry changes and regulations to ensure adherence and proactive preparedness • Exhibit strong customer service skills to build and maintain internal and external relationships in order to best address client needs.

View details: Revenue Cycle Specialist

United States

$18 / hour

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Revenue Cycle Specialist I, Cash Management

Cedars-Sinai

Make a difference every single day at Cedars-Sinai

Revenue Cycle Specialist6 days ago

Full Time Remote JuniorTeam 10,001+H1B No Sponsor

Company Site LinkedIn

• Provides billing support to Patient Financial Services. • Performs payment posting to support revenue cycle operations. • Identifies denials for follow up and performs account follow up activities. • Updates information on accounts and organizes work in a timely manner. • Participates in department meetings and provides feedback to management.

View details: Revenue Cycle Specialist I, Cash Management

California

$25 - $32 / hour

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Revenue Cycle Specialist – Revenue Integrity, Pathology

Cornell University

Revenue Cycle Specialist8 days ago

Full Time Remote SeniorTeam 1-10H1B Sponsor

Company Site LinkedIn

• Performs retrospective coding review of denied charges for physician services. • Reviews medical records for completeness and accuracy to ensure documentation supports the services billed and all documentation standards are met for billing. • Make corrections to charges when necessary. • Analyze for invalid denial trends, payer specific carrier submission requirements & system optimization. • Performs extensive follow-up to investigate and resolve payment denial trends. • Resolves outstanding accounts utilizing ancillary applications and websites as tools to retrieve medical documentation. • Researches and interprets payer contract terms and compiles necessary supporting documentation templates for appeals. • Ensures denial reviews are conducted in a timely manner. • Maintains up-to-date policies and procedures and knowledge related to managed care and third party payors. • Participates in annual and on-going mandatory compliance training. • Fulfills Continuing Education Units necessary to maintain certification status. • Assists in training current and new employees on the use of systems and departmental policies and procedures. • Performs other related duties as assigned.

View details: Revenue Cycle Specialist – Revenue Integrity, Pathology

New York

$32 - $36 / hour

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Revenue Cycle Payer Enrollment Specialist

Bozeman Health

Improving community health and quality of life.

Revenue Cycle Specialist15 days ago

Full Time Remote Mid LevelTeam 1,001-5,000Since 1911H1B No Sponsor

Company Site LinkedIn

• Coordinates, completes, and monitors the provider/facility payer credentialing process • Processes credentialing and re-credentialing applications for health care providers • Sends, reviews, and verifies credentialing applications • Loads and maintains provider information in an online credentialing database system • Tracks license and certification expirations for medical staff to ensure timely renewals • Handles and resolves inquiries regarding credentialing information, process, or status

View details: Revenue Cycle Payer Enrollment Specialist

Arizona + 9 more

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Revenue Cycle Specialist

Perimeter Healthcare - Integrated Behavioral Health

Providing Hope and Transforming Lives.

Revenue Cycle Specialist68 days ago

Full Time Remote SeniorTeam 201-500H1B No Sponsor

Company Site LinkedIn

• Submits monthly claims and invoices along with discharge claims within two business days of creation. • Reviews Payor Aging and works accounts accordingly for multiple sites within a Central Business Office Environment. • Ensures accurate, complete, and timely account follow-up. Documents accounts within Perimeter guidelines. • Resolves claim processing issues in a timely manner, escalates problem claims to their supervisor. • Resolves credit balances in a timely manner. • Reviews Remittance Advices daily and prioritizes Zero Pay accounts for immediate resolution. • Works directly with Payor Plans/Funding Sources to resolve ongoing issues. • Communicates Payor updates to Revenue Cycle Leadership in a timely manner. • Reviews Facility Correspondence in a timely manner. • Reviews new Admissions for Payor Plan accuracy. • Prepares write-off requests based on review of balances, and submits to leadership for review and approval • Reviews Denial Log and coordinates Denial write-offs with Facility UM Director. • Familiar with billing requirements for payor plans...not limited to Medicaid and Medicare.

View details: Revenue Cycle Specialist

United States

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Infusion and Specialty Drug Revenue Cycle Specialist

House + Home Loans

Revenue Cycle Specialist98 days ago

Full Time Remote Mid LevelTeam 11-50Since 2001H1B No Sponsor

Company Site LinkedIn

• 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

View details: Infusion and Specialty Drug Revenue Cycle Specialist

Texas

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Revenue Cycle Specialist II, Credit Management

University Hospitals

Revenue Cycle Specialist120 days ago

Full Time Remote JuniorTeam 10,001+H1B Sponsor

Company Site LinkedIn

• Position responsible for submitting and resolving medical claims moderate to high complexity. • Responds to requests from management, staff, or physicians in a timely and appropriate manner. • Maintains patient and physician confidentiality and professionalism at all times. • Follow department policies and procedures to ensure accurate and timely claim resolution. • Effectively communicates utilizing telephone, form letters, e-mail, or internal correspondence to resolve patient inquiries and insurance issues. • Attends and participates in team meetings. • Utilizes worklists to review and analyze account balances in order to collect payment for medical services rendered. • Utilizes multiple system applications to review, update patient information as well as research and resolve outstanding AR balance. • Assists in the analysis of claims resolution and provides feedback to management for solutions and process improvements. • Performs follow up with insurance companies to ensure appropriate payment on claims, resolve denials, correct claims, and appeal claims. • Acts as a liaison with internal and external customers providing assistance in claims and receivables resolution in a high volume environment. • Documents accounts with clear and concise verbiage in accordance with departmental procedures. • Reviews and responds to correspondence and inquiries received. • Meets and exceeds team productivity and quality standards. • Takes the lead on special projects. • Participates in staff training. • Reviews complex claims issues for resolution and recommends process improvements. • Performs other related duties as assigned.

View details: Revenue Cycle Specialist II, Credit Management

Ohio

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