Position Details

Type Full-Time

Experience mid

Exp. Years 4+ years

Education High School Diploma or Bachelor's degree from a four-year college or university

Category Healthcare & Medical

About this role

Remote Revenue Cycle Associate focusing on collections and appeals for multiple payer types; responsible for optimizing reimbursements, resolving denials, and managing appeals to resolution.

Key Responsibilities

Verify claim was submitted to correct insurance
Review/update patient demographics for accuracy
Process and validate payor requests and claims via remittance advice and EOBs
Investigate denied services to determine reason and appeal
Process assigned appeals including submission, tracking, reporting and evaluation of appeal outcomes

Technical Overview

Healthcare billing environment with CPT/ICD-10/HCPCS coding, LCD/NCD knowledge, billing systems, and compliance with HIPAA and federal/state regulations; strong denial analysis and appeals workflows.

Must-Have Skills

Medical CollectionsAppeals processFederal and State payer knowledgeCPTICD-10HCPCSLCD/NCDHIPAABilling accuracyDenials managementAging reports

Nice-to-Have Skills

Experience in a diagnostics companyRemote work experienceLCD/NCD experiencePayer denials root cause analysis

Hard Skills

CPTICD-10HCPCSLCD/NCDRemittance AdviceEOBBilling systemFederal and State legislationHIPAADenials managementAppeals processAging reportsPayersPPOHMOIndemnity PlansMedical BillingClaim processing

Soft Skills

Problem solvingAttention to detailCommunicationTime managementCustomer serviceSelf-motivatedMultitaskingIndependent workCollaboration

Industry & Role

Industry Healthcare & Medical

Job Function Handle medical collections and appeals to maximize reimbursements in remote healthcare revenue cycle.

Role Subtype Medical Billing

Keywords for Your Resume

Revenue Cycle AssociateMedical CollectionsCollectionsAppealsBillingDenialsRemittance AdviceEOBCPTICD-10HCPCSLCD/NCDHIPAAFederal and State legislationPPOHMOIndemnityRemotePayersDenials managementAging reportsPatient demographicsBilling systemmedical collectionsappeals processfederal and state payer knowledgedenials managementremote

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Revenue Cycle Associate - Collections

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