Revenue Cycle Specialist

Are you ready to join a winning team? Simplify ASC is growing and looking to add a Revenue Cycle Specialist. We are seeking a qualified individual to assist the Revenue Cycle Management department. Simplify ASC is a software and revenue cycle solutions company located in Brentwood, TN that offers a competitive compensation package, business casual work environment, and opportunity for growth.


Responsibilities:

  • Track and resolve outstanding denials and payment issues, including make daily calls and research account issues
  • Assist billing clients with billing questions and insurance questions as necessary
  • Appropriately document all correspondence with clients and third-party insurances
  • Work denials received from insurance companies
  • File appeals, update status, complete all steps to resolve denials, and complete associated paperwork
  • Monitor / review payments posted for accuracy
  • Handle assigned tasks
  • Review EOBs – issue appeals / submit corrected claims
  • Effectively navigate billing clients EMR system to pull notes, medical records and other information to send as requested by outside parties
  • Correspond consistently and professionally with billing clients
  • Other duties as assigned

Competencies:

  • Skilled in insurance and patient claims follow-up
  • Experienced in reconsiderations and appeals
  • Problem analysis and decision making
  • Detail Oriented – attention to detail and accuracy
  • Customer service oriented
  • Teamwork- positive attitude

Qualifications:

  • Associates degree in Healthcare administration or 3-5 years related experience
  • Experience with insurance portals and claims research
  • Skilled in Medical Terminology, CPT-4 and ICD-10 coding
  • Working knowledge in Medicare, Commercial, and insurance regulations and policies
  • Understanding of EOB’s and Remittance codes
  • Use of Vision or HST preferred but not required

Please submit your resume and cover letter to recruitment@simplifyasc.com.