Revenue Cycle Specialist
Central Business Office - East Memphis
Information About This Position
OrthoSouth is seeking a Revenue Cycle Specialist for our MSK CBO location. This position requires at least two years of medical billing, coding, or collections experience, with orthopedic experience preferred, along with a high school diploma or equivalent. The ideal candidate will have strong knowledge of CPT, HCPCS, and ICD-10 coding, insurance guidelines, medical terminology, and EOBs, as well as experience with Microsoft Outlook, Excel, and data entry. This role involves preparing correspondence, updating insurance information, responding to claim inquiries, identifying and resolving billing issues, and working with payors to track past due claims. We are looking for a self-motivated team player with excellent customer service skills who can work independently, manage multiple tasks, and help maintain a positive, patient-centered environment.
Qualified applicants should contact Donelle Morrison at dmorrison@orthosouth.org.
Qualifications
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Minimum of two (2) years of medical billing/coding/collection experience – Orthopedic preferred.
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High school diploma or equivalent.
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Advanced knowledge of coding (CPT, HCPS, and ICD-10), billing, insurance guidelines, medical terminology, and the ability to read / comprehend medical dictation and EOBs.
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Knowledge of Health Insurance carriers and the ability to explain benefits and limitations.
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Ability to communicate medical benefits with patients and provide expectations for payment.
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Ability to follow up on claims rejections and denials and resolve.
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Self-motivated individuals with the ability to multi-task and work independently to achieve a high level of accuracy and productivity.
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Exceptional customer service and phone etiquette required.
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Experience with data entry, Microsoft Outlook and Excel required.
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Ability to work with a variety of personnel including physicians, medical assistants, and other office staff to complete necessary tasks, to meet/ exceed goals while maintaining office protocols.
Responsibilities
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Composing routine correspondence letters, retro authorizations, appeals etc.
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Update insurance information on demographics and claims.
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Responding to inquiries by phone and email about claims.
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Identifying insurance guidelines.
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Identify problem accounts and trends with payors; investigate and correct errors; track and resolve past due claims.
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Respond to and upload claim information via Insurance Portal.
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Work offsets, refunds, takebacks, unpostables and unreconciled balances.
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Ability to control escalated patient situations in a controlled environment while ensuring patient satisfaction.
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Promote positivity and team building to achieve department goals.
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Committed to successfully completing assignments provided by Management.
