Revenue Cycle Specialist – Backend

Job not on LinkedIn

2 days ago

🎰 Nevada – Remote

Although this job is listed in Nevada, this company may be open to hiring remote in other states.

💵 $60k - $75k / year

⏰ Full Time

🟠 Senior

🔴 Lead

🔙 Backend Engineer

🦅 H1B Visa Sponsor

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Rhythm

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Healthcare Insurance • SaaS • Artificial Intelligence

Rhythm is a company that specializes in cardiac rhythm management and remote patient monitoring solutions. Founded by clinicians with extensive experience, Rhythm empowers healthcare providers to offer better patient care by integrating advanced cardiac rhythm management technology and excellent service. They cater to patients with cardiovascular diseases, diabetes, high blood pressure, and other health issues by providing remote monitoring services that help practices, hospitals, and health systems. Their platform, RhythmSynergy, utilizes machine learning to ensure efficient review and response to critical patient data. By streamlining workflows and enhancing patient engagement, Rhythm aims to improve clinical outcomes and increase revenue for healthcare providers.

51 - 200 employees

⚕️ Healthcare Insurance

☁️ SaaS

🤖 Artificial Intelligence

📋 Description

• Claims Management: Review and submit corrected claims to payers as needed. • Monitor claim status and follow up on unpaid or rejected claims. • Denial Management: Analyze denial reasons and take corrective actions to resolve issues. • Collaborate with payers and internal teams to appeal and overturn denials. • Collections & Follow-Up: Initiate follow-up on outstanding balances with payers. • Escalate unresolved accounts according to company policy. • Compliance & Documentation: Maintain compliance with HIPAA and payer regulations. • Document all actions taken in the patient account system. • Reporting & Analysis: Generate and review reports on back-end performance metrics. • Identify trends and recommend process improvements.

🎯 Requirements

• 7+ years in revenue cycle, medical billing, or healthcare finance. • 2+ years of experience on XiFiN Revenue performance management system. • Strong knowledge of insurance guidelines, EOBs, and denial codes. • Proficiency in billing systems and Microsoft Office Suite. • Excellent attention to detail and organizational skills. • Strong communication and problem-solving abilities.