Revenue Cycle Management Specialist – AR Focus

Job not on LinkedIn

🔥 17 hours ago

⚔️ Virginia – Remote

⚔️ Virginia – Remote

💵 $20 - $25 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

💰 Accounts Receivable

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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Cenevia - Health Business Services

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 1996

🏥 Healthcare

☁️ SaaS

🤝 B2B

Healthcare • SaaS • B2B

Cenevia is a healthcare business services provider that partners with health providers—including Federally Qualified Health Centers, private practices, hospitals, managed care organizations, and provider networks—to deliver integrated, network-based services and programs that help clients streamline operations and focus on patient care. Established in 1996 (formerly CCNV / Community Care Network of Virginia), Cenevia offers centralized practice management systems, help desk and support infrastructure, and expertise across quality improvement, health information technology, EHR training (eClinicalWorks certified), health plan contracting, credentialing and enrollment (NCQA-certified), centralized billing/revenue cycle management, performance management, and network/HIT support.

📋 Description

• Perform claims processing, including paper and electronic claims • Review and manage clearinghouse-rejected claims • Manage and follow up on client-returned claims • Process payments, including daily balancing and manual/electronic payment posting • Manage collections and accounts receivable follow-up • Navigate insurance websites and maintain login access • Review provider participation status • Process patient statements • Process refunds, small balance, and bad debt adjustments • Manage claim denials and resubmit denied Medicare Part A claims through the NGS Fiscal Intermediary Shared System • Submit and follow up on eClinicalWorks and CCNV IT support tickets • Communicate account issues to clients and team leads • Respond to team and client inquiries timely and thoroughly • Make patient phone calls and manage interpretive services • Participate in continued education and internal training • Complete special projects as assigned • Review and follow up on accounts receivable management reports and department goals/KPIs • Monitor common claim processing, denials, and department goals/KPIs • Reassign duties during absences in coordination with the client/team lead supervisor

🎯 Requirements

• Two years of experience in insurance reimbursement, account collections, coding and medical terminology • Significant experience performing and managing billing services for a Federally Qualified Health Center (FQHC) • Advanced proficiency in eClinicalWorks (eCW) • Proficiency in Microsoft Excel and Word • Excellent customer service and communication skills • High school diploma or equivalent required • Suitable and secure technology, including secure Wi-Fi, telephone, and dedicated workspace • Must participate and be seen in meetings via video conference

🏖️ Benefits

• Simple IRA Matching • Health Insurance • Paid Time Off • Paid Holidays • Dental Insurance • Vision Insurance • Life Insurance • Employee Assistance Program • Tuition Reimbursement • Disability insurance • Fitness Program