Revenue Cycle Specialist

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $17 - $20 / hour

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

EMS Management & Consultants, Inc.

WebsiteLinkedInAll Job Openings

501 - 1000 employees

💼 Consulting

🏥 Healthcare

⚕️ Healthcare Insurance

Consulting • Healthcare • Healthcare Insurance

EMS Management & Consultants, Inc. (EMS|MC) is a company that specializes in providing comprehensive operational solutions for over 1,500 emergency medical services (EMS) providers across the United States, including hospital systems, municipalities, and private companies. Founded by professionals within the EMS industry, EMS|MC offers services designed to optimize reimbursement, resources, and regulatory compliance. With more than 25 years of experience, the company leverages technologies like EMsmart, a SaaS-driven billing solution, to enhance revenue performance for EMS agencies. EMS|MC also works closely with the PWW Advisory Group to ensure compliance with the ever-changing regulatory landscape, providing tools and educational resources to EMS providers.

📋 Description

• Review and process claims through various stages of the revenue cycle in a timely and compliant manner • Monitor client performance and identify potential loss or delay in revenue • Suggest solutions to maximize client performance and reimbursement • Provide feedback regarding client performance, workflows, processes, trends, industry changes, payer regulations, and concerns • Communicate proactively with payers to identify deficiencies and provide feedback to operational staff • Prioritize, process, and delegate correspondence, rejections, denials, appeals, static claims, and other claims follow-up • Determine the next appropriate course of action for each claim • Define problems, identify causes, and initiate and complete timely resolutions • Meet and communicate with Supervisor Claims Management and onshore/offshore team members • Analyze client performance outcomes against commitments and identify barriers to desired outcomes • Stay informed about industry changes and regulations • Build and maintain internal and external relationships through strong customer service • Present client performance analysis as needed • Serve as backup to other team members • Perform other duties and tasks as assigned

🎯 Requirements

• High School Diploma • At least 1-2 years of experience processing health insurance claims and/or denials or other healthcare accounts receivable experience • 1-2 years medical billing experience or at least 1 year EMS billing experience • Ability to organize, prioritize and multi-task • Ability to learn, understand, and work within specific compliance, client, and payer requirements • Demonstrated understanding of applicable HIPAA regulations, Medicare, Medicaid, insurance, liability, and tertiary payment methods • Ability to adapt to changes in work environment, procedures, priorities, and job duties • Ability to function well within a cross-functional team setting and independently • Strong critical thinking and analytical skills and attention to detail • Proficient in Microsoft Office programs • Proficiency in English is necessary for job-related communication • Strong preference for prior EMS billing and/or denials experience • Proficient in EMS|MC billing software • Quiet, private workspace free from significant distractions required for approved hybrid or remote work • Reliable internet connection required for hybrid/remote work • Applicants must be authorized to work in the United States now and in the future; no current or future visa sponsorship

🏖️ Benefits

• Discretionary bonus plan • Comprehensive benefit package • Retirement plan • Health coverage • Paid time off • Necessary equipment provided, including a computer, monitor, keyboard, mouse and headset • Reasonable accommodations for qualified individuals with disabilities