Revenue Cycle Specialist

🔥 4 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Infinx

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

💼 Consulting

📦 Logistics

💰 Venture Round on 2021-11

Healthcare • Consulting • Logistics

Infinx is a company that specializes in optimizing the healthcare revenue cycle through advanced technology solutions. It offers a comprehensive platform that automates and enhances processes such as prior authorizations, eligibility verifications, medical coding, billing, and revenue acceleration. By leveraging artificial intelligence, automation, and integrations within healthcare systems, Infinx helps healthcare providers streamline patient access and maximize reimbursements. The company works closely with healthcare providers, including hospitals, physician groups, and specialty centers, to address their revenue cycle challenges effectively. Infinx's solutions aim to reduce denials, improve claim accuracy, and enhance patient satisfaction, thereby allowing providers to focus more on delivering high-quality care.

📋 Description

• Support hospital and clinic revenue cycle processes, including claim submission for all payers, payment posting, denial management, appeals, and collections • Manage self-pay collections and resolve outstanding account balances • Review accounts receivable, identify discrepancies, and resolve them • Research and resolve complex credit balance scenarios • Use Cerner (Oracle) to review account information, document activity, and resolve billing and collection issues • Use FinThrive Clearinghouse to resolve billing edits and submit secondary claims • Review payor contracts and reimbursement methodologies to identify and resolve payment discrepancies • Apply coding guidelines, regulations, and reimbursement methodologies to resolve account issues • Collaborate with clinical and financial teams to address issues affecting revenue • Analyze metrics and reports to identify opportunities to improve revenue cycle performance • Follow revenue cycle best practices and perform other duties as assigned

🎯 Requirements

• High school diploma or equivalent • 3+ years of experience in accounts receivable or revenue cycle management • Knowledge of hospital and clinic revenue cycle processes, including claim submission, payment posting, denial management, appeals, and collections • Knowledge of coding guidelines, applicable regulations, payor contracts, and reimbursement methodologies • Experience with Medicare billing and collections, the Medicare DDE system, self-pay collections, and complex credit balance resolution • Proficiency with Cerner (Oracle), Microsoft Excel, and Outlook • Experience using FinThrive Clearinghouse to resolve billing edits and submit secondary claims • Strong communication, organizational, time management, interpersonal, and problem-solving skills • Ability to work independently and collaboratively with minimal supervision • Commitment to the core values of Team, Integrity, Growth, and Innovation

🏖️ Benefits

• Access to a 401(k) Retirement Savings Plan • Comprehensive Medical, Dental, and Vision Coverage • Paid Time Off • Paid Holidays • Pet Care Coverage • Employee Assistance Program (EAP) • Discounted services • Flexible work hours when possible

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