Senior Revenue Cycle Specialist

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $26 - $27 / hour

⏰ Full Time

🟠 Senior

👻 Ghost score 0%

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IVX Health

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2013

🏥 Healthcare

💊 Pharmaceuticals

👥 B2C

Healthcare • Pharmaceuticals • B2C

IVX Health is a national network of outpatient infusion centers that provides biologic infusion and injection therapies for patients with complex chronic conditions such as Crohn’s disease, multiple sclerosis, rheumatoid arthritis, psoriasis, lupus, and severe asthma. The company emphasizes patient comfort and convenience with private suites, flexible scheduling including evenings and weekends, in-network insurance options, and high-quality care delivered by ARNPs, RNs, and medical directors across multiple U. S. locations.

📋 Description

• Engage daily with market leaders to obtain assistance with denials requiring local assistance • Review and answer escalated emails from all IVX markets • Facilitate review and submission of escalated appeals from Billing Manager or Follow-Up Team • Support Billing Managers by training new colleagues on follow-up processes • Review and obtain additional clinical information required to complete payer appeals • Review underpayment reports and collaborate with Billing team members to resolve issues • Lead overpayment report review and refund submission to Accounting • Communicate with insurance companies to resolve denials and obtain payment • Establish follow-up in new markets with the Billing Manager before handoff to assigned team members • Facilitate collaboration calls with Prior Authorization, Contracting, and Credentialing teams • Investigate outstanding unpaid claims reports and ensure new payers are set up for RTE, ERA, and EFT with the clearinghouse • Assist with denied claims requiring Prior Authorization intervention • Assist with payer policy review for team members working on denials • Assist Billing Manager with quality assurance of payment posting, insurance/patient follow-up, coding, and financial counseling teams • Demonstrate excellent customer service through patient-centered communications • Recommend departmental process improvements • Own special projects, research data, and execute detailed action plans assigned by the manager • Identify problems and coordinate resolution between appropriate parties • Perform duties according to department policies and procedures

🎯 Requirements

• High School Diploma or GED required • 5-7 years’ experience working in full revenue cycle in a facility or physician office setting or similar role • Proficiency with standard office software applications (Microsoft Office, Outlook, Teams, etc.) • Knowledge of basic medical terminology • Excellent organizational, consultative, analytical, and problem-solving skills • Ability to work independently under general supervision and effectively prioritize workload • Ability to multitask and adapt to fast-paced work environment • Strong interpersonal skills and ability to adjust communication style to match audience • Ability to collaborate and communicate at all levels of an organization • 2 Year / Associates Degree in Medical Office Managing, Medical Insurance, or Medical Coding strongly preferred • Certified Professional Coder or Certified Professional Biller is a plus

🏖️ Benefits

• 401(k), health benefits, and other company benefits • Medical, Dental, and Vision Coverage • Prescription Drug Coverage and Telemedicine Services • Health Savings Account (HSA), Health Reimbursement Arrangement (HRA), and Flexible Spending Options • 401(k) Retirement Plan with Company Match • Life, AD&D, and Disability Insurance • Accident, Critical Illness, and Hospital Indemnity Coverage • Fertility and Family Planning Support • Tuition Reimbursement and Certification Assistance • Continuing Education and Professional Development Resources • Employee Assistance Program and Wellness Support • Paid Time Off • Volunteer Time Off and Charitable Giving Match • Employee Referral Bonus Program • Meaningful work, professional development opportunities, and a culture built on collaboration, innovation, and purpose • Typical Monday–Friday schedule during regular business hours; no weekends required