Revenue Cycle Specialist

Job not on LinkedIn

🔥 12 hours ago

🌵 Arizona – Remote

🌵 Arizona – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 12%

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.

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Neurosurgical Associates

WebsiteLinkedInAll Job Openings

201 - 500 employees

💼 Consulting

📦 Logistics

🏥 Healthcare

Consulting • Logistics • Healthcare

Neurosurgical Associates is a large, multi-provider neurosurgery practice based in East Tennessee, with 16 board-certified neurosurgeons offering a broad range of brain and spine surgical services for patients of all ages. The group maintains multiple offices and satellite clinics around Knoxville and surrounding cities to provide consultations, pre- and post-operative care, and maintains staff privileges at several regional hospitals. They focus on delivering specialized clinical neurosurgical care locally to minimize travel burdens for patients and coordinate services across hospitals and outpatient centers.

📋 Description

• Manage and resolve outstanding claims within prescribed timeframes • Adhere to a structured weekly workflow for claim resolution • Analyze account trends and optimize workflows • Resolve high-dollar, oldest, and small-dollar accounts • Follow up with payers regarding denials, rejections, payment delays, and discrepancies • Monitor and escalate unresolved or complex claims • Complete correspondence and submit required documentation and medical records to payers • Prepare and send weekly appeals via certified mail • Document claim activities and payer interactions accurately • Maintain records of high-dollar claims, appeals, and correspondence • Provide supervisors with updates on claim status, trends, and unresolved issues • Participate in audits and quality checks • Collaborate with revenue cycle team members and escalate cases to the AR Supervisor/Manager • Identify delinquent accounts, aging periods, and payment sources • Research insurance credit balances and request refunds • Appeal incorrectly processed claims and make appropriate adjustments • Refile primary paper and secondary claims • Assist secretaries and patients with insurance issues and questions • Handle incoming insurance correspondence and scan documents into the practice management system • Negotiate payments with non-contracted insurance payers • Attend required insurance training seminars/webinars • Participate in appeals hearings as requested • Maintain privacy, confidentiality, and security of organizational data • Post office and ancillary procedure charges • Balance charge totals and contact physician staff for corrections • Follow up on holds and clear tickets within required timeframes • Correct demographic information and ensure clean claims are submitted • Obtain patient payments and provide alternative payment plans • Answer business office telephone lines and process calls • Update financial and demographic information • Interact with collection agencies and handle bankruptcy and deceased patient accounts • Process patient receipts and identify/process patient refunds • Attend staff meetings and participate in special committees • Perform other duties and assignments as necessary

🎯 Requirements

• Must reside in Arizona • Work claims within 5 business days of submission • Prioritize and process high-dollar claims ($5,000) within 5 business days • Follow federal, state, and payer regulations • Two years prior experience in a private practice or hospital billing/business office preferred • Insurance billing experience utilizing CPT, ICD-10 and modifier coding preferred • High school diploma or G.E.D required • Ability to analyze payment denials and compose letters of appeal • Ability and desire for cross training in all areas of the Business Office • Ability to identify account problems and explain them effectively to patients • Good communication skills with staff, patients, insurance companies, outside physician offices, and physicians • Ability to work independently and complete work accurately and timely • Regular attendance without undue tardiness • Professional demeanor and attire

🏖️ Benefits

• Overtime as required