Revenue Cycle Specialist, Biller

Job not on LinkedIn

🔥 1 minute ago

🇺🇸 United States – Remote

💵 $19 - $21 / hour

⏰ Full Time

🟠 Senior

🔴 Lead

👻 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.

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Sight Partners

WebsiteLinkedInAll Job Openings

201 - 500 employees

🏥 Healthcare

💳 Fintech

🤝 B2B

Healthcare • Fintech • B2B

Sight Partners is a company dedicated to enhancing eyecare solutions. Through innovative approaches and strategic partnerships, they aim to improve the quality and accessibility of eye care services. Their focus is on developing new methods and technologies that advance the eyecare industry while bridging gaps in existing services.

📋 Description

• Answer patient phone calls • Work denials and worklists within 24 hours of receipt • Work Accounts Receivables reports within benchmarks • Work Unbilled/Exclusion lists within 24 hours of receipt • Work denials related to coding issues • Perform initial charge review to determine appropriate ICD-10 and CPT codes for physician services • Review and research insurance denials from remittances, correspondence, or Clearinghouse rejections • Follow up on outstanding accounts receivable using practice management worklists, payer portals, phone inquiries, and written communications • Communicate denials or trends requiring practice knowledge or action • Collaborate with RMC team members and offices to ensure account accuracy and resolve issues • Communicate payer billing guidelines to clients and staff • Meet or exceed client AR objectives in 30-, 60-, and 90+-day aging categories • Perform other related duties as assigned

🎯 Requirements

• Required to answer patient phone calls • Good working knowledge of medical terminology and anatomy • Knowledge of current third-party billing and collection regulatory guidelines and requirements • Good interpersonal skills and a basic understanding of team management concepts • Ability to gather and interpret clinical data • Ability to work independently in a fast-paced environment • Excellence in communication skills; ability to convey information verbally and in writing • A high school diploma or GED completion is required • Billing or Coding Certification (CPC, CPC-A, COPC, CPB) or willing to obtain certification within 6 months of employment • Two (2) years experience with CPT ICD-10 coding of physician services preferred

🏖️ Benefits

• Medical, Dental, and Vision Insurance • Robust Ancillary Benefits • 401(k) Plan with employer contribution • Company Paid Life Insurance • Generous PTO/Holiday