Revel Staffing
Job Description
Join a busy specialty practice and own the full revenue cycle-coding, clean claims, follow-ups, and patient A/R-while keeping us compliant.
What you'll do Assign accurate codes (CPT/HCPCS, ICD-10; DRG familiarity) from clinical documentation. Submit, track, and reconcile electronic and paper claims; resolve rejections/denials (EOB/ERA). Manage A/R: timely follow-up on unpaid claims; patient billing and payment plans. Verify eligibility/benefits and obtain/refine authorizations as needed. Maintain precise records in EMR/EHR and billing software; produce RCM reports. Partner with clinicians/front desk to fix documentation or coverage discrepancies. Safeguard PHI and uphold all privacy/security standards. Required Recent experience in
medical billing/coding and/or collections
within a medical practice. MediClear (or equivalent HIPAA compliance certification). Working knowledge of medical terminology, EMR/EHR workflows, and claims lifecycles. Detail-driven, organized, strong written/verbal communication with patients, payers, and providers. Preferred Experience with specialty billing (allergy/asthma or similar outpatient). Hands-on with clearinghouses, eligibility tools, and common practice management systems. Denial prevention/root-cause analysis and RCM KPIs.
What you'll do Assign accurate codes (CPT/HCPCS, ICD-10; DRG familiarity) from clinical documentation. Submit, track, and reconcile electronic and paper claims; resolve rejections/denials (EOB/ERA). Manage A/R: timely follow-up on unpaid claims; patient billing and payment plans. Verify eligibility/benefits and obtain/refine authorizations as needed. Maintain precise records in EMR/EHR and billing software; produce RCM reports. Partner with clinicians/front desk to fix documentation or coverage discrepancies. Safeguard PHI and uphold all privacy/security standards. Required Recent experience in
medical billing/coding and/or collections
within a medical practice. MediClear (or equivalent HIPAA compliance certification). Working knowledge of medical terminology, EMR/EHR workflows, and claims lifecycles. Detail-driven, organized, strong written/verbal communication with patients, payers, and providers. Preferred Experience with specialty billing (allergy/asthma or similar outpatient). Hands-on with clearinghouses, eligibility tools, and common practice management systems. Denial prevention/root-cause analysis and RCM KPIs.