Revenue Cycle Specialist at nimble International

North New Hyde Park, New York, United States -

Full Time

Start Date

Immediate

Expiry Date

27 Apr, 26

Salary

0.0

Posted On

27 Jan, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Medical Billing, Insurance Verification, Claim Submission, Claim Denials, CPT Coding, ICD-10 Coding, Attention to Detail, Organizational Skills, Communication Skills, Interpersonal Skills, Flexibility, Adaptability, Computer Proficiency

Industry

Hospitals and Health Care

Description

Description Why you’ll want to work at nimble! This is a great opportunity to join a well-established and market-leading brand serving a high-growth end market while gaining valuable experience working closely with Executive leadership. As an organization, we are in high-growth mode through acquisition with a laser focus on positive culture building! Who we are: nimble solutions is a leading provider of revenue cycle management solutions for ambulatory surgery centers (ASCs), surgical clinics, surgical hospitals, and anesthesia groups. Our tech-enabled solutions allow surgical organizations to streamline their revenue cycle processes, reduce administrative burden, and improve financial outcomes. Join more than 1,100 surgical organizations that trust nimble solutions and its advisors to bring deep insights and actionable intelligence to maximize their revenue cycle. We are currently seeking a Revenue Cycle Specialist with a great work ethic to manage the revenue cycle process, including pre-submission review, claim submission, and follow-up. Under the direction of the Billing Manager, this role will be instrumental in ensuring timely claim submission, follow-up with payers, and handling billing discrepancies. This position requires well-rounded knowledge of the revenue cycle process while maintaining compliance with industry regulations. Key Responsibilities: Responsibilities include insurance verification, reviewing submitted claims for accuracy and completeness, investigating and resolving claim denials by analyzing documentation and using appropriate CPT and ICD-10 codes. In this role, you will work on insurance appeals and corrected claim information and work closely with providers, coders, and administrative staff to ensure accurate documentation and billing. You will provide timely billing and reimbursement for services while maintaining compliance with industry regulations. This position requires the ability to utilize and navigate through all available portals for claim information. You will be responsible for tracking and documenting follow-up activities to ensure completion of work and provide updates regularly. The ideal candidate must be detail-oriented, organized, and capable of navigating the complexities of healthcare billing and insurance systems to optimize revenue flow. Requirements Qualifications and Skills required: High School diploma or equivalent Minimum 3 years of medical billing experience Out-of-network billing experience strongly preferred Strong communication and interpersonal skills Excellent attention to detail and organizational skills Must be flexible and adaptable to various work environments Must be computer proficient

Responsibilities

The Revenue Cycle Specialist will manage the revenue cycle process, including pre-submission review, claim submission, and follow-up. This role involves ensuring timely claim submission, follow-up with payers, and handling billing discrepancies.