Join TEKsystems as a Revenue Cycle Specialist, where you'll manage accounts receivable and resolve denials for hospital billing and claims. This fully remote role offers flexibility and requires expertise in medical billing and insurance processes, making a significant impact on reimbursement efficiency.
Key Responsibilities
Adhere to all network and departmental procedures and policies
Comply with applicable state/federal laws and accreditation requirements
Document all account actions clearly and accurately
Maintain patient confidentiality
Resolve denials and insurance correspondence within specified timeframes
Follow billing and collection procedures, providing necessary information to adjudicate claims
Meet A/R, productivity, and QA standards set by the department
Monitor billing and follow-up holds to ensure timely resolution
Participate in monthly payer conference calls
Required Qualifications
2+ years of medical billing experience handling denials with commercial payers
Experience with government plans (Medicare, Medicaid, Tricare, HIP Plans)
Strong understanding of reimbursement methodologies and contract pricing logic
Preferred Qualifications
Candidates with only government plan experience will be considered
Experience with EPIC is highly desirable
Benefits & Perks
Medical, dental & visionCritical Illness, Accident, and Hospital coverage401(k) Retirement PlanLife Insurance (Voluntary Life & AD&D)Short and long-term disabilityHealth Spending Account (HSA)Transportation benefitsEmployee Assistance ProgramTime Off/Leave (PTO, Vacation or Sick Leave)