Revenue Cycle Specialist

Signature Performance
life insurance, paid holidays, sick time, tuition assistance, 401(k)
United States, Nebraska, Omaha
10250 Regency Circle (Show on map)
Jan 08, 2025
ABOUT YOU You are a person who loves to research and evaluate claims for proper reimbursement. We need someone who can meet quality and productivity standards set by Signature and/or our client. In the role of Revenue Cycle Specialist, you'll be responsible for calling payers and use probing questions to understand the claim status. If you can put your signature on this, we can't wait to hear from you! Tell us about your experience with Revenue Cycle. Are you a team player and a self-motivator? What is your experience with conducting business in a way that is a credit to a company? We are counting on you to manage multiple projects using your problem-solving skills. We're looking for someone UNCOMMON. What is uncommon about you? Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we can't wait to meet you. ABOUT THE POSITION The people you will work with are exceptional. Here is what you can look forward to, and why you'll LOVE YOUR MONDAYS. Call payers and use probing questions to understand the claim status. Review denied claims on payer portals or EOBs and take necessary steps to resolve the denial that are outlined by the client or management. Clearly document multiple EHR systems to ensure clear understanding of actions taken to resolve the claim. Write, submit and follow up on appeals for denied claims. Meet quality and productivity standards set by Signature and/or our client. Review billing documents as assigned for submission to insurance plans and government entities (Medicare, Medicaid, Tricare etc). Clearing all edits necessary for clean claim submission. Refer all needed claims to proper management personnel when unable to achieve clean claim status for submission. Review and understand EOB's/RA's (Explanation of Benefits and Remittance Advice documents received from insurance payers and government entities. Process all required payments, adjustments to accounts when claim payment is received if required in client or company systems. Contact insurance plans and governments entities using online systems, email, and phone to resolve unpaid claims. Providing data to management on trends found with payers in claims adjudication process affecting claims payment. Provide excellent customer service in keeping with Signature's legacy both internal and externally. Assist with process design and redesign as needed for Signature's client Maintain expertise in multiple current client systems. Maintain up to date knowledge of revenue cycle management, industry trends perform other duties as necessary. Acts as an effective team member. Other duties may be assigned. Position Requirements: 1+ years health care revenue cycle experience within a physician office, hospital, or insurance plan claims processing unit. General knowledge of CPT/HCPCS and ICD.10 coding requirements Strong attention to detail outstanding written and verbal communication skills Computer proficiency including Microsoft Office, Word, Excel and Outlook Ability to function effectively in a fast-paced environment. Personal traits of a high-level commitment, motivation, energy, team orientation, professionalism, trust, personal honesty and integrity, and a demonstration of placing others in a place of high value. Desire to participate in revenue cycle training and career advancement opportunities ABOUT US You are uncommon. We are, too. We are looking for people to help us in our mission of working hard at lowering healthcare administrative costs for federal government agencies, payers, and providers. At Signature, our mission is to improve the health of our clients' business and make the lives of the people we work with better. As we continue to experience exponential growth, we are looking for uncommon individuals to enhance our vision. We will continue to accomplish our mission by leading with our values of Passion, Courage, Integrity, and Respect in all interactions, making us a consistent annual Best Places to Work organization. We need uncommon leaders with uncommon qualities to shape our uncommon culture and achieve our uncommon mission. ABOUT THE BENEFITS We're proud to put our signature on each one of our employees. When you are a member of Signature Performance, you are a part of a solutions-based organization where the values of passion, integrity, courage, and respect are the driving forces behind all our decision-making. We trust in you to do important work and bring the best version of yourself to work every day, so we want to help you achieve a work-life balance while consistently challenging yourself. Signature believes in fully developing each one of our Associates. We deliver a performance-driven atmosphere with competitive pay, world-class training and development classes, resources, and events, an award-winning culture where everyone thrives, and so much more. Health Insurance for Our Associates Fully Paid Life Insurance Fully Paid Short- & Long-Term Disability Paid Vacation Paid Sick Leave Paid Holidays Professional Development and Tuition Assistance Program 401(k) Program with Employer Match Referral Bonuses Hybrid & Remote Opportunities General Areas of Accountability: Must conduct business and personal affairs in a manner that is always a credit to the company. Must maintain a good credit rating while employed with the company. The following HIPAA and Privacy items apply to all positions at Signature Performance: Follow HIPAA guidelines for protecting the privacy and security of sensitive personal and/or health information. Follow Signature expected acceptable use to protect propriety and company owned information. Complete annually required Privacy and Security Training Performance Management: All Signature Performance associates are subject to regular performance management to determine if skills and training requirements are suitable for the position. Machines and Equipment: The incumbent must be able to effectively operate the current computer system, telephone system, and other office machines such as copiers and fax machines. Physical Activity: The incumbent must be able to finger, grasp, feel, see, sit, hear, and speak. This position is sedentary in nature with minimal lifting requirements. Working Conditions: The incumbent works in an office environment that is not substantially exposed to adverse environmental conditions such as heat, cold, or extreme noise. Routine periods of being on the phone utilizing a headset, sitting and data keying are required. Remote Eligibility: This position is full-time remote eligible. Eligibility is determined by Management or Talent Operations. U.S. Citizenship is Required for All Positions and Work on All Positions Must Be Completed in the Continental United States, Alaska, or Hawaii. The above statements are intended to describe the general nature of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. U.S. Citizenship is Required for All Positions Work on All Positions Must Be Completed in the Continental United States, Alaska, or Hawaii