The Revenue Cycle Specialist will be responsible for all aspects of billing medical claims for our clients enrolled in advisory services. This will include but not be limited to: verifying patient eligibility, preparation and submission of authorization requests, preparation and submission of claims, denied and unpaid claims resolution, cash posting, answering billing questions, and patient billing and collections. The Revenue Cycle Specialist will work under the guidance of the Senior Manager, Revenue Cycle Management to ensure all claims are handled properly.     Essential Job Functions:

•  Maintains the following revenue cycle management standards for each client enrolled in advisory services:

o    90% of accounts billed within 10 business days from date of service, with 100% billed within 30 business days o    90% of denied claims worked within 1 business day of notification, with 100% of denials worked within 2 business days o    90% of cash applications and adjustments made within 1 business day of notification, with 100% made within 2 business days o    100% of patients receive monthly statements o    Maintain Days Sales Outstanding (DSO) of 45 days or less

• Prepare, review, and submitting clean claims to various insurance companies either electronically or via paper
• Prepare, review and send patient statements
• Process and post payments from insurance companies and patients
•  Follow-up on unpaid or denied claims and if necessary submit corrected claims
• Prepare, review, and send refunds to patients and insurance companies
• Answer questions from patients, clients, and insurance companies
•  Identifies and resolves patient billing complaints and report complaints to manager
• Follow and report status of delinquent accounts to manager
• Performs various collection activities including contacting patients and insurance companies via telephone, mail, fax, and/or email
• Prepare, review, and work all billing related reports
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations
• Participate in educational activities and attend staff meetings
•  Conducts self in accordance with BioMedixTM Advisory Services’ employee handbook 

Professional Requirements:

• 1+ years of experience preforming medical billing in a multi physician practice or healthcare related organization
• Experience working with Medicare, Medicaid, and other third party payors
• Knowledge of Medicare, Medicaid, and other third party payors billing standards and policies.
• Strong understand of medical billing and collection practices
• Knowledge of HIPAA guidelines/regulations
• Strong understanding of medical terminology
• Excellent written, verbal communication, and interpersonal skills
•  Excellent customer service skills
•  Well organized and detail-oriented
• Excellent time management skills
•  Ability to work independently or as part of a team
• Ability to work effectively and efficiently under tight deadlines, high volumes, and competing prioritiesAbility to read, understand, and follow oral and written instructions preferred
•   Fluency in spoken and written English preferred
•  Ability to operate a computer and basic office equipment preferred
•  Experience with Microsoft Office software (i.e. Word, Excel, Outlook, and PowerPoint) preferred
•  Ability to operate a multi-line telephone system preferred
• Associate’s or Bachelor’s Degree preferred
•  Professional Medical Billing and Coding Training preferred

                Travel:

•  5%

  NOTE: This job description is not intended to be all-inclusive. Employee may perform other related duties as negotiated to meet the ongoing needs of the organization.     We offer competitive pay and a comprehensive benefits package. (i.e. Vacation, medical, FSA, Life, STD, LTD, 401K, etc.) Please forward Resume and salary requirements to hr@biomedix.com or fax to 651-305-5154 or mail to BioMedix™ Attn: Human Resources, 178 East 9th Street, St. Paul, MN 55101.  No agencies, please.  BioMedix™ is an equal opportunity employer. (EOE). NOTE:  This job description is not intended to be all-inclusive. Employee may perform other related duties as negotiated to meet the ongoing needs of the organization.   BioMedix Vascular Solutions, Inc. is an Affirmative Action/Equal Opportunity Employer (AA/EOE).