Employer Industry: Healthcare Revenue Cycle Management

Why Consider this Job Opportunity:
- Competitive pay with opportunities for bonuses
- Comprehensive benefits package including health insurance and retirement plans
- Clear path for career advancement and growth within the organization
- Remote work flexibility
- Collaborative and supportive work environment

What to Expect (Job Responsibilities):
- Review medical charts and physician orders to determine appropriate ICD and CPT codes
- Screen payer medical policies to ensure services meet medical necessity guidelines
- Submit and manage authorization requests per payer guidelines
- Facilitate insurance denial mitigation steps and appeals
- Maintain knowledge of current payer requirements and collaborate with stakeholders to minimize financial risk

What is Required (Qualifications):
- Associate degree in business, healthcare, or related area
- 1 year of experience in revenue cycle, insurance verification, or financial securing in a healthcare organization
- Knowledge of insurance terminology and Microsoft Office 365
- Ability to adapt to rapid changes and problem-solve independently
- Strong communication and time management skills

How to Stand Out (Preferred Qualifications):
- Referrals and/or prior authorization experience
- Epic system experience
- Knowledge of medical terminology and clinical documentation review

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