Revenue Cycle Associate I

Job Description

Job Description

We are looking for a dedicated Revenue Cycle Associate I to join our healthcare team in Los Angeles, California. In this role, you will play a vital part in ensuring accurate and timely collection of payments while resolving discrepancies to maintain the integrity of patient accounts. This is a long-term contract position ideal for someone with expertise in medical billing, collections, and insurance processes.

Responsibilities :

• Review submitted claims to confirm accuracy and ensure they are sent to the appropriate payer.
• Investigate correspondence and denial details to identify payment obstacles and take corrective action.
• Analyze patient accounts to verify proper billing and resolve discrepancies, including reversing balances when necessary.
• Resubmit corrected claims and prepare appeals in compliance with payer guidelines, ensuring supporting documentation is included.
• Process adjustments for unbillable charges and escalate cases to the supervisor when required.
• Incorporate authorization details in claim submissions and follow procedures to secure retroactive approvals if needed.
• Maintain consistent productivity and quality standards while meeting deadlines.
• Identify and address areas of improvement to streamline billing and collection processes.
• Proven experience in medical collections and billing processes.
• Strong knowledge of handling medical denials and appeals.
• Expertise in working with medical insurance claims and resolving discrepancies.
• Ability to analyze account data and ensure accurate billing.
• Familiarity with payer guidelines and documentation requirements.
• Detail-oriented with excellent problem-solving skills.
• Effective communication skills for collaborating with team members and external parties.
• Commitment to meeting productivity and quality benchmarks.