Revenue Specialist Job at Cano Health
Overview:
At Cano Health, our service focused, patient-centered, and proactive approach to care succeeds because of the commitment, hearts, and minds of our people. Our values and guiding principles provide purpose to create meaningful change in the lives of our patients, with a leadership approach that empowers our people to directly contribute to the success of our health and wellness efforts. The Cano Movement is proof of what people with a passion for healthcare can accomplish.
Join the Cano Movement! The movement that doesn’t just offer a job, it offers an opportunity to serve and grow with purpose. At Cano Health, you can join a collaborative team dedicated to the pursuit of excellence in health and wellness.
Cano Health offers competitive salaries, medical, dental & vision insurance, employee mental health program, paid time off, paid holidays, 401(k) with employer match, employee stock purchase program, tuition reimbursement and much more.
The Revenue Specialist is responsible for accounts receivables including the collections, coordination of billing processes and training of billing staff at the facility level. Properly apply all Medicare, Medicaid and HMO contract regulations when performing billing functions. Key criteria of this position are coordinating tasks to assure all deadlines both external and internal are met.
Responsibilities:
Cano Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
Cano Health fosters a culture driven by providing superior primary care services in the communities we serve, while forming lifelong bonds with our members. Driven by our mission to improve the health, wellness, and quality of life of our patients, Cano Health continues to work towards making a difference in primary healthcare.
At Cano Health, our service focused, patient-centered, and proactive approach to care succeeds because of the commitment, hearts, and minds of our people. Our values and guiding principles provide purpose to create meaningful change in the lives of our patients, with a leadership approach that empowers our people to directly contribute to the success of our health and wellness efforts. The Cano Movement is proof of what people with a passion for healthcare can accomplish.
Join the Cano Movement! The movement that doesn’t just offer a job, it offers an opportunity to serve and grow with purpose. At Cano Health, you can join a collaborative team dedicated to the pursuit of excellence in health and wellness.
Cano Health offers competitive salaries, medical, dental & vision insurance, employee mental health program, paid time off, paid holidays, 401(k) with employer match, employee stock purchase program, tuition reimbursement and much more.
The Revenue Specialist is responsible for accounts receivables including the collections, coordination of billing processes and training of billing staff at the facility level. Properly apply all Medicare, Medicaid and HMO contract regulations when performing billing functions. Key criteria of this position are coordinating tasks to assure all deadlines both external and internal are met.
Responsibilities:
- Correctly and efficiently review demographic data and patient insurance date into our proprietary billing system.
- Assess claims and accurately identify any problematic issues associated with adjudicated claims.
- Effectively communicate with insurance companies to ascertain claims status and accurate claims dispositions.
- Track and post payments received from insurance companies.
- Review EOBs and enters rejection codes, comments, and rebill claims as necessary.
- Review denials to determine appropriate action based on carrier requirements.
- Providing follow up with payers on denied or unpaid claims.
- Serve as the point of contact for all inquiries from insurance companies, while providing superior customer service
- Interacting with patients regarding billing questions and concerns on their account.
- Continued professional development desired and encouraged.
- Maintain strictest confidentiality; adheres to all HIPAA and other industry rules and regulations.
- A minimum of one-year experience in posting payment and working with denials
- High school diploma; Associate’s/Bachelor’s degree is a plus
- Knowledge of billing procedures and collection techniques
- Working knowledge of MS Office and databases
- Professional personal presentation
Cano Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
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