Senior Revenue Cycle Specialist

8 hours, 3 minutes ago
Full-time
Senior
Operations
IVX Health

IVX Health

IVX Health is a national provider of infusion and injection therapy for patients with complex chronic conditions. They offer biologic infusion and injection therapies in outpatient centers with unique amenities like private suites and flexible scheduli...

Health Care Providers & Services
51-250
Founded 2013
$136M raised

Description

  • Manage the full revenue cycle lifecycle in accordance with payer requirements.
  • Investigate and resolve claim denials, underpayments, overpayments, and outstanding unpaid claims.
  • Review, prepare, and submit escalated payer appeals with required clinical documentation.
  • Communicate with insurance companies, patients, referring providers, and internal teams to obtain payment and resolve issues.
  • Lead overpayment report reviews and submit refunds to Accounting.
  • Support Billing Managers with training, quality assurance, and follow-up process development.
  • Collaborate with Prior Authorization, Contracting, Credentialing, and Billing teams to identify trends and resolve denials.
  • Ensure new payers are configured for RTE, ERA, and EFT through the clearinghouse.
  • Recommend process improvements, coordinate issue resolution, and own assigned special projects.
  • Provide patient-centered customer service while following departmental policies and procedures.

Requirements

  • 5–7 years of full revenue cycle experience in a facility, physician office, or similar setting.
  • High school diploma or GED required.
  • Associate degree in Medical Office Management, Medical Insurance, or Medical Coding strongly preferred.
  • Certified Professional Coder or Certified Professional Biller certification is preferred.
  • Proficiency with Microsoft Office, Outlook, Teams, and standard office applications.
  • Knowledge of basic medical terminology.
  • Strong organizational, analytical, consultative, problem-solving, and interpersonal skills.
  • Ability to work independently, prioritize workload, multitask, and adapt to a fast-paced environment.
  • Ability to collaborate across organizational levels and adjust communication style to different audiences.

Benefits

  • Fully remote, Monday–Friday schedule during regular business hours with no weekends required.
  • Hourly pay generally ranging from $26.00 to $27.50 for new hires.
  • Medical, dental, vision, prescription drug, and telemedicine coverage.
  • 401(k) retirement plan with company match.
  • HSA, HRA, and flexible spending options.
  • Paid time off, life and disability insurance, and additional supplemental coverage.
  • Tuition reimbursement, certification assistance, continuing education, and professional development resources.
  • Employee assistance, wellness, fertility and family planning support, volunteer time off, charitable giving match, and referral bonus program.

Interested in this position?

Apply directly on the company website

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