The Revenue Specialist works directly with patients, coworkers, management, physicians, insurance companies and Business/Corporate companies to resolve account issues, explain payment and billing policies and optimally collect. Communicates effectively and professionally; Researches and resolves denied/rejected claims; Makes account adjustments and corrections as needed; Generates and analyzes reports; Analyzes expected payment data; Researches and process insurance refunds; Independently monitors work flow and maintains minimal AR requirements; Processes phone payments and sets up payment plans; Supports Patient billing thru account posting, account monitoring, project and clerical assistance as needed; Other duties as assigned
Formal training which will probably be indicated by a high school diploma or equivalent; good typing skills and mathematical calculation ability; good verbal and written communication skills; good phone etiquette; applicants will preferably have two years experience in a medical office setting which may include; knowledge of medical coding; knowledge of third party fee profiles and reimbursement mechanism; knowledge of medical terminology and coding procedures.
Physical guidelines include the ability to move, traverse, position self, remain in a stationary position and negotiate steps for up to eight hours per day; maneuver equipment; read and understand medical information; negotiate steps for up to eight hours per day; ability to perform repetitive motions; ability to lift up to 25 pound; visual acuity; manual dexterity and motor coordination.
This document is intended to describe the general nature and level of work performed. It is not intended to act as an exhaustive list of all duties, skills, and responsibilities required of personnel so classified. Attendance is an essential function of the job.
Lexington Clinic is Central Kentucky's largest and oldest medical group. We have more than 200 providers in more than 30 specialties taking care of 600,000+ patients in the Lexington community since 1920.