Revenue Cycle Specialist

Portsmouth, NH 03801

Post Date: 04/27/2018 Job ID: 2998622 Industry: Customer Service Representative Pay Rate: $16 to $17 per hour, based on experience


Position Title Revenue Cycle Specialist: Medicare Part D

Overview

This is a temp to perm position. Some of the benefits once the candidate becomes a permanent employee are 10 paid holidays per year, 3 weeks PTO, 401K matching, quarterly bonuses, and more.

Duties & Responsibilities

  • Monitor and Send Claim Files, corrected claims and Paper Claims to Commercial insurance and Medicare
  • Monitor and work Rejections and denials from files
  • Post payments manually when required
  • Support clients on the daily operation of the Medicare Part D claiming application
  • Process QA and mail statements
  • Answer provider, submitter, and client questions regarding claims and claims related issues
  • Perform Quality Assurance Audits
  • Any other duties assigned and relevant to the project

Required Skills

  • Ability to organize and analyze data
  • Ability to execute tasks within a tight deadline
  • Ability to properly execute tasks outlined in a process and escalate issues/problems in a timely manner
  • Demonstrated accuracy and strong attention to detail
  • Proficiency with Microsoft Office, particularly Excel
  • Ability to understand industry standards


Qualifications

  • High school diploma required
  • Some pharmacy billing or pharmacy tech experience preferred
  • Coding certification a plus

Ashley Dineen


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