Kickstart your revenue-cycle career on a team that bills, tracks, and secures payment for patient services. You’ll learn end-to-end workflows—charge entry, claim submission, payment posting, and denial follow-up—while collaborating with patients and payers.
Create and submit accurate claims using ICD-10-CM, CPT, and HCPCS codes.
Verify eligibility/benefits; obtain authorizations when needed.
Monitor claim status; research and resolve denials and rejections via payer portals.
Set up and document patient payment plans; handle billing questions professionally.
Post EOB/ERA payments and adjustments; reconcile discrepancies.
Maintain strict PHI confidentiality and data integrity across all systems (HIPAA).
Own your work queue and meet timeliness/accuracy KPIs.
MediClear (or equivalent HIPAA compliance certification) — required.
Strong organization, detail orientation, and time management; able to work independently and with a team.
Basic knowledge of medical terminology and coding frameworks (ICD-10/CPT/HCPCS).
Comfortable with billing software, payer portals, and Microsoft Office (Excel/Outlook).
Clear, professional communication with patients and insurers.
Experience with clearinghouses (e.g., Availity) or EHR/PM systems.
Exposure to denials management and basic revenue-cycle metrics.
AAPC/AHIMA entry credential (e.g., CPB, CPC-A, CCS-P) or completion of a billing/coding program.
Hands-on training, mentorship, and defined growth paths in RCM.
Collaborative culture focused on accuracy, transparency, and patient experience.
Competitive compensation and benefits (details shared during interviews).