*POSITION SUMMARY* The Revenue Cycle Specialist will be responsible for the review, analyzation, trending, follow up and resolution of third-party claims reimbursements to include the identification, billing and collection of payments. The Revenue Cycle Specialist will actively engage with other departments to ensure timely resolution of all outstanding accounts to ensure maximum reimbursement. *PRIMARY ACCOUNTABILITES * 1. Knowledge of third-party claims reimbursement practices. 2. Advanced knowledge of payer contracts, payment polices, regulations to ensure correct payment of claims. 3. Thorough knowledge of complex insurance correspondences to include explanation of benefits, remittance advices and denial letters. 4. Advanced understanding and ability to navigate payer websites and vendor applicable systems in an effort to verify insurance benefits, understanding insurance payments, denials and correspondences. 5. Maintain established quality assurance and productivity benchmarks while utilizing best practice standards established. 6. Process all referrals in timeframe established by department. 7. Accurately update account in all systems to reflect work being performed. 8. Ability to retain information provided and apply logic and critical thinking to identify payer trends resulting in payment delays. 9. Communicate identified payment trends to leadership promptly and accurately and provide solutions to resolve challenges and issues. 10. Assist with training and mentoring of new hires. 11. Ensure compliance with state and federal laws regarding all aspects of role. *MINIMUM QUALIFICATIONS* • Education: High School Diploma or GED • Work Experience: One year experience in Healthcare Billing and/or AR follow up or related field. • Licensure: N/A • Certification: N/A • Skills/Knowledge/Abilities: Microsoft Office – Outlook, Word, Excel, PowerPoint *PREFERRED QUALIFICATIONS* • Education: High School Diploma required or GED • Work Experience: Two-year progressive experience in Healthcare Billing and/or AR follows up or related field. • Licensure: N/A • Certification: N/A • Skills/Knowledge/Abilities: Critical thinking, Decision-making skills *PHYSICAL REQUIREMENTS* • Sedentary work involves sitting most of the time. • Walking and standing or lifting more than 10 pounds are required only occasionally. • Must be able to tolerate long periods of computer time a day. • Must be able to tolerate long periods of phone time a day. • Ability to enter information using hand/wrist dexterity. • Visual acuity and hand-eye coordination to preform various task. **Job:** **Clinic Clerical Support* **Organization:** **Health First Shared Svcs Inc* **Title:** *Revenue Cycle Specialist - Patient Business Services* **Location:** *Florida - Brevard County-Rockledge* **Requisition ID:** *076599*