Revenue Cycle Director jobs in Delaware

Job Description

United Medical, LLC is a full-service healthcare organization, promoting healthier communities by changing practices and behavior to enhance efficient population management. United Medical’s Revenue Cycle Specialist will be responsible for the accurate, timely review, and follow up of all outstanding or denied medical insurance claims for your health professional client portfolio.

Essential Functions

• Analyze explanation of benefits, and work all denied claims related to that account
• Track productivity by using denial codes, which will be logged at the end of each work day
• Communicate with insurance companies, patients and your supervisor regarding unpaid claims
• Analyze Medicare and Medicaid health polices and advise patients and providers based on what is covered and not-covered by these insurance plans
• Multi-task through several different healthcare databases with ease
• Take inbound calls and assist customers with requests and billing questions
• Process payments when requested by patients
• Share knowledge and communicate effectively with on-site and off-site team members in order to achieve shared goals
• Troubleshoot claims that are outstanding or have not been paid for more than 60 days
• Use, protect, and disclose patient’s protected health information (PHI) in accordance with Health Portability and Accountability Act (HIPAA) standards
• Follow all United Medical policies, uphold professional standards, and perform work responsibilities in a manner that is respectful to others
• Perform other duties or projects as assigned by supervisor based upon business needs

Education and Experience

• At least a Bachelor’s Degree in Business, Healthcare Management, or related field
• Experience in medical billing, denial resolutions, appeals process and medical coding is a plus, however applicant does not need to be a Certified Coder
• Knowledge of Medicare, Medicaid, and Commercial Insurances
• Efficient time management, organization and strong problem-solving skills

Position Type/Expected Hours of Work

This is a full-time position working 40 hours, per week. Shifts vary. Our business office is open from 8:00 AM - 6:00 PM.

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible spending account
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Work setting:

• Office

People with a criminal record are encouraged to apply

Education:

• Bachelor's (Required)

Experience:

• ICD-10: 2 years (Required)
• Accounts Receivable: 3 years (Required)

Ability to Relocate:

• Wilmington, DE 19801: Relocate before starting work (Required)

Work Location: In person