Revenue Cycle Specialist (Medical Billing)

Description

Fairfax Neonatal Associates (FNA) is seeking a full-time Revenue Cycle Specialist to join our Medical Billing Operations team.

POSITION SUMMARY:

The Revenue Cycle Specialist ensures timely and accurate billing of all physician services within the assigned line of business, monitors billing, and recommends corrective action(s) to address denials in a manner that optimizes reimbursement.

This is a remote position; however, employees may be required to report to company headquarters in Fairfax, VA for in-person meetings, training, or other business needs as determined by FNA.

WHAT YOU'LL DO:

• •Manage the outpatient claims lifecycle, including claim creation, monitoring, corrections, resubmissions, and error resolution in accordance with applicable regulations and guidelines.
• •Research and resolve outstanding claims and receivables through payer communication, internal collaboration, and preparation of appeals for submission.
• •Review payment and adjustment data, manage assigned receivables and special projects, and report trends or recurring issues.
• •Maintain accurate patient and guarantor information and coordinate with clinical teams to obtain necessary documentation or corrections.
• •Verify insurance coverage, assist with coordination of benefits, and respond to claims-related inquiries from patients, staff, and insurance carriers.
• •Process insurance credit-balance accounts for refunds in Athena, including required verification and documentation, and assist with escalated patient account inquiries via telephone support.
• •Other duties as assigned.

WHAT YOU'LL BRING:

Knowledge, Skills & Abilities:

• •Knowledge of medical terminology, CPT/ICD-10 coding, payer requirements, and medical billing and collections processes.
• •Understands the full life-cycle billing process from demographics entry to collection, including the collection module.
• •Ability to investigate and resolve claim issues, reconcile accounts, and follow HIPAA and organizational compliance standards and processes.
• •Strong communication, customer service, organizational, and problem-solving skills with attention to detail.
• •Ability to manage competing priorities, meet deadlines, and work independently.
• •Proficiency in Microsoft Office; experience with Allscripts Practice Management (PM) and EHR PRO preferred.

Education & Experience:

• •High School diploma or equivalent; AAPC/AHIMA coding certification is a plus.
• •Minimum four years of experience in medical billing, coding, or collections. Experience working with one or more payor types including Medicaid or third-party commercial insurance companies.
• •Athena collector experience preferred.
• •Bilingual or multilingual proficiency is a plus.

COMPENSATION:

$26.00 - $30.00 per hour.

BENEFITS & TOTAL REWARDS :

We are proud to offer our teammates stability and growth potential in a company with over 50 years of success. In addition to this, we offer a comprehensive and competitive benefits and total rewards package including:

• •High-quality medical, dental, and vision coverage.
• •Company paid life/AD&D, short-term disability, and long-term disability insurance.
• •Paid Time Off (PTO).
• •Retirement plan (401k) with employer profit sharing contribution eligibility.
• •Employee assistance program.

TO APPLY:

Submit your application and resume via the apply now link.

Have questions about this job opening or need additional information? Please reach out to our recruiting team at [email protected]. This inbox is monitored daily, and a member of our team will respond promptly.

ABOUT FNA:

Founded in 1973, FNA is a leading neonatal practice. We provide neonatal and newborn nursery care for over 16,000 infants annually across Northern Virginia. We prioritize connections and teambuilding, offering regular company events and opportunities to engage with your fellow colleagues. You will be working in a dynamic environment that values professional growth and work-life balance. Your colleagues are welcoming, collaborative, and eager to help each other succeed. FNA is a rewarding place to work.

Fairfax Neonatal Associates, LLC is an Equal Opportunity Employer.

Requirements