Revenue Cycle Coverage and Claims Associate

📋 Description

• Independently verify initial and ongoing patient insurance eligibility and update demographics
• Work with commercial, government, managed care, and third-party payors to obtain and document
• Research missing or incorrect account information using payer portals and other resources
• Review and edit claims and appeals before submission to clearinghouses.
• Analyze, investigate, and resolve claim issues using federal, state, and payer-specific rules and
• Monitor work queues for claims requiring additional research and document actions taken toward

🎯 Requirements

• High school diploma or GED required.
• At least 1 year of experience in a revenue cycle role.
• At least 3 years of experience in medical billing, claims, and/or insurance processing.
• Current, extensive knowledge of government, managed care, and commercial insurance claim submission
• Knowledge of medical terminology and health insurance terminology.
• Experience working with EHR systems and electronic medical records.

🎁 Benefits

• Base pay of $17.00–$34.00 per hour, with ranges potentially varying by location.
• Fully remote position within the United States.
• Full-time, Monday through Friday schedule aligned with the Central Standard Time zone, generally
• No required travel.
• Opportunity to contribute to healthcare revenue cycle operations supporting cancer diagnostics.
• Exposure to complex payer environments, claims resolution, reimbursement processes, and healthcare