Revenue Specialist, OSM

📋 Description

• Verify patient eligibility when needed.
• Analyze and evaluate Medicaid claim payments using the company’s systems and tools. Use payment
• Research, request and acquire all pertinent medical records and any other supporting documentation
• Review technical billing (UB 04) components provided by Client Hospital for accuracy. Make
• Conduct timely and thorough telephone follow-up with payers to ensure claims with supporting
• Prepare correct Medicaid initial bill packet using EnableComp systems’ tools and submit with all

🎯 Requirements

• High School Diploma or GED required. Associates or Bachelor’s Degree preferred.
• 1-2+ years’ experience in healthcare field working in billing or collections.
• 1+ years’ client facing/customer services experience.
• 1+ years’ experience with UB-04 billing and collections required. CMS-1500 billing and other
• Intermediate level understanding of insurance payer/provider claims processing and subsequent data
• Intermediate level understanding of Medicaid payers preferred.