Partnering with you to live your best life. At Centra, we want to listen carefully and get to know you well. We want to understand your hopes, goals and dreams. We want to do our part so you can be your very best - as you define it. This remains true whether you are a patient, a Centra Caregiver, or a member of the communities we serve. As a candidate considering employment with our organization, we want you to understand that it is our mission to help partner with you throughout each stage of your career.

Job Description

Overview

The REVENUE CYCLE SPECIALIST is responsible for the company's third-party medical claims processing. This position works with the computerized practice management system for the validation, submission, and processing of insurance and self-pay claims. The position is responsible for collecting and entering claim information, validation, and correction of rejected claims, and claim submission to third-party payers for reimbursement. The position may also supply data to other team members for special projects as needed.

Responsibilities

Enters information necessary for insurance claims such as patient, insurance ID, diagnosis and treatment codes and modifiers, and provider information.
Ensures claim information is complete and accurate.
Submits insurance claims to clearinghouse or individual insurance companies electronically or via paper CMS- form or UB .
Follows up with insurance company on unpaid or rejected claims.
Resolves issue and re-submits claims.
Possesses the ability to work in a constantly changing work environment and emphasis on attention to detail.
Ability to work collaboratively within the department and organization.
Ability to maintain confidentiality.
Ability to work independently and remote as needed.
Must have excellent organizational skills and the ability to prioritize and coordinate workload with a high degree of proficiency and accuracy.
May perform other duties as assigned or requested and job specification can be modified or updated at any time.

Qualifications

Required Education: High School Diploma / GED

Required Experience: Minimum of 1-year experience in insurance, healthcare, or customer service.

Our care givers at Centra are the most valuable asset we have and it is our mission and commitment to build and sustain a diverse and inclusive environment.

When recruiting and retaining talent at Centra, our hiring needs are based on matching a candidates job qualifications with our job requirements and department needs without regard to race, color, age, religion or belief, national origin, disability status, protected veteran status, gender identity or expression, sexual orientation or any other characteristic protected by the laws or regulations in the locations where we operate. Centra is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind.

Be yourself. Be a partner with Centra.