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Revenue Cycle Specialist, Prior Authorization Job – Cincinnati, OH

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Why You’ll Love This Revenue Cycle Specialist Job
Do you want to use your multitasking skills in a rewarding career? Are you able to learn quickly
and work under tight guidelines? Start helping patients and their families step into a brighter
future with this Revenue Cycle Specialist position.

As a member of our team, you have the opportunity to grow alongside a company that
invests back in you. BrightView Health is a collaborative culture where it is understood
that great ideas come from diverse perspectives, and you will have the opportunity to
develop your skills through continuing education opportunities offered and share your
ideas for the future of BrightView Health. Plus, you have the support of a compassionate
team that believes in working together and helping you succeed.

Take the first step towards a career you love and apply to our Revenue Cycle Specialist position
today!

Revenue Cycle Specialist Job Responsibilities
• Prepare and submit physician and clinic claims to third party insurance carriers either
electronically or by hard copy billing.
• Secure needed medical documentation required or requested by third party insurances.
• Follow up with third party insurance carriers on unpaid claims are paid or only self-pay
balance remains.
• Process rejections by making accounts private and generating a letter of rejection to
patient or correct any billing errors and resubmit claims to third party insurance
carriers.
• Work with physician or medical record staff to ensure correct diagnosis/procedures are
reported to third party insurance carriers.
• Ensure proper documentation and charge entry of patient charges.
• Keep updated on all billing and insurance changes for third party insurance
carriers.
• Monitor claims for missing information and authorization/control numbers.
• Demonstrate knowledge of and support clinic mission, vision, value statements,
standards, policies and procedures, operating instructions, confidentiality standards, and
the code of ethical behavior.
• Maintain third party billing logs.
• Assure documentation is in compliance with regulatory agency requirements and
best practices.

Revenue Cycle Specialist Job Qualifications
• High School Diploma or equivalent required
• Self-motivated and self-directed
• Proficient computer skills including Microsoft Office and knowledge of billing software
preferred
• Bachelor’s degree in accounting, health care administration, finance, business, or related
field preferred
• 2 years previous experience as a medical biller or in a related healthcare administrative
position preferred
 
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