When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.Performing a broad range of medical billing functions that cover an enterprise-wide scope, the Revenue Cycle Operations Specialist role is responsible for identifying, researching, and resolving various Professional and Hospital billing issues for all commercial and government payors. The Revenue Cycle Operations Specialist’s duties primarily involve registration error, coverage, and eligibility related front-end edits and denials for both Professional and Hospital Billing. Additional tasks for Professional Billing include the resolution of external clearinghouse edits, payor claim rejections, and disputed self-pay account balances. The role also includes frequent review and analysis of registration related issues and errors as well as education to reduce errors and denials and increase professional revenue.Job Description:Essential Duties & Responsibilities including but not limited to:Essential Duties & Responsibilities including but not limited to: 1. Ensuring proper resolution of all registration, coverage, and eligibility related issues captured within the following Epic billing work queues:• Charge Review and Claim Edits queues are used to resolve errors prior to claims submission and prevent denials.• Professional & Hospital Billing Denial queues that require insurance follow-up on coverage, eligibility, and coordination of benefits related denials in order to have each denied invoice reprocessed and reimbursed.• Retro Review Professional Billing and Coverage Change Manager Hospital Billing queues to catch and apply potential retroactive coverage changes to outstanding visits, such as newly added coverages or filing order updates.• Remittance posting queues to properly match payments and eliminate undistributed credits by resolving invalid payor errors on a daily basis.• Accoun
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