Revenue Cycle Billing Specialist
Full-Time, Direct-Hire
REMOTE: Mon-Fri, 9am-5pm
$65,000–$85,000Position:Revenue Cycle Billing Specialist
Reports to:Senior Director, Revenue Cycle Management
Experience:1-2 yearsResponsibilities:
● Complete patient eligibility verification for commercial and government payers.
● Investigate patient insurance benefits to advise patients on payment options and out-of-pocket expectations for Octave’s MS services.
● Communicate with clinics, patients, insurance claim representatives, and other parties to clarify billing questions or issues and facilitate timely resolution.
● Procure appropriate clinical records, demographic information, and insurance information from patients and customers for claim submission.
● Serve as a liaison between Octave and its billing partner to ensure updated information is getting into the billing platform for necessary claim resubmissions and tracking day-to-day billing issues.
● Establish SOPs for eligibility verification, including scripts and training materials.
● Oversee the accuracy of claims for first-pass claim acceptance.
● Implement tooling and process improvement to reduce manual work and verification errors.
● Design and monitor the order to claim pipeline to ensure the necessary billing fields flow seamlessly.
● Handle escalated cases involving complex issues.
● Act as the primary point of contact for pre-billing and patient billing support.
● Complete patient eligibility verification for commercial and government payers.
● Investigate patient insurance benefits to advise patients on payment options and out-of-pocket expectations for Octave’s MS services.
● Communicate with clinics, patients, insurance claim representatives, and other parties to clarify billing questions or issues and facilitate timely resolution.
● Procure appropriate clinical records, demographic information, and insurance information from patients and customers for claim submission.
● Serve as a liaison between Octave and its billing partner to ensure updated information is getting into the billing platform for necessary claim resubmissions and tracking day-to-day billing issues.