Status Hours:
40 hrs/wk
Cary Medical Center has an exciting opportunity for a Revenue Cycle Specialist to join our Revenue Integrity team. The successful applicants' primary tasks will include obtaining prior authorizations for procedures, tests, outpatient visits, and certain medications as needed, as well as assisting Revenue Integrity Analyst/Manager with review and auditing of insurance payments, contractual adjustments, denials, CDM maintenance and other analysis for Cary Medical Center and Pines Health Services.
Duties are not limited to but include:
1. Review incoming referrals for accuracy of patient demographics and requested service.
2. Verify patient’s insurance eligibility, benefits, and requirements (via payer website or by phone as required by payer).
3. Request, track, and retrieve prior authorization from insurance carriers.
4. Confirm prior authorization requirements prior to sending the referral to the Clinical Department for scheduling and performing the services.
5. Input any new/updated information into patient’s profile in the electronic medical account.
6. Maintain database of individual payer (insurance) files to include up to date requirements needed
Requirements
Licenses and Education:
1. High School Diploma or GED
2. Associate degree or Medical Office Specialist preferred
3. Prior authorization and/or auditing experience preferred
Requirements:
- To see full job description or to get further information call Kaitlyn at 207-498-1354 or email at kcollin@carymed.org
- Cary Medical Center and Pines Health Services offers a competitive benefits package. To see the full benefits package and other exciting opportunities, click here: Careers & Benefit Information