Job Details

Position: Revenue Cycle Specialist

Monogram Health is seeking a Revenue Cycle Specialist to support the Finance team out of our Brentwood, TN Headquarters. The role will report directly to the Director of Revenue Cycle.

Roles and Responsibilities

• Perform eligibility and benefits verification
• Perform data and charge entry
• Research and resolve rejections and billing claim edits
• Resolve unpostables
• Release held claims for credentialing
• Work an aging report, perform claim status with payer
• Resolve, dispute and appeal denials or underpayments
• Collect payment from patient and accurately record in the system
• Accurately process, resolve or disperse correspondence
• Investigate and resolve credit balances
• Properly notate patient accounts
• Assist with EDI, EFT and ERA payer enrollments
• Assist with testing, implementation, and review of new processes
• Special projects as assigned

Position Requirements

• Minimum of 5 years' experience in medical billing office setting
• Strong understanding of ICD-10, CPT, HCPC, and Modifier codes
• In-depth knowledge of insurance billing guidelines and industry best practices
• Proficient in Excel, Word, PowerPoint
• Organization, time management and the ability to prioritize
• Experience with Athena software strongly desired
• Strong and professional communication skills including writing, speaking and active listening.
• Critical thinking and creative problem-solving skills with attention to detail.
• Excellent customer service skills including interpersonal conversation, patience, and empathy.
• Work independently and collaborate well with others.

About Monogram Health

Monogram Health is a next-generation, value-based chronic condition risk provider serving patients living with chronic kidney and end-stage renal disease and their related metabolic disorders. Monogram seeks to fill systemic gaps and transform the way nephrology, primary care and chronic condition treatment are delivered. Monogram's innovative, in-home approach utilizes a national nephrology practice powered by a suite of technology-enabled clinical services, including case and disease management, utilization management and review, and medication therapy management services that improve health outcomes while lowering medical costs across the healthcare continuum. By focusing on increasing access to evidence-based care pathways and addressing social determinants of health, Monogram has emerged as an industry leader in championing greater health equity and improving health outcomes for individuals with chronic kidney and end-stage renal disease.

At Monogram Health we believe in fostering an inclusive environment in which employees feel encouraged to share their unique perspectives, leverage their strengths, and act authentically. We know that diverse teams are strong teams, and welcome those from all backgrounds and varying experiences.

Equal Opportunity Employer

This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.