ABOUT UNITED THERANOSTICS:
United Theranostics is dedicated to advancing cancer treatment through cutting-edge Theranostics, combining targeted radiopharmaceutical therapies with advanced diagnostic imaging. Our outpatient clinics provide personalized, effective treatments, emphasizing safety, quality, and patient-centered care. With a commitment to innovation and excellence, we strive to improve outcomes and set new standards in the delivery of life-saving cancer treatments.
ABOUT THE ROLE:
The Revenue Cycle Specialist supports the daily operations of the revenue cycle, focusing on tasks such as insurance verification, pre-authorization, claim submission, denial claims management, and follow-ups to ensure accurate billing and timely reimbursements. This role works closely with the Revenue Cycle Manager, patients, and third-party vendors to maintain efficient financial processes and contribute to a positive patient experience. This position is fully remote.
RESPONSIBILITIES:
- Verify patient insurance coverage and eligibility before appointments or procedures.
- Obtain pre-authorization for treatments and services as required by insurance providers.
- Review claims for accuracy and completeness before submission to minimize rejections or denials.
- Submit claims to insurance companies and assist in monitoring claim statuses through designated software.
- Assist in resolving claim rejections by communicating with insurance companies or the billing team.
- Investigating claim issues, addressing the root causes, and submitting appeals as needed.
- Collaborate with the 3rd party billing company to follow up on outstanding claims and payments.
- Communicate with patients regarding billing inquiries or basic account questions, providing prompt and courteous service.
- Support the Revenue Cycle Manager by gathering and organizing data for reporting or troubleshooting purposes.
- Maintain accurate and up-to-date records of patient billing and insurance verification activities.
- Assist with credentialing tasks, such as organizing and tracking provider documentation.
- Help prepare and send patient statements and reminders for outstanding balances.
- Identify and flag potential issues in billing workflows or documentation and report them to the Revenue Cycle Manager.
- Assist in implementing updates to standard operating procedures (SOPs) as directed.
- Provide basic financial guidance to patients, including explaining their billing statements and insurance coverage.
- Help distribute and maintain patient education materials related to billing and insurance.
- Other duties as assigned.
EDUCATION & REQUIREMENTS:
- Bachelor’s degree or equivalent experience
- 3+ years of experience in healthcare revenue cycle management, medical billing, or a related area.
- Familiarity with billing or claims management software and basic proficiency in Microsoft Office Suite.
- Excellent communication, attention to detail, and organizational skills.
- Ability to work collaboratively with teams and handle patient interactions professionally.
- A workspace that supports remote productivity and privacy requirements.
ABOUT OUR TEAM:
At United Theranostics, our team thrives in a collaborative environment where open communication, shared ideas, and a strong sense of camaraderie are at the core of our success. We foster a culture where every team member’s voice is valued, creating a space that encourages agility and innovation. Our supportive setting empowers individuals to work closely together, adapt quickly to new challenges, and collectively pursue excellence in patient care and clinical advancements. This spirit of unity and shared purpose is what drives our mission and fuels our growth.
WHAT WE OFFER:
We offer competitive pay based on experience, medical, dental, vision, and employees may purchase other supplemental benefits such as short-term disability, long-term disability, and life insurance. We also will have a 401(k) plan! Additionally, we provide vacation and holiday pay.
Job Type: Full-time
Pay: $26.00 - $32.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Application Question(s):
- How many years of healthcare revenue cycle, medical billing, or insurance-related experience do you have?
- Have you worked with specialty healthcare services where insurance authorization, medical necessity, or complex claims were a significant part of the billing process?
- What is your desired hourly rate for this position?
Ability to Commute:
- Chevy Chase, MD 20815 (Required)
Work Location: In person
