MAX Surgical Specialty Management · 5 hours ago
Revenue Cycle Specialist – Insurance Follow-up
Parsippany, NJ
Full-time
Hybrid
Mid Level
$27/hr - $33/hr
3+ years expMAX Surgical Specialty Management is an innovative leader in the healthcare industry, seeking a motivated individual to join their Revenue Cycle Management Team as a Revenue Cycle Specialist – Insurance Follow-Up. The role focuses on account resolution for oral surgery services, including tasks such as following up with insurance companies, resolving billing discrepancies, and managing accounts receivable processes.
Health CareHospital
Responsibilities
Resolve billing discrepancies and claim denials through follow-up with insurance companies
Maintain clear communication with management about billing and insurance details
Review and interpret dental EOBs (Explanation of Benefits), including patient deductibles, co-pays, and insurance/third party correspondence
Research and navigate insurance policies, benefits, and exclusions to provide accurate information to patients & management team
Manage A/R processes, including claims submissions and payment processing
Monitor outstanding claims and follow up with insurances to ensure timely payments
Verify insurance coverage and eligibility for patients
Follow-up to all third-party payers and self-pay accounts documenting appropriate information thoroughly on accounts
Process re-bill accounts as appropriate, and alert managers of any edits that may improve the billing process
File all secondary insurance claims with appropriate EOB’s daily to avoid timely denials
Obtain required attachments for claims submission from various EMR’s
Review credit-balance accounts on a weekly basis
Submit corrected claims or appeals to Medical and Dental insurance carriers for
Performs appropriate adjustments, when required
Gather payor trends and provide feedback to management
Identify and resolve specific coding issues and provides feedback to management
Work with internal revenue cycle and administrative teams to identify and manage 3rd party payor denials, overpayment, and underpayment issues
Contact patients regarding coordination of benefits, insurance payments mailed to patients, and outstanding patient balances
Assist patient billing & collections team to answer patient calls during high volume inbound calls periods
Perform any and all other duties as assigned
Qualification
Required
High School Diploma required
3+ years of hands-on experience in healthcare revenue cycle management, with a proven track record of optimizing processes
Proficient in all Microsoft Office applications as well as medical office software
Proven experience in healthcare billing
Sound knowledge of health insurance providers
Strong interpersonal and organizational skills
Excellent customer service skills
The ability to work in a fast-paced environment
Preferred
Medical Billing and or Coding Certification highly preferred
Benefits
Highly competitive salaries & annual performance and compensation reviews
Competitive health insurance and benefits, including medical, dental, vision, disability, and more
401k retirement savings plan that includes employer match
Generous Paid Time Off, sick leave, and paid holidays
Company
MAX Surgical Specialty Management
MAX Surgical Specialty Management is a health care company.
201-500 employees
Funding
Current Stage
Growth StageTotal Funding
$77MKey Investors
Freeport Financial
2025-04-24Debt Financing· $77M
2023-05-08Private Equity
Leadership Team
Jason Auerbach
Founder and Co-CEO
Mark Censoprano
Co-Chief Executive Officer
Recent News
Company data provided by crunchbase