Description

Be part of a renowned team at Silverado, a Fortune Magazine Best Workplace in Aging Services™, where exceptional care meets exceptional careers! Silverado Associates take pride in knowing the world is a better place because of what we do and feel fortunate to be part of a dedicated team. We have the chance to learn every day, the opportunity to grow, and the ability to help others.

We are currently seeking a Physician Revenue Cycle Specialist to join our team!

The Physician Revenue Cycle Specialist is responsible for managing the full revenue cycle process, ensuring accurate and timely reimbursement for services. This includes eligibility verification, authorizations, medical coding, claim submissions, and outstanding accounts receivable management. The Specialist collaborates with clinical intake and revenue cycle teams to maintain compliance and resolve discrepancies while meeting productivity and accuracy expectations.

Fully Remote

Why choose Silverado? 

We're ranked 6th nationwide by Fortune Magazine in their Best Workplaces in Aging Services list, marking our 3rd consecutive year in the top 10!   Certified as a Great Place to Work® for seven consecutive years  We value internal mobility; Silverado provides growth opportunities for just about any position on our teams  We offer paid training!

Qualifications:

High school diploma or equivalent Minimum of 5 years’ experience in physician billing, including Medicare CMS-1500 claims Proficiency in payer portal navigation (e.g., Noridian) Experience with CPT/ICD-10 coding (CPC certification preferred) Experience in writing and submitting appeals with successful outcomes in overturning denials Proficient in medical terminology, coding systems (ICD-10, CPT), and EHR systems Strong analytical skills to evaluate outstanding claims and determine action Excellent communication and interpersonal skills for collaboration and problem resolution High proficiency in Microsoft Word and Excel Ability to work in an office environment with prolonged periods of sitting and computer us Occasional lifting of up to 10 pounds may be required Associates must have reliable means of transportation to consistently meet attendance and punctuality standards. This role does not require a valid driver’s license or personal vehicle unless specified in additional job requirements

What you'll be doing: 

Work directly with patients, insurance companies, and clinical departments to verify insurance coverage, obtain authorizations, and ensure timely reimbursement of services Work with program leadership and contracted partners to address authorization requirements and discrepancies Submit authorization requests via portals, fax, or other approved methods, ensuring proper documentation of CPT codes, service units, and date range Utilize ICD-10, CPT, and HCPCS systems for accurate classification of diagnoses and procedures Review provider chart notes to extract appropriate codes and apply modifiers as needed Conduct prebilling reviews, process claims, and submit medical billing to insurance companies and patients Analyze unpaid claims and take necessary action to secure reimbursement Manage collections and address denials or underpayments, including writing appeals with successful outcomes Communicate with healthcare providers to resolve discrepancies in records or billing Maintain up-to-date knowledge of billing regulations and compliance standards Assist the payment posting team and contribute to special projects as needed Meet productivity standards with low error rates Consistently prioritize and organize tasks to meet deadlines Perform other duties and projects as assigned

#LI-Remote

#LI-MH1

Anticipated pay range$28—$38 USD

We are looking for someone who:  

Loves people  Has compassion and patience   Is comfortable working around animals and pets A quick learner who is dedicated to professional growth Is ethical, honest, dependable, and open-minded   Is an effective communicator in both verbal and written English 

Silverado offers the following benefits to eligible employees: 

401(k) matching Health, Dental and Vision Insurance Flexible Spending Account (FSA), Health Savings Account (HSA)  Paid time off Tuition reimbursement and professional development assistance  Referral program Other amazing benefits such as Pet Insurance, Auto and Home Insurance and Discount Programs!

* Silverado is not using outside recruiters to source for this position and will not accept agency or non-Silverado recruiter represented candidates in connection with this job posting. *

California Employees: For roles requiring driving, the driving requirement has been deemed essential to the performance of this role due to specific business necessity. Supporting documentation is maintained by Silverado and is available for review upon request to ensure compliance with California law.

To view California Consumer Privacy Act (CCPA) information, please visit this page: https://www.silverado.com/legal-disclaimers/#Consumer-Privacy-Act-Disclosure

To maintain our world class standard, all offers of employment with Silverado are contingent upon a satisfactory background check as well as drug screening, a physical and TB testing (if required for the position). Silverado also uses E-Verify to confirm work authorization with both the Social Security Administration and the Department of Homeland Security. 

EOE/M/F/D/V