Revenue Cycle Specialist lll - Blue Cross Blue Shield

Position Overview

Greater Purpose and Core Values: Athletico’s Greater Purpose is to empower people, inspire hope and transform lives. We accomplish this by providing exceptional, progressive, and cost-effective fitness, performance and rehabilitative services through personalized care that emphasizes education and prevention of future injury. This is accomplished through building on our Core Values of one team, understanding our business, recognition, people-focused, accountability, continuous innovation and trust and integrity, which are the foundation for our unique culture.

Position Summary: Ensures optimum reimbursement and works to improve the day-to-day operations of the revenue cycle.

Essential Duties and Responsibilities:

• Responsible for timely responses to internal and external customers.
• Works as part of a multi-departmental team to provide answers to billing inquiries questions.
• Provides a variety of revenue cycle support services in connection to day-to-day operations.
• Processes and follows up on payer issues with various entities for completion.
• Researches and resolves more complex account activity.
• Provides communication on the methods and principles used for billing to the customers and resolve concerns.
• Participates in the flow of the account throughout the revenue cycle process.
• Maintains accuracy and integrity of the revenue cycle system and accounts therein.
• Content expert in the area assigned.
• Responsible for developing and providing training within the department.
• Serves as a back up to departmental leaders.
• Works priority accounts via the worklist
• Follows up on AR utilizing manager-created reports
• Creates and runs reports
• Accurately follows up on complex accounts
• Works independently on a day-to-day basis
• Identifies and investigates possible trends
• Trains new and existing employees
• Handles escalated account inquiries
• Assist staff with questions

Qualifications:

• Education:
  • High school diploma required
• Work Experience:
  • Minimum 3 year of revenue cycle experience required
• Certification/Licensure:
  • None required
• Knowledge and Technical Skills:
  • Proven proficiency in working with Revenue Cycle systems
  • Working knowledge of Microsoft Office
  • Ability to understand and follow HIPAA regulations

Language Skills:

• Ability to read, write and speak English proficiently

Physical Demands: The physical demands and work environment described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.

• Ability to fulfill office activities including but not limited to remain stationary for extended periods of time (i.e., while working at a desk), stoop/kneel/crouch, travel around the office, communicate with others (verbal and written), and use fine motor skills including fine hand manipulation and keyboarding.
• Ability to see at close range, distance vision, peripheral vision, depth perception, and the ability to adjust focus.

Work Environment: 

• Consistent with a standard office environment, noise level is low with little to no extraordinary environmental factors.

Additional Benefits offered with this full-time position:

• Medical & Rx, Dental and Vision (eligibility begins day one of employment)
• NEW FOR 2025 – KinderCare Discount
• NEW FOR 2025 – Headspace for Friends/Family
• HSA, Healthcare FSA, Dependent Care FSA
• Progyny Fertility Benefit
• Critical Illness, Accident, & Hospital Indemnity Insurance
• Company Paid Basic Life / AD&D
• Supplemental Life Insurance (Employee, Spouse, Child)
• Company Paid Short-Term & Long-Term Disability
• Company Paid Maternity & Parental Leave
• Adoption & Surrogacy Expense Reimbursement
• Legal & Credit Monitoring
• PTO (accruing starts immediately upon hire)
• 6 Major Holidays off plus 2 floating holidays yearly
• Physical Therapy/Occupational Therapy benefits as an employee
• Bereavement Time Off & Resources
• Commuter: Pre-Tax Transit & Parking
• Retirement 401(k) w/ Per-Pay Company Match
• SoFi Financial Wellness Tools & Loan Resources
• HUSK Fitness Resources & Gym Discounts
• Home, Auto, and Pet Insurance
• Employee Assistance Program (EAP)
• Employee Discount Program
• Plus more! Learn more by checking out Athletico's Benefits Summary and ID&E Benefits.

Athletico provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Salaried ranges listed are for full time (40 hour) employees. Additional pay such as incentive, GAP, overtime, and stipends are subject to the rules of each program and may not be available in all locations. Individual base pay depends on various factors, in addition to primary work location, such as complexity and responsibility of role, job duties/requirements, and relevant experience and skills. Base pay ranges are reviewed and typically updated each year. Offers are made within the base pay range applicable at the time.

Minimum Salary/Wage

Maximum Salary/Wage