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Revenue specialist skills for your resume and career

15 revenue specialist skills for your resume and career
1. Patients
- Assist in completion of necessary applications for financial assistance, and referred qualifying patients to appropriate resources for financial guidance.
- Identified admission process issue at single site where patients admitted to observation when provider notes indicated inpatient admission.
2. Revenue Cycle
Revenue cycle stands for a method to define and maintain the processes utilized for completing an accounting process to record the revenue generated from products/services provided by the company.
- Led and facilitated Asset Revenue Cycle Process improvement initiatives as needed.
- Complete revenue cycle process timely and accurately according to industry standards.
3. CPT
CPT is a medical term that stands for Current Procedural Terminology. Whenever a procedure like surgery or diagnosis occurs or some other medical service is rendered to a patient, it is reported to the concerned physician, insurance company, or organization. The aforementioned practice is widely referred to as CPT.
- Verify correct ICD-9 and CPT codes for a variety of specialties *Work Individual portfolio of accounts from CCS Medical billing/collection system.
- Review and posting of ICD-9, CPT, and HCPCS diagnosis and procedure codes in accordance with CMS Guidelines.
4. Data Entry
Data entry means entering data into a company's system with the help of a keyboard. A person responsible for entering data may also be asked to verify the authenticity of the data being entered. A person doing data entry must pay great attention to tiny details.
- Reviewed monthly reports for data entry accuracy and billed Medicare and Third Party Insurance
- Performed data entry and verification of critical and time sensitive data.
5. Medical Terminology
- Performed secretarial duties using specific knowledge of medical terminology and hospital, clinic and laboratory procedures.
- Developed experience in deciphering medical terminology and coding.
6. Medicaid
- Verified and accurately entered all pt information verified Medicare benefits as well as Illinois Medicaid reconciled payments for monthly billing
- Perform audits of Medicaid Waiver providers to determine compliance with Medicaid Coverage and Limitations of Handbook.
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- Handle all aspects of medical billing for two Podiatry offices.
- Certificate Medical Billing & Coding 2011
8. HCPCS
- Set up and maintain the billing database including Revenue codes, Fees, Physicians, HCPCS, Drug Database.
- Used CPT-4 coders/Modifiers, ICD-9 codes, HCPCS codes when applicable for the resolution of claim payments.
9. Patient Accounts
Patient accounts are a part of a hospital information system that is used for storing financial data, keeping a record of healthcare costs, and providing information regarding patient billing. It deals with the financial aspects of the healthcare setting.
- Performed patient account research and resolution.
- Posted contractual allowance corrections back to patient accounting systems for accounts that were found to need corrections during underpayment review process.
10. HIPAA
- Maintain strict confidentiality of documents and comply with HIPAA regulations stipulated by the facility and government.
- Take on new projects as needed, help set up processes for smoother flow of the department, HIPAA compliance.
11. Insurance Verification
- Provided feedback based on denial trends and Revamped Eligibility/Insurance Verification Forms.
- Processed Insurance verification, medical record requests, payment plans, ROI s, patient disputes, and Medicare/MSP.
12. Home Health
- Work directly with skilled nursing facilities hospice and home health agencies to process claims for payment.
- Process clean claims through HCF data Phoned third party payers as neededbase for five home health agencies.
13. Appeals
- Completed appeals when authorization was not obtained and or unusual procedure was performed.
- Initiated appeals and ensured required documentation was submitted in the appeals process.
14. Management System
A management system is a set of policies, processes, and procedures taken by an organization or a business to ensure it can fulfill its tasks and achieve its objectives. A management system makes sure that the company excels financially and improves the user experience. The management system also takes care of the worker's and employees' needs and manages their workload and oversees their performance. Apart from interior matters of the company, a management system also deals with exterior matters like legislations, tax matters, and law issues.
- Accessed Florida's on-line automated management systems.
- Have working knowledge of the CSE Automated Management System (CAMS), CSE policies and procedures and basic mathematics.
15. Phone Calls
Phone calls are a wireless or wired connection made over a telephone or a mobile phone between two people. Two parties are involved in a phone call, the caller and the receiver. A caller dials the number of the one he wants to call, and the recipient hears a bell or a tune to which he picks up the call. The call establishes a connection between them through which they can communicate. The voice is converted into signals and is transmitted through wired or wireless technology.
- Initiated/Responded to telephone calls and analyzed written correspondence concerning departmental billings and delinquencies and took appropriate action to resolve accounts.
- Assist manager(s) with special projects, phone calls to be made of any given tax.
5 Revenue Specialist resume examples
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What skills help Revenue Specialists find jobs?
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What hard/technical skills are most important for revenue specialists?
Francisco Depusoir
Associate Professor of Accounting, University of the Virgin Islands
-Experience with business intelligence software.
-Independent research skills.
-Data management abilities.
-Preparation and understanding of financial statements.
List of revenue specialist skills to add to your resume

The most important skills for a revenue specialist resume and required skills for a revenue specialist to have include:
- Patients
- Revenue Cycle
- CPT
- Data Entry
- Medical Terminology
- Medicaid
- Medical Billing
- HCPCS
- Patient Accounts
- HIPAA
- Insurance Verification
- Home Health
- Appeals
- Management System
- Phone Calls
- ICD-9
- Excellent Organizational
- Billing Issues
- Financial Data
- Basic Math
- Delinquent Accounts
- Revenue Management
- Insurance Coverage
- Math
- Quality Customer Service
- Cash Application
- Child Support Cases
- EOB
- Insurance Carriers
- CMS
- Process Improvement
- Computer System
- Medical Claims
- Accounts Receivables
- Insurance Payments
- Corrective Action
- Medical Support
- Unpaid Claims
- Charge Entry
- Insurance Claims
- Customer Accounts
- Journal Entries
- Billing System
- Hippa
- Professional Demeanor
- Court Orders
Updated January 8, 2025