Revenue Cycle Associate

Revenue Cycle Associate (Remote)

Join Our Team at Ternium – A Leading Advocate in Healthcare Revenue Cycle Solutions!

Are you ready to make a real impact on the healthcare industry? Ternium is seeking a driven and dynamic Revenue Cycle Associate to help us empower hospitals and health systems across the country. If you're passionate about optimizing processes and improving healthcare outcomes, this is your chance to be part of a growing, innovative team.

Who We Are

At Ternium, we specialize in resolving complex healthcare insurance claim denials and delays. Our mission is to empower hospitals and health systems by optimizing their revenue cycle, allowing them to focus on what matters most—patient care. With a dedicated team of professionals, we consistently deliver outstanding results, increasing net patient revenue, improving cash flow, and reducing operational costs while enhancing the patient experience.

What You’ll Do

As a Revenue Cycle Associate, you’ll play a key role in assisting both our internal team and healthcare providers in navigating disputes with insurance carriers and managed care organizations. You’ll be responsible for contacting insurance companies to check on the status of claims and appeal submissions, using online payer portals and direct phone calls. Additionally, you'll handle administrative tasks such as gathering medical records and processing mail.

In this role, you'll gain a deep understanding of healthcare claims processes, ERISA regulations, and Commercial and Managed Care Insurance policies. This is more than just an administrative position—it’s an opportunity to grow within a thriving industry while playing a crucial role in helping healthcare systems thrive.

Key Responsibilities

• Contact insurance companies by phone and through payer portals regarding unpaid claims and appeals.
• Manage weekly claim follow-up assignments and meet production goals.
• Process incoming electronic documents and e-faxes.
• Maintain accurate claim notes and records in a cloud-based system.
• Work independently to resolve claim issues and payer roadblocks.
• Assist with special projects and other assigned duties.

What You Bring to the Table

• High school diploma or equivalent (Associate or bachelor’s degree preferred).
• Prior remote experience in Revenue Cycle, insurance follow-up, claims processing, or medical billing.
• Strong Microsoft Office and phone communication skills.
• Strong analytical and problem-solving skills.
• Excellent written and verbal communication skills.
• Ability to work independently and as part of a team while maintaining HIPAA compliance.
• Attention to detail and the ability to prioritize within a dynamic environment.