RCM Specialist I - Medical Biller

About the role

A Revenue Cycle Management Specialist I can work in all facets of the revenue cycle department. This role is focused on claims processing, managing accounts receivable, and ensuring proper collection is made on account within best practice timeframes. Problem solving skills are required as the specialist must be able to use various tools, analyze the situation, research data, and resolve and/or formulate a decision.

Responsibilities

• Charge Review and Submission: Review daily patient medical billing charges for accuracy in insurance, billing, and coding. Submit accurate charges to payors.
• Reconciliation: Reconcile arrived patients against billed charges to ensure accuracy. Reconciled assigned locations by End of Month.
• Clearing House Rejections: Work on clearing house rejections and resubmit claims to payors. Ensure timely resolution of rejections to maintain cash flow.
• Provider Support: Provide support to healthcare providers regarding billing and coding issues. Foster an environment of continuous learning and development for providers.
• Collaboration: Collaborate with the Revenue Cycle Management (RCM) Team to address billing concerns. Ensure all contract discrepancies are resolved promptly.
• Customer Service: Provide excellent customer service to our patients and internal teams.
• Other duties as assigned.

Requirements

• High School or GED
• 2 to 3 years related work experience with Physical Therapy experience preferred
• Experience in EMRs and other medical billing software
• Knowledge of billing requirements and regulations of major payers
• Problem solving skills with attention to detail
• Strong verbal and written communication skills
• Excellent Customer service
• Proficient computer skills and knowledge of Microsoft Office
• Ability to prioritize and manage multiple tasks

Qualifications

• Not specified

Skills

• Not specified

Benefits

• Competitive pay
• Health, Dental, & Vision Benefits
• HSA Options including dependent care, medical, and commuter benefits
• $10,000.00 Term Life Insurance benefit at NO cost to employees up to 3 weeks
• PTO
• 401(k) with company match
• Yearly review for growth opportunities
• Tuition discounts for employees and their families
• TicketsAtWork and LifeMart company perks

Pay

• Not specified

Schedule

• Not specified