Revenue Cycle Office Assistant

Responsibilities

• Open, sort and distribute the daily incoming mail to the appropriate staff in various departments.
• Obtain the explanation of benefits from the insurance plan for payments made to the patient directly; utilize the insurance website or call the insurance plan to obtain the required documentation.
• Contact facility and/or responsible party by email and/or by phone to obtain updated mailing address for invoices returned in the mail as undeliverable.
• Updated patient/responsible party mailing address in the billing system and document where the updated information came from in the patient account notes.
• Ability to meet or exceed daily productivity objectives for all assigned duties.
• Respond to email inquiries or teams' chat messages regarding questions/issues regarding your assigned duties within 24 hours.
• Print and mail appeal letters with required documentation to insurance payers.
• Become Website Administrator for various insurance payer websites including setting up user accounts with website access or updating user accounts.
• Assign correspondence to designated users in lockbox document repository system.
• Prepare weekly refund letter(s) to send with insurance refund checks, verify refund processed in billing system and note account prior to mailing refund check(s).
• Print and mail daily paper (CMS1500 and ADA 2024) claim forms with required attachments.
• Print, stuff and mail monthly special invoices.
• Work professionally and cooperatively with facilities, responsible parties, insurance carriers, and all internal and external customers.
• Assist with the development of training materials / cheat sheets for assigned duties and actively participate in training of other employees on as needed basis.
• Other duties and tasks assigned or necessary to meet business needs/objectives.

Qualifications

• Highly organized, with excellent attention to detail and ability to multitask to meet established deadlines and objectives.
• Must be fully proficient in using Microsoft Applications, especially Excel, Outlook, Teams, and Word.
• Must have prior experience navigating insurance plan websites.
• Excellent interpersonal and communication skills with professional demeanor and positive attitude who readily adapts to change and effectively and appropriately communicates both verbally and in writing.
• The ability to work effectively with minimal supervision who can work well independently and, in a team-oriented environment.
• Must be reliable with excellent attendance record.
• Knowledge of HIPAA regulations and patient privacy rules.
• High school diploma or equivalent.
• Experience in a medical and/or dental office environment with knowledge of healthcare and medical terminology.