Revenue Cycle Spec, Cust Srvce & Collect - REMOTE

Job Responsibilities

• Reviews and follows up on a large volume of self-pay patient accounts for resolution and prompt payment.
• Handles account discrepancies, variances, and credit validation across all departments.
• Reviews insurance claim and registration edits, eligibility issues, denied and rejected claim follow up.
• Establishes and monitors patient payment plan patterns; alerts management on deviations.
• Develops and implements strategies and procedures to reduce denials, maximize reimbursements, and promote faster payment.
• Provides excellent oral and written communication and inter-personal skills, multi-tasks, prioritizes in a rapidly changing environment, and pays close attention to detail.
• Serves as a liaison between WCM and NYP Global services for billing of professional services between entities.
• Aids in the training of current and new employees on the use of systems and departmental policies and procedures.
• Maintains established institutional and department policies and procedures, objectives, and quality & safety standards.
• Respects and adheres to rules and regulations regarding patient confidentiality, HIPAA, and handling PHI.

Requirements

Approximately 3 years of medical billing and collections experience.

Demonstrated knowledge of medical terminology.

Working knowledge of third-party payor reimbursement - Medicare, Medicaid, Managed Care and Commercial Insurance.

Previous related experience in an office setting.

Secured remote workspace that adheres to HIPPAA regulations and handling PHI.

Knowledge, Skills And Abilities:

• Excellent oral and written communication and inter-personal skills.
• Demonstrated ability to multi-task and prioritize in a rapidly changing environment.
• Demonstrated organizational skills and ability to pay close attention to detail.
• Previous experience using Epic or EMR.
• Demonstrated ability with Microsoft Office - Excel.