Revenue Cycle Specialist I, RCM

The Revenue Cycle Specialist I is a position that calculates and posts receipts to appropriate accounts, verifies details of transactions; performs billing, posting and collection of claims related to specific payers. In this role, you'll report to the Accounts Receivable Manager, RCM.

Duties/Responsibilities:

• Monitor held billing and coordinate resolution of related issues to ensure timely claim submission

• Review, research, and correct claims that fail payer edits; update payer information and resubmit claims within the EMR system as needed

• Understand and actively follow up on outstanding accounts receivable to minimize aging

• Work all assigned and denied claims promptly and accurately

• Assist in preparing and submitting appeals and reconsiderations to payers

• Collaborate with internal teams (billing, authorizations, clinical, etc.) to resolve billing and collections issues

• Communicate with payers to obtain claim status and resolve outstanding balances

• Maintain accurate documentation of collection activities and provide updates and reports on collection efforts as requested

• Assist with special projects, audits, or process improvement initiatives as assigned

• Perform other duties as assigned

• Excellent verbal, written and computer communication skills

• Able to communicate across all levels of field level leadership within company

• Excellent organization, attention to detail, and problem solving

• Able to multi-task throughout the course of work, while maintaining accuracy

• Able to effectively deal with change

• Able to complete tasks within specific timetables

• Able to successfully interact with people in face-to-face situations as well as by telephone in a professional and effective manner, excellent customer service to internal and external customers

• Satisfactory background screens as required by State, Federal and Company policy free of any OIG sanctions

• Graduate of accredited high school or GED required

• Minimum of one year of experience in an office setting

“You are not required to disclose information about physical or mental limitations that you believe will not interfere with your ability to do the job.  However, you should disclose any physical or mental impairment for which special arrangements or accommodations are needed to enable you to perform the essential functions of the job. Your description of any impairment and suggestions for reasonable accommodations will be considered in providing reasonable accommodations.”

• Requires the ability to write, dictate or use a keyboard to communicate directives

• Utilizes proper body mechanics in multiple environments

• Requires the ability to function in multiple environments

FLSA Status:  Non-Exempt

EEO Status:  Administrative Support Workers