Revenue Cycle Specialist III, RCM

Revenue Cycle Specialist IIIThe Revenue Cycle Specialist III 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 will report to the Account Receivable Manager, RCM.Duties/Responsibilities:Monitor held billing and coordinate resolution of related issues to ensure timely claim submissionReview, research, and correct claims that fail payer edits; update payer information and resubmit claims within the EMR system as neededUnderstand and actively follow up on outstanding accounts receivable to minimize agingWork all assigned and denied claims promptly and accuratelyAssist in preparing and submitting appeals and reconsiderations to payersCollaborate with internal teams (billing, authorizations, clinical, etc.) to resolve billing and collections issuesCommunicate with payers to obtain claim status and resolve outstanding balancesMaintain accurate documentation of collection activities and provide updates and reports on collection efforts as requestedAssist with special projects, audits, or process improvement initiatives as assignedIdentifies trends related to denials/coding and delinquent claims and communicate effectively with client manager for feedback to the clientIdentifies system/payer issues such as rates, codes, set up and coordinate accordinglyReports status of accounts and issues to appropriate supervisors and departments always maintains full transparency of accountsFollows requirements through the full cycle until accounts are satisfied, including patient collections and appealsHandles critical accounts and projects, coordinating with management, operations, and payers to ensure issues are resolvedDocuments, processes and coordinates all write offs and adjustments as neededWorks with contracting team and management to resolve payer issuesWorks with branches for all questions on accountsAttends regular meetings with teams and management to ensure open communicationOngoing training and mentorship with teamAssists in AR meetings with management, branches and staff as requiredPerform other duties as assignedRequired Skills/Abilities/Knowledge:Excellent verbal and written communication skills with ability to communicate across all levels of authority within companyExcellent organization, problem solving, and attention to detailProven track record of successful collectionsParticipate with management on process improvementsTrain and support team members as assignedAble to effectively deal with changeDemonstrate ability to troubleshoot EMR and Payor issuesAble to complete projects within specific timetablesAble to successfully interact with people in face to face situations as well as by telephone in a professional and effective mannerSatisfactory background screens as required by State, Federal and Company policy free of any OIG sanctionsEducation/Experience/Licenses/Certifications:Graduate of accredited high school or GED requiredMinimum of three years of experience in health-related accounts receivable and collectionsMinimum of one year in a leadership rolePhysical Requirements: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 directivesUtilizes proper body mechanics in multiple environmentsRequires the ability to function in multiple environmentsFLSA Status: Non-ExemptEEO Status: Administrative Support WorkersBenefits + Perks of Joining the Team Select FamilyMedical, Dental, and Vision InsurancePaid Time Off and Paid Sick Time401(k)Referral ProgramPay Range: $18.00 - $24.00 / hour