Revenue Cycle Associate

1 week ago

San Marcos, California, United States TrueCare Full time

TrueCare

Regular
Administration
$23.00 To 28.75 Annually
REVENUE CYCLE ASSOCIATE FOR COMMUNITY CLINIC SYSTEM

Full Time in San Marcos, CA

Monday-Friday, 8am - 5pm

TrueCare is more than just a place to work; it feels like home. Sound like a fit? We'd love to hear from you

Summary:

The Revenue Cycle Associate is responsible for all computerized and manual collections and reviewing/posting payments from third parties health insurance companies.

Must Have Experience in

  • Medi-Cal and Medicare Billing, as well as CHDP, and private insurances
  • Insurance denials and appeals

Duties:

  • Create and submit accurate claims and/or statements for all billable charges, including visit charges and supply charges, in compliance with correct coding initiatives.
  • Review hardcopy claims, edit for accuracy and mail or distribute to appropriate third party payer sources or persons on a daily basis.
  • Process and monitor assigned claim status categories to be sure that all transactions are captured for month end close.
  • Assist in the preparation of monthly billing and accounts receivable reports.
  • Review and process patient eligibility, to include acquisition of authorization numbers as necessary for claims processing.
  • Submit patient statements on cash accounts as assigned.
  • Post patient and insurance payments to include account balance adjustments and write offs as assigned.
  • Review and processing of claims aging and denials as assigned to include claim tracers, corrected claim submissions, appeals, and consistent revenue flow.
  • Process and review refunds and insurance recoupment requests.
  • Maintain a running monthly total of non-posted payments and record reason.
  • Correspond as necessary with State and Federal Medi-Cal and Medicare programs, keeping abreast of all updated information.
  • Review and follow-up on all Explanation of Benefits (EOB) or correspondence received on behalf of a a monthly basis.
  • Review and follow-up of all overpayments, generating proper refund documentation.
  • Discuss escalated billing inquiries with patients, third party payers, and/or sites to resolve account questions and/or problems.
  • Provide customer service internally and externally with professionalism, courtesy, knowledge, and follow through.
  • Become knowledgeable with FQHC billing guidelines, Episodic Programs and the Sliding Fee Discount Program for all Self-pay and Insurance patients.
  • Handle Site/Insurance/Patient correspondence received in the department with a sense of urgency and appropriate follow through, as assigned.

Requirements:

  • High school diploma or equivalent.
  • At least three (3) years of medical billing experience at a community clinic or in a healthcare setting.
  • Knowledge of the revenue cycle process.
  • Knowledge of Current Procedural Terminology (CPT), Health Care Common Procedure Coding System (HCPCS) and International Classification of Diseases (ICD) codes.
  • Familiarity with insurance payers and funding sources to include manage care plans.
  • Knowledge of medical terminology.
  • Computer literacy working with PC-based software applications and proficiency with the Microsoft Office suite, including Outlook, Word and Excel.

Desired:

  • Bilingual in English and Spanish.
  • Professional Biller, Medical Reimbursement Specialist or Billing & Coding Specialist Certification.

At Truecare, we put your health first. Our compassionate team understands your needs and provides a heartfelt welcome to each and every person who walks through our doors.

Visit to learn more Health Inside. Come in Salud Adentro. Bienvenido

Employment is contingent on having an annual COVID-19 vaccination, or use of a mask, from November 1 through March 31 of every year.

Our goal is to promote and ensure authentic inclusion, belonging and support for all team members recruited or employed here.

TrueCare is committed to a policy of Equal Employment Opportunity and will not discriminate against an applicant or employee on the basis of race, color, religion, creed, national origin, ancestry, sex, gender, age, physical or mental disability, veteran or military status, genetic information, sexual orientation, gender identity, gender expression, marital status, or any other characteristic protected by applicable federal, state, or local law.

In the spirit of pay transparency, we are excited to share the base salary range for this position. If you are hired at TrueCare, your final base salary (within the pay range), will be determined based on factors such as education, knowledge, skills, and experience. In addition to those factors, we believe in the importance of pay equity and consider the internal equity of our current team members when determining any final offer. Please keep in mind that the range mentioned above is the full base salary range for the role. Hiring at the maximum of the range would not be typical in order to allow for future and continued salary growth. We also offer generous benefits and retirement plans.

PI59bea72687f3-7329

  • Revenue Cycle Audit Manager

    1 week ago

    San Carlos, California, United States Natera Full time

    Position Summary:The Revenue Cycle Audit Manager will be responsible for building and maintaining collaborative and productive personnel audits within the organization and with the outsourced billing providers related to Revenue Cycle Management. This role will manage revenue cycle audit projects related to personnel training, productivity, and accuracy to...

  • Director, Revenue Cycle Strategy

    1 week ago

    San Diego, California, United States University of California San Diego Full time

    Special Selection Applicants : Apply by 05/03/2024. Eligible Special Selection clients should contact their Disability Counselor for assistance.DESCRIPTIONThe Director, Revenue Cycle Strategy serves as key strategist with the Chief Revenue Cycle Officer in initiating and developing new strategic direction, long- and short-range plans, and innovative...

  • Cycle Instructor

    4 weeks ago

    San Clemente, California, United States Life Time Full time

    .Position SummaryAs a Cycle Instructor you will coach indoor cycling participants. You will help our members by educating and connecting them to our industry leading strategy of the Core 3 method. This method includes Comprehensive Assessments, Personalized Nutrition and Lifestyles and Customized Workouts. Life Time offer five results-oriented Signature...

  • Cycle Instructor

    2 months ago

    San Clemente, California, United States Life Time Full time

    .Position SummaryAs a Cycle Instructor you will coach indoor cycling participants. You will help our members by educating and connecting them to our industry leading strategy of the Core 3 method. This method includes Comprehensive Assessments, Personalized Nutrition and Lifestyles and Customized Workouts. Life Time offer five results-oriented Signature...

  • Senior Revenue Analyst

    1 month ago

    San Francisco, California, United States Autodesk Full time

    Job Requisition ID #24WD77915Position OverviewAutodesk revenue accountants are responsible for the most important line on our Income Statement - REVENUE As a member of this team, you will prepare key quarter end analyses, help support new initiatives and projects, and work collaboratively with your team and other groups to come up with ideal solutions to...

  • Senior Revenue Analyst

    4 weeks ago

    San Francisco, California, United States Autodesk Full time

    Job Requisition ID #24WD77915Position OverviewAutodesk revenue accountants are responsible for the most important line on our Income Statement - REVENUE As a member of this team, you will prepare key quarter end analyses, help support new initiatives and projects, and work collaboratively with your team and other groups to come up with ideal solutions to...

  • Revenue Operations Lead

    4 weeks ago

    San Francisco, California, United States Canva Full time

    Join the team redefining how the world experiences design. Hello, g'day, mabuhay, kia ora, 你好, hallo, vítejte Thanks for stopping by. We know job hunting can be a little time consuming and you're probably keen to find out what's on offer, so we'll get straight to the point. Where and how you can work Our flagship office is in Sydney, Australia, but...

  • Revenue Operations Lead

    1 month ago

    San Francisco, California, United States Canva Full time

    Join the team redefining how the world experiences design. Hello, g'day, mabuhay, kia ora, 你好, hallo, vítejte Thanks for stopping by. We know job hunting can be a little time consuming and you're probably keen to find out what's on offer, so we'll get straight to the point. Where and how you can work Our flagship office is in Sydney, Australia, but...

  • Revenue Operations Lead

    1 week ago

    San Francisco, California, United States Canva Full time

    Join the team redefining how the world experiences design. Hello, g'day, mabuhay, kia ora, 你好, hallo, vítejte Thanks for stopping by. We know job hunting can be a little time consuming and you're probably keen to find out what's on offer, so we'll get straight to the point. Where and how you can work Our flagship office is in Sydney, Australia, but...

  • Senior Manager, Revenue

    2 days ago

    San Jose, California, United States Danaher Full time

    Do you want to help advance scientific discovery, improving quality of life around the world? We do, too.Molecular Devices has the opportunity to be the innovation partner that empowers scientists to fast-track research breakthroughs, leading to earlier diagnoses and safer drug treatments. We're a leading life science solutions provider of high-performance...

  • Revenue Accountant I

    4 weeks ago

    San Francisco, California, United States Envestnet Full time

    Description Envestnet is seeking a passionate and talented Revenue Accountant I to join our Finance team.Envestnet is transforming the way financial advice and wellness are delivered. Our mission is to empower advisors and financial service providers with innovative technology, solutions, and intelligence to make financial wellness a reality for...

  • Revenue Accountant I

    2 months ago

    San Francisco, California, United States Envestnet Full time

    Description Envestnet is seeking a passionate and talented Revenue Accountant I to join our Finance team.Envestnet is transforming the way financial advice and wellness are delivered. Our mission is to empower advisors and financial service providers with innovative technology, solutions, and intelligence to make financial wellness a reality for...

  • Director of Revenue Management

    1 week ago

    San Diego, California, United States Crescent Services Full time

    Crescent Hotels & Resorts is seeking a Director of Revenue Management for the Hotel Republic, located in the heart of downtown San Diego. This vibrant and sophisticated boutique hotel offers a unique blend of modern luxury and local charm. As part of the Autograph Collection, each aspect of Hotel Republic is thoughtfully crafted to reflect the distinctive...

  • Director of Revenue Management

    2 months ago

    San Diego, California, United States Hotel Republic San Diego Full time

    Crescent Hotels & Resorts is seeking a Director of Revenue Management for the Hotel Republic, located in the heart of downtown San Diego. This vibrant and sophisticated boutique hotel offers a unique blend of modern luxury and local charm. As part of the Autograph Collection, each aspect of Hotel Republic is thoughtfully crafted to reflect the distinctive...

  • Director of Revenue Management

    4 weeks ago

    San Diego, California, United States Hotel Republic San Diego Full time

    Crescent Hotels & Resorts is seeking a Director of Revenue Management for the Hotel Republic, located in the heart of downtown San Diego. This vibrant and sophisticated boutique hotel offers a unique blend of modern luxury and local charm. As part of the Autograph Collection, each aspect of Hotel Republic is thoughtfully crafted to reflect the distinctive...

  • Area Director of Revenue Management

    1 week ago

    San Diego, California, United States Azul Hospitality Group Corporate Office Full time

    POSITION PURPOSE:The Area Director of Revenue Management will strategically coordinate the revenue management processes and procedures for all hotels within the company portfolio to maximize each hotels rooms revenue. Responsible for development, execution and measurement of strategic and tactical yield and inventory management via major distribution...

  • Revenue Operations Senior Accountant

    4 weeks ago

    San Francisco, California, United States Canva Full time

    Job DescriptionJoin the team redefining how the world experiences design.Hello, g'day, mabuhay, kia ora, 你好, hallo, vítejteThanks for stopping by. We know job hunting can be a little time consuming and you're probably keen to find out what's on offer, so we'll get straight to the point.Where and how you can workOur flagship office is in Sydney,...

  • Revenue Operations Senior Accountant

    1 month ago

    San Francisco, California, United States Canva Full time

    Job DescriptionJoin the team redefining how the world experiences design.Hello, g'day, mabuhay, kia ora, 你好, hallo, vítejteThanks for stopping by. We know job hunting can be a little time consuming and you're probably keen to find out what's on offer, so we'll get straight to the point.Where and how you can workOur flagship office is in Sydney,...

  • Director of Revenue Management

    1 week ago

    San Diego, California, United States Noble House Hotels & Resorts Full time

    Noble House Hotels & Resorts is seeking a Director of Revenue Management . This position will work within our Southern California Revenue Management Team, which provides support for our San Diego area properties; San Diego Mission Bay Resort, L' Auberge Del Mar, and Estancia La Jolla Hotel and Spa.This position will be based at and provide support to our...

  • Sales Support Associate II

    4 weeks ago

    San Marcos, California, United States Tapestry Full time

    Coach is a leading design house of modern luxury accessories and lifestyle collections, with a long-standing reputation built on quality craftsmanship. Defined by a free-spirited, all-American attitude, the brand approaches design with a modern vision, reimagining luxury for today with an authenticity and innovation that is uniquely Coach. All over the...