SPEECH AND RELATED RCM SPECIALIST

2 weeks ago

CA United States The Stepping Stones Group Full time
The Stepping Stones Group is looking for a Speech and Related RCM Specialist to join our team This is a remote position but must be able to work on PST timezone.

The S&R RCM Specialist is expected to perform a variety of duties working with staff throughout the agency. They are responsible for performing high-volume advanced data entry work. They should be capable of handling the different aspects of the revenue cycle including AR management and processing incoming reports.

Pay: $20.00 - $25.00 per hour

The job description may change from time to time and the basic duties are as follows:

Essential Job Functions and requirements include but not limited to:

* Maintain a good relationship with outside departments as well as outsource companies.
* Maintain a good relationship with insurance company contacts.
* Able to review all patient insurance information needed to complete the billing, collections, appeal, and/or cash processes to ensure clean claims submission to insurance carriers.
* Able to troubleshoot AR issues and communicate with different levels of management.
* Navigate various systems including but not limited to EMR and clearinghouses.
* Able to review and understand insurance provider and billing manuals.
* Understand commercial and Medicaid mental health rules.
* Able to identify insurance company and complete an eligibility check.
* Able to assist in obtaining authorizations.
* Review Medicaid AR reporting and work claims until payment is obtained.
* Write claims appeals and submit corrected claims.
* Create basic billing and AR reporting in excel.

Required Qualifications:

* Proficient computer skills, including MS Office specifically Excel.
* The ability to thrive in a fast-paced environment is essential.
* Ability to work independently, self-directed, and highly organized.
* Mental health billing experience.

Education/Certifications Required:

* High school diploma, general education degree, or equivalent.

Beneficial Experience:

* Office Ally Clearinghouse, Waystar Clearinghouse, Mental Health EMR system

Reports to:

* S&R and Mental Health Senior Manager

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