Jr Account Manager, Revenue Cycle Management
3 weeks ago
The Jr Account Manager of Revenue Cycle Management will be responsible for the productivity of workflow within a functioning team. They will be expected to:
Communicate effectively to ensure a concrete workflow that increases practice revenue while reporting to the Sr. Account Managers on all aspects of the account.
Responsibilities:
· Ensure timely and proper payments from all payers.
· Follow up on any outstanding items and client issues. Identify and quickly rectify any issue that interrupts the Revenue Cycle for clients.
· Initial escalation points for all lead issues within the assigned team.
· Assist the Sr. Account Manager in all aspects of training regarding assigned team members.
· Coordinate weekly and daily calls with the assigned team on open items.
· Ensure that the payment poster’s issues within the portfolio are tracked and resolved.
· Ensure that the denial team’s issues within the portfolio are tracked and resolved.
· Review monthly close reports to ensure that all payments have been applied correctly assigned accounts.
· Run the End of the Month Reconciliation with the Sr. Account Managers.
· Report to upper management on items not resolved by Sr. Account Managers in a timely manner.
· Maintain strict patient confidentiality/HIPAA compliance.
· Maintain knowledge of ICD9/ICD10 diagnostic as well as CPT/HCPCS procedural coding.
· Maintain thorough knowledge of insurance carriers and their claim guidelines/requirements.
· Guide the team to meet the metrics (production targets) and enable faster resolution in case the targets are not met.
· Regularly evaluate a set % of payments posted /A/R worked for correctness and ensures that the policies are applied.
· Follow up on invoices submitted whenever necessary in case of resource crunch.
· Assist in creating and updating Collection training modules & train new and existing employees.
· Make calls to troubleshoot payment discrepancies and establish resolution.
· Document, in detail, phone calls, including phone numbers, person spoken to, and call details on a consistent basis. (Who, What, When, Where & Why)
· Resolve issues that created a denial within 5 days of receipt of denial.
· Interact with others in a positive, respectful, and considerate manner.
Qualifications:
Must have a minimum of 2 years of experience with Revenue Cycle Management/Medical Billing.
Knowledge of Practice Management Systems. Medics Premier and/or Medics Elite experience a plus.
Experience with electronic claim submission via Clearinghouse. Emdeon/ Change Healtcare experience a plus.
Billed for multiple specialties.
Billed for both Professional and Institutional claims with a solid understanding of HCFA-1500 and UB-04 claim forms as well as the electronic equivalent.
Processed ERAs.
Enrolled EDI.
Excellent oral and written communication skills.
Experience with provider credentialing a plus.
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