RCM A/R Specialist

3 weeks ago

Spring, United States Visualutions, Inc. Full time
Job DescriptionJob DescriptionAt Visualutions, we believe in the mission of Community and Public Health, and that everyone should have access to adequate health, dental, vision, and behavioral health services. For more than two decades, Visualutions has provided public health consulting services to community health centers across the country who are passionate about providing the very best healthcare and services to their patients.

The RCM Accounts Receivable Specialist is essential for carrying out the revenue cycle management process and delivering successful outcomes for our clients.

Responsibilities:

  • Effectively review and research claim denials and contact payers to verify detailed denial reasons when necessary
  • Contact patients to obtain accurate insurance information.
  • Prepare documentation and file reconsiderations and appeals as appropriate.
  • Navigate and research insurance policies & benefits for policy exclusions for patients.
  • Navigate and research payer medical reimbursement policies and exclusions.
  • Review and work all daily correspondence received from patients and payers.
  • Understand and act on the timely filing guidelines associated with claims filing, reconsiderations, and appeals for assigned payers.
  • Review accounts for accuracy (payments and adjustments)
  • Identify and communicate denial/rejection trends to management
  • EDI transactions/troubleshooting
  • Other assigned duties

Skills Needed:

  • EPIC, eClinicalWorks, Intergy or AthenaOne is preferred
  • Minimum of 2-4 years of medical billing, collections, and/or payment posting experience
  • FQHC/Community Health Center experience is a plus
  • 10 Key – accuracy and proficiency and strong computer skills
  • Knowledge of medical EOB’s, patient deductibles and co pays, and insurance or third-party correspondence
  • Experience working with payer websites
  • Experience in working aged AR
  • Ability to work independently and adapt to a fast-changing environment
  • Knowledge of Medicare, Medicaid, Medicaid MCO’s, and commercial insurance.
  • Strong interpersonal and communications skills
  • Must have ICD-10/CPT knowledge
  • Adhere to all HIPAA guidelines/regulations

Benefits:

  • 401(k)
  • 401(k) matching
  • Health insurance
  • Dental insurance
  • Vision insurance
  • Disability insurance
  • Life insurance
  • Flexible spending account
  • Employee assistance program
  • Flexible schedule
  • Paid time off


Schedule: Monday - Friday

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