RCM Audit and Support Specialist

2 weeks ago


Spring, United States Visualutions, Inc. Full time
Job DescriptionJob Description

The RCM Audit and Support Specialist is responsible for assisting with audits in assigned databases. The individual will support audits and trends and assist with database month end process. Additionally, the position supports the company’s overall operations and client services by effectively and efficiently driving the Revenue Cycle Management process and delivering successful outcomes.

Reports to: Director of Revenue Cycle Management

Responsibilities:

  • Customer specific database audits for all status
  • Communicates progress and results of audits, and appropriately reports trends and resolutions in the results.
  • Responsible for end of month pre-scrub, which includes database approvals, access approvals, flags
  • Performs audits for contractual guidelines
  • Exhibits good problem-solving abilities and self-motivation and demonstrates the ability to work well under deadline driven environments.
  • Communicates effectively, both verbally and in writing, with individuals internally and externally
  • Possess overall knowledge of cash applications, billing, and accounts receivable processes.
  • Completes monthly and quarterly reporting as assigned by management.
  • Perform special projects as assigned by management.

Qualifications

  • 3 years of billing, collection, and/ or posting experience in a healthcare environment is required
  • Collaborates effectively with supervisor and/or upper management, as well as other groups and teams throughout the organization.
  • Must be able to work independently and research issues to find a solution with minimal supervision.
  • Plans and organizes effectively to achieve productivity goals.
  • Must exhibit excellent time management, organizational skills, and be computer literate.
  • Ability to work independently and adapt to a fast-changing environment
  • Knowledge of Medicare, Medicaid, MCO’s, and commercial insurance.

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