Sr. Revenue Cycle Associate

1 month ago

North Kansas City, United States North Kansas City Hospital Full time

Summary

Meritas Health is hiring a Senior Revenue Cycle Associate to join our Central Services Billing team in the Northland If you're looking for a great opportunity to serve our community and be part of a growing organization, join our Meritas team

Here at Meritas our mission is to provide hope and healing to every life we touch. Whether you are serving patients at a primary care practice, specialty practice, or in a support capacity, every team member works together to complete this mission. Joining Meritas means you are joining a family that is committed to serving our community and giving patients better quality of life.

Reasons to Join Meritas:

* Comprehensive Benefits (Medical, Dental, Vision, Life, FSA)
* Employer match retirement plan
* Competitive wages
* Paid time off for personal/vacation/sick
* Six paid holidays per year
* Educational assistance
* Flexible schedule; day shift schedule

Job Description:

Under the direction of the Manager, Revenue Cycle, this position provides customer service to resolve patient billing concerns and responds to questions on accounts, insurance coverage, payment arrangements, and financial assistance. This position will serve as a subject matter expert to Revenue Cycle Specialists.

Job Duties:

* Ensures accurate and timely claim resolution. Assists in the analysis of claims resolution and provides feedback to management for solutions and process improvements. Performs follow up with insurance companies to ensure appropriate payment on claims, resolve denials, correct claims and appeal claims. Spools, edits and sends electronic and paper claims daily. Prepares and sends patient statement files daily.
* Utilizes work queues to review and analyze account balances in order to collect payment for outstanding balances, utilizes multiple system applications to review and update patient information, and to research and resolve outstanding AR balances. Accesses and understands the various online systems' processes in determining how a claim has been paid in order to accurately apply payments and adjustments and assist in determining the adjudication of funds.
* Posts payments and contractual adjustments via remits to accounts and posts payments to collection accounts reversing collection adjustments. Maintains deposit spreadsheet to reconcile cash with bank statements. Scans payment batches and mail daily.
* Communicates using form letters, email or internal correspondence to resolve patient inquiries and insurance issues. Documents accounts with clear and concise verbiage, and reviews and responds to correspondence and inquiries received. Sets up and monitors payment plans to facilitate payment of outstanding personal balances. Issues patient or insurance refunds as necessary.
* Contacts patients and guarantors to secure necessary billing information and patient payments on account, and verifies insurance eligibility.
* Acts as a liaison with clinic staff and patients providing assistance in claims and receivables resolution.
* Performs other duties as assigned.

Minimum Requirements:

* High school graduate or GED equivalent required
* 3 or more years healthcare billing/claim experience required
* Knowledge of ICD10 and CPT codes, customer service skills required, basic knowledge of medical billing terminology required
* Intermediate skills with Microsoft Office products, data entry, 10 Key; excellent written and verbal communication skills; exceptional customer service skills; detail oriented; task oriented; fast paced.

More Possibilities:

As the largest network of providers in the Northland, we can offer you more opportunities to grow. Here at Meritas, we believe that together, we will become legendary for our commitment to remarkable patient care. If you are looking to better the lives of those in our community, then join our Meritas family, where your voice counts.

Meritas Health is an Equal Opportunity Employer and values diversity in our organization. We do not discriminate against any applicant for employment or employee on the basis of race, color, religion, gender, age, marital status, sexual orientation, national origin, disability, veteran status or any other classification protected by applicable discrimination laws.

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