Jr Account Manager, Revenue Cycle Management

3 weeks ago


Paramus, United States Advanced Data Systems Full time

Job Description

Job Description

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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