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Rev Cycle Specialist
2 months ago
- Provide patients with respectable and courteous customer service
- Makes and receives both inbound and outbound calls regarding patient accounts and outstanding balances, serving as a liaison between the patient and all RCM departments as well as all practice locations; daily interaction with patients, internal RCM staff, practice clinical staff as well as insurance providers. Obtaining the necessary information to resolve account balances.
- Identifies and resolves possible billing errors resulting in incorrect balance billing. This includes: performing detailed account/claim review to confirm pt liability, reviewing payer EOBs/EOPs for insurance processing and payment ensuring the patient's balance is accurate, communicating findings and account status to the patient and advising when their intervention is needed.
- Reviews and responds to patient correspondence received via lockbox
- Reviews returned mail due to "bad addresses". Makes attempt to resolve by contacting patient for correct information and performs system updates as needed.
- Review accounts eligible for referral to collection agency,making the determination that all billing guidelines have been met and confirming true patient liability.
- Performs review of accounts in assigned worklist
- Performs ad-hoc duties and projects as assigned
Education:High School Diploma or equivalent; Bachelor's degree preferred.
Experience: 3-5 years experience in a medical billing specialist/accounts receivable role;Back-end billing experience within Ophthalmology preferred but not required.
Knowledge/Skills/Experience:
- Knowledge of ICD-9, ICD-10, CPT codes and procedures
- Ability to work independently and collaboratively on projects
- Excellent problem-solving and investigation skills
- Ability to interface with management and co-workers
- Ability to create channels of communication to obtain information necessary to perform job tasks, such as with clients, payers, clinical staff and billing department staff
- Ability to recognize individual and system problems and to communicate such information to management
- Excellent written and verbal communication skills
- Outstanding attention to detail and excellent time management skills
- Outstanding computer skills with billing software, Microsoft Word and Microsoft Excel, good typing skills
- Experience with all major payors including Medicare and Medicaid, with some knowledge of vision plan carriers.
- Ability to work with proprietary information, PHI, ePHI, etc., while maintaining confidentiality at all times
