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Revenue Cycle Management Associate, Receivables

2 months ago

Brooklyn, New York, United States Help At Home Full time
Position Overview

Help at Home is a premier national provider of in-home personal care services, dedicated to empowering individuals to maintain their independence and dignity within their own homes. Our organization supports a vast number of clients each month through the efforts of a dedicated team of caregivers across multiple states.

Role Summary:

The Revenue Cycle Management Associate, Receivables, operates under the supervision of the RCM Manager. This role involves performing essential data entry, processing, and bookkeeping tasks related to the accounts receivable functions within the Revenue Cycle Management Department. A keen attention to detail and the ability to analyze and resolve common issues are crucial for success in this position.

As a vital member of our team, you will:

  • Adapt to changes with ease
  • Prioritize progress over perfection
  • Demonstrate a commitment to your work, your team, and the individuals we serve
  • Foster relationships with colleagues and business partners
  • Communicate necessary feedback while considering its impact on team culture and productivity
  • Uphold high standards for yourself and others

Key Responsibilities:

  • Process claims submissions to payors in line with their requirements and organizational policies.
  • Receive and address notifications regarding claim rejections and denials.
  • Effectively track and resolve issues to facilitate claim payments.
  • Maintain comprehensive and accurate records of accounts receivable.
  • Conduct troubleshooting for billing discrepancies.
  • Collaborate with payers or operational teams to identify and rectify issues.
  • Generate and maintain accurate billing analysis reports, promptly communicating findings to relevant parties.
  • Review daily reports and reconcile approved payments with client accounts.
  • Notify the Operations Team and Manager of any late or missing documentation necessary for billing.
  • Assist in the collection of receivables by monitoring accounts, resubmitting invoices for overdue accounts, and alerting the Manager about significantly overdue accounts.
  • Produce reports as required.
  • Perform administrative tasks such as sorting, scanning, filing, and emailing records.
  • Carry out additional duties as assigned.

Required Skills and Qualifications:

  • Self-driven and dependable; exhibits strong attention to detail; maintains confidentiality; adheres to all company policies and procedures.
  • Possesses excellent communication and customer service skills, even in high-pressure situations; able to work effectively as a team member.

Education and Experience Requirements:

  • High School diploma or GED is mandatory.
  • One to two years of experience in revenue cycle management or billing within the healthcare sector.
  • Familiarity with Medicaid and Managed Care Organization (MCO) billing practices.
  • Experience with billing in an Electronic Data Interchange or third-party clearinghouse environment.
  • Intermediate to advanced proficiency in computer applications, particularly Microsoft Office.

The above descriptions are intended to outline the general nature and level of work performed by individuals in this role. They are not exhaustive lists of all responsibilities, duties, and skills required for personnel in this classification.

Help At Home is an Equal Employment Opportunity (EEO) employer, welcoming all qualified applicants. We ensure fair and impartial consideration without regard to race, sex, color, religion, national origin, age, disability, veteran status, genetic data, or any other legally protected status.