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Revenue Cycle Management Specialist

2 months ago


Chesterfield, Missouri, United States Avontix Full time
Job Overview

Avontix Global is a dynamic organization specializing in revenue cycle management solutions tailored for Ambulatory Surgery Centers (ASCs), surgical clinics, surgical hospitals, and anesthesia groups. Our innovative technology-driven solutions empower surgical entities to enhance their revenue cycle operations, alleviate administrative tasks, and optimize financial performance. We pride ourselves on being leaders in RCM technology while consistently delivering exceptional customer service through insightful analytics and actionable intelligence to maximize revenue potential.

Position Summary

The Revenue Cycle Management Specialist will be responsible for all activities related to the collection of charges recorded in an electronic posting and/or filing system. This role includes maintaining comprehensive records of insurance company and patient interactions, billing, payments, and demographic data. The specialist will also rectify any returned or denied claims for resubmission.

Key Responsibilities:
  • Engage with Insurance Carriers
  • Ensure timely processing of patient claims
  • Document interactions with insurance carriers and anticipated payment timelines
  • Provide necessary information to facilitate claim processing
  • Review system notes for accuracy
  • Prepare appropriate claims for paper submission
  • Attach relevant documentation (e.g., operative notes, invoices)
  • Verify claims to ensure all fields are complete and accurate
  • Maintain a daily log of activities
  • Utilize system reports to manage accounts receivable (AR)
  • Prioritize accounts based on high dollar amounts and aging in AR
  • Document write-offs and refund requests
  • Maintain batch logs organized by date
  • File activity into monthly charts by facility
Qualifications:

Education and Experience:

  • At least one year of experience in medical billing
  • High school diploma or equivalent
  • Familiarity with common medical coding and billing terminology

Required Skills:

  • Strong interpersonal skills with the ability to effectively communicate with all levels of staff, payers, clients, patients, and other departments
  • Detail-oriented with strategic thinking and investigative skills
  • Ability to thrive in a collaborative team environment
  • Capability to prioritize and manage multiple tasks concurrently
  • Ability to uphold a positive company image with patients, insurance companies, and the public
Work Environment:
  • Office-based position
  • Participation in departmental training and staff meetings
  • Adherence to all compliance and company policies and procedures
  • Ability to work in a moderately noisy environment with frequent interruptions
Additional Information:
  • No transportation facility is provided; however, a transport allowance of Rs. 300/day is offered along with a Rs. 50 Night Shift Allowance.
  • Dinner will be provided at the office for all night shift employees.