RCM Accounts Receivable Specialist

4 days ago


Spring, Texas, United States Visualutions, Inc. Full time
Job Summary

We are seeking a highly skilled RCM Accounts Receivable Specialist to join our team at Visualutions, Inc. As a key member of our revenue cycle management team, you will play a critical role in ensuring the timely and accurate processing of patient accounts.

Responsibilities
  • Conduct thorough research and analysis of claim denials and communicate with payers to resolve issues
  • Verify patient insurance information and ensure accurate billing
  • Prepare and submit reconsiderations and appeals as necessary
  • Navigate complex insurance policies and benefits to identify potential issues
  • Review and process daily correspondence from patients and payers
  • Stay up-to-date on timely filing guidelines and ensure compliance
  • Identify and communicate denial/rejection trends to management
  • Perform EDI transactions and troubleshoot issues
  • Other assigned duties
Requirements
  • EPIC, eClinicalWorks, Intergy, or AthenaOne experience preferred
  • Minimum 2-4 years of medical billing, collections, and/or payment posting experience
  • FQHC/Community Health Center experience a plus
  • Strong computer skills and 10 Key accuracy
  • Knowledge of medical EOBs, patient deductibles, and co-pays
  • Experience working with payer websites
  • Ability to work independently and adapt to a fast-changing environment
  • Knowledge of Medicare, Medicaid, Medicaid MCOs, and commercial insurance
  • Strong interpersonal and communication skills
  • ICD-10/CPT knowledge required
  • Adhere to all HIPAA guidelines and regulations
Benefits
  • 401(k) plan with matching
  • Health, dental, and vision insurance
  • Disability and life insurance
  • Flexible spending account
  • Employee assistance program
  • Flexible schedule
  • Paid time off

We offer a dynamic and supportive work environment with opportunities for growth and development. If you are a motivated and detail-oriented professional with a passion for healthcare revenue cycle management, we encourage you to apply.



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