RCM AR Specialist
7 days ago
Isaiah House is seeking a highly skilled and detail-oriented RCM AR Specialist to join our team in Lexington, KY.
We are a faith-based, nonprofit organization with a strong commitment to delivering high-quality substance use disorder treatment services.
Key Responsibilities:
- Ensure timely and accurate follow-up on denied claims, unadjudicated claims, and overpaid claims by third-party payers.
- Provide timely and accurate reporting on trends and issues related to payers, CPT/HCPCS codes, and DX codes.
- Work with denials, appeals, and rebills to ensure timely resolution.
- File claims to secondary and tertiary payers with proper documentation.
- Work assigned AR for outstanding accounts for resolution.
- Work assigned payer credit report for resolution to overpayments from payers.
- Maintain a write-off log to report to management for approval.
- Assist with client account inquiries.
- Report trending or payer issues to management.
- Maintain payer websites and stay current on payer policy changes to ensure compliance with internal controls and policies.
Requirements:
- High School Diploma or GED.
- 1+ year of Revenue Cycle experience preferred.
- 1+ year of experience in Behavioral Health preferred.
- 2+ years of background in Primary Care/FQHC billing or accounts receivable preferred.
- Working knowledge of eClinical Works EMR preferred.
Salary:
$16-$20/hour
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