RCM AR Specialist

7 days ago


Harrodsburg, Kentucky, United States Isaiah House Full time
RCM AR Specialist Job Description

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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