Billing Operations Specialist

3 weeks ago


Lewisburg, United States Robert C. Byrd Clinic Full time
Billing Coordinator - Accounts Receivable (AR)

This position will provide patient revenue management support throughout the revenue cycle, with a focus on charge entry and denials.

Key Responsibilities:
  • Provide patient revenue management support throughout the revenue cycle, including but not limited to billing and collections, financial counseling, insurance updates, and customer support.
  • Process hospital charges, access hospital website to review all medical documentation, determine proper procedural and diagnostic codes, enter demographics and insurance information in Athena, post charges to Athena.
  • Demonstrate knowledge of all third-party payment plans.
  • Demonstrate understanding of CPT and ICD 10 codes to assist patients, providers, and nursing and reception staff with questions.
  • Accurately complete charge entry processing to ensure claims are paid upon first billing & efficiently enter charges to meet timely filing requirement.
  • Identify and improve processes to allow capturing of all charges for services being provided.
  • Demonstrate excellent customer service while serving as a resource for patients and answering questions.
  • Appropriately use RCBC's EHR and practice management software.
  • Work unpostables and Correspondence buckets. Work denials, watch for inaccuracies in allowable and payments received from all carriers.
  • Watch for trends in denials that may indicate issues with coding, credentialing, and formatting that prevent carriers from paying on claims. Work with appropriate staff to resolve issues.
  • Reconcile daily cash and credit card deposits.
  • Enter various data into the appropriate database system to complete or update information that pertains to the accounts receivable department.
Requirements:
  • At least one year of experience in healthcare revenue cycle operations or support highly preferred.
  • Experience using electronic health record (Athena) and practice management software highly preferred.
  • At least one year of AR experience highly preferred. Knowledge of collection laws preferred.
  • High school diploma or equivalent required. Associate degree in a business-related discipline preferred.
  • Excellent computer skills.
  • Excellent written and verbal communication skills.
  • Ability to manage multiple priorities.
  • Strong attention to detail.

About Us:

The Robert C. Byrd Clinic (RCBC) is a Rural Health Clinic accredited by the NCQA as a Patient-Centered Medical Home - Level 3. RCBC, located in historic Lewisburg, WV, offers Quality Healthcare...Close to Home.

We are located on the campus of the West Virginia School of Osteopathic Medicine (WVSOM). As a comprehensive not-for-profit health care organization, we are committed to providing quality primary health care to the residents of the greater Greenbrier Valley and surrounding areas. In addition to serving the local communities, RCBC serves as a primary clinical training site for WVSOM students, interns, and residents. We offer a wide range of primary care services, including medical acupuncture, diabetic education, acute care, family medicine, psychology, internal medicine, osteopathic manipulative medicine, pediatric medicine, proctology, mental health, and radiology.

Employment at RCBC is contingent upon the timely and successful completion of a post-offer drug screen, U.S. Citizenship and Immigration Service's I-9 form, and background investigation including but not limited to whether you have been sanctioned or excluded from participating in any Medicare, Medicaid, or other government-funded programs.

RCBC is an Equal Opportunity Employer.



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