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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 facilities to enhance their revenue cycle operations, alleviate administrative burdens, and achieve superior financial results. We pride ourselves on being leaders in RCM technology while consistently delivering exceptional customer service through insightful and actionable intelligence to optimize revenue cycles.

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 involves maintaining comprehensive records of insurance company interactions, patient communications, billing, account payments, and demographic data. The specialist will also be tasked with correcting any returned or denied claims for resubmission.

Key Responsibilities:
  • Contact insurance carriers to facilitate timely processing of patient claims.
  • Document interactions with insurance providers and track estimated payment timelines.
  • Provide necessary information to expedite the claims process.
  • Review system notes for accuracy and completeness.
  • Prepare appropriate claims for paper submission.
  • Attach relevant documentation (e.g., operative notes, invoices).
  • Ensure all claims are complete and accurate.
  • Maintain a daily log of activities performed.
  • Utilize system reports to effectively manage accounts receivable (AR).
  • Prioritize accounts based on high dollar amounts and aging in AR.
  • Document any write-offs and refund requests.
  • Organize batch logs by date for record-keeping.
  • File activity into monthly charts categorized by facility.
Qualifications:

Education and Experience:

  • At least one year of experience in medical billing.
  • High school diploma or equivalent required.
  • Familiarity with common medical coding and billing terminology.
Required Skills:
  • Strong interpersonal skills with the ability to engage effectively with various stakeholders, including employees, payers, clients, and patients.
  • Detail-oriented with strategic thinking and investigative capabilities.
  • Ability to thrive in a collaborative team environment.
  • Proficient in prioritizing and managing multiple tasks concurrently.
  • Capable of promoting a positive company image with patients and insurance entities.
Work Environment:
  • This position is office-based.
  • Participation in departmental training and staff meetings is expected.
  • Adherence to compliance and company policies is mandatory.
  • 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 and a night shift allowance of Rs. 50 are offered.
  • Dinner will be provided for all employees working night shifts.