RCM AR Specialist

Isaiah House is seeking a skilled and detail-oriented individual to fill the role of RCM AR Specialist at our center in Lexington, KY.

As a faith-based, nonprofit organization, we offer a competitive edge and a higher purpose in our work.

Benefits include:

• Medical, dental, and vision insurance
• Basic life insurance at no cost
• 401(k) matching
• Paid holidays
• Weekly payday
• A sense of fulfillment from working for a company that makes a difference

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.

Job Functions:

• Work all denials to ensure timely follow-up, appeals, and rebills
• File claims to secondary/tertiary payers with appropriate 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 any trending or payer issues to management
• Maintain payer websites and stay current on payer policy changes to ensure compliance with internal controls and policies

This role will start in Harrodsburg, KY, but will transition to a fully remote position once training is completed.

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