Account Manager, Revenue Cycle | Medical Billing
4 weeks ago
The Account Manager, Revenue Cycle Management will be responsible as a RCM Accounts Receivable (A/R) Specialist for full life cycle medical claims and/or medical billing through resolution of payment, included but not limited to submission, A/R follow up, denials, appeals, rejected claims, payment posting resolving healthcare claims. This includes communicating with internal RCM team, customers, and payers.
This position is a hybrid model 2-3 days/week, reporting to our new Eagan, MN office.
PRIMARY RESPONSIBILITIES OF THIS POSITION
Drive RCM Operations financial performance through AR workflow, included but not limited to: medical billing, medical claims, payer follow up, identifying account discrepancies, denials and appeals are efficiently processed, payment posting, tickets, customer partnerships
Proactively manages accounts receivable for assigned customer accounts within established KPIs (aging, delinquency, denial rate, productivity, ticket SLAs)
Submit healthcare claims to appropriate payer within timely filing criteria
Posts claim rejections received both manually and via ERA
Utilize work queues to proactively drive claims to payment with each action, including contacting insurance payers by phone or online to obtain claim status or resolve claim
Review balance on accounts after payment to determine accuracy and appropriate next action
Accurately review denials to determine next steps and file appeals as needed
Accurately processes incoming payments both through ERA and manually
Ability to work in different TBH systems
Accurately document all actions and claim status in TBH systems (i.e., VisiQuate, PMS)
Develop rapport with customers for assigned accounts through ongoing professional communication
Interact and provide guidance to outsourced teams in coordination with Managers
Proactively communicate barriers, process flow or productivity issues/opportunities to Manager
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