Revenue Cycle Operations Talent Pipeline
Indexed description
About Our RCM Team
Are you a specialist in the financial healthcare lifecycle? We are looking for talented professionals to join our Revenue Cycle Management team. By applying to this "Talent Pipeline" requisition, you are expressing interest in multiple current and upcoming roles.
Responsibilities
Choose Your Path
We are currently sourcing for four primary functional areas. Please indicate your preference in your application:
- Revenue Cycle Specialist (Billing & Collections): The Revenue Cycle Specialist is responsible for resolving claim issues including denials, payment variances, and any other unresolved issues that may arise directly from internal and external customers.
- Patient Collection Specialist: The Patient Collection Specialist assists patients with medical billing and insurance related questions through account research, balance verification, and verification of billing and policy compliance. This role is responsible for all activity related to collection of patients’ outstanding balances and is authorized to transfer or adjust patient balances pending manager approval.
- Payment Research Specialist: This position is responsible for resolving claims issues within the Care Centers (CCs). The position is responsible for A/R denials, underpayments, payments not according to contractual agreements, and any unresolved claims issues that may arise directly from the Care Center.
- Provider Services Associate The Provider Services Associate works under the direction of the Provider Services Manager to start and maintain the payer enrollment table in Athena (EHR).
- High school diploma or equivalent; post secondary degree preferred
- Minimum of 2 years current experience interpreting insurance explanation of benefits, patient benefit plans; policy coverage and patient responsibility
- Minimum of 2 years current experience working with medical claims, billing and collections, and appeals; OB/GYN specialty preferred.
- Experience working with healthcare practice management systems, (Athenanet preferred)
- Experience working with cloud-based Customer Relationship Management (CRM) technology (Salesforce preferred)
- Experience with Microsoft Office and proficiency in Microsoft Excel
- Ability to collaborate effectively in a cross-functional team environment
- Excellent verbal and written communication skills with internal and external customers
- Experience and knowledge of commercial and governmental insurance payer and clearinghouse portals (Availity, Navinet, Optum, etc.) including billing guidelines and policy updates
- Working knowledge of Medical Billing & Coding preferred
Here’s a look at what we offer:
- Health Coverage
- Paid Time Off
- Financial & Retirement Planning
- Income Protection
- Wellbeing Support
- Professional Development
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