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The Revenue Cycle Specialist I is a position that calculates and posts receipts to appropriate accounts, verifies details of transactions; performs billing, posting and collection of claims related to specific payers. In this role, you'll report to the Accounts Receivable Manager, RCM.
Duties/Responsibilities:
Monitor held billing and coordinate resolution of related issues to ensure timely claim submission
Review, research, and correct claims that fail payer edits; update payer information and resubmit claims within the EMR system as needed
Understand and actively follow up on outstanding accounts receivable to minimize aging
Work all assigned and denied claims promptly and accurately
Assist in preparing and submitting appeals and reconsiderations to payers
Collaborate with internal teams (billing, authorizations, clinical, etc.) to resolve billing and collections issues
Communicate with payers to obtain claim status and resolve outstanding balances
Maintain accurate documentation of collection activities and provide updates and reports on collection efforts as requested
Assist with special projects, audits, or process improvement initiatives as assigned
Perform other duties as assigned
Excellent verbal, written and computer communication skills
Able to communicate across all levels of field level leadership within company
Excellent organization, attention to detail, and problem solving
Able to multi-task throughout the course of work, while maintaining accuracy
Able to effectively deal with change
Able to complete tasks within specific timetables
Able to successfully interact with people in face-to-face situations as well as by telephone in a professional and effective manner, excellent customer service to internal and external customers
Satisfactory background screens as required by State, Federal and Company policy free of any OIG sanctions
Graduate of accredited high school or GED required
Minimum of one year of experience in an office setting
“You are not required to disclose information about physical or mental limitations that you believe will not interfere with your ability to do the job. However, you should disclose any physical or mental impairment for which special arrangements or accommodations are needed to enable you to perform the essential functions of the job. Your description of any impairment and suggestions for reasonable accommodations will be considered in providing reasonable accommodations.”
Requires the ability to write, dictate or use a keyboard to communicate directives
Utilizes proper body mechanics in multiple environments
Requires the ability to function in multiple environments
FLSA Status: Non-Exempt
EEO Status: Administrative Support Workers
Medical, Dental, and Vision Insurance
Paid Time Off and Paid Sick Time
401(k)
Referral Program
Pay Range: $17.00 - $25.00 / hour
Team Select Home Care reserves the right to change the above job description and qualifications without notice. Team Select Home Care will not discriminate against you on the basis of race, color, religion, national origin, sex, sexual preference, disability, political belief, veteran status, age, or any other status protected by law. Team Select Home Care is an employment-at-will employer.
