Revenue Cycle Management Administrator

Position Title: Revenue Cycle Management Administrator When you submit your resume, please make sure it is uploaded in EnglishPOSITION SUMMARY: The RCM Administrator, a key position in the revenue cycle, manages the claims process, including accurate and timely claim creation, follow-up and correspondence with providers, insurance inquiries. The incumbent will assist in the clarification and development of process improvements and inquiries, assure payment for services rendered are recorded, reconciled timely, and posted accurately. UTIES RESPONSIBILTIES BILLING AND CLAIMS:

Prepares and submits clean claims to third party payers either electronically or on paperProperly attends to all clearinghouse reports to clear rejections accuratelyEnsures all eligibility rejections are properly researched and correctedAttends to all requirements for secondary billing protocolsSubmits resubmissions, evaluating root cause and escalating any trends Communicates effectively with each practice regarding insurance issuesAlerts practice staff of open balances by properly documenting in eClinicalWorksIdentifies and resolves all billing problems, keeping management informedUses the alert system in eClinicalWorks to communicate any coding errorsMaintains the strictest confidentiality, adhering to all HIPAA regulationsCOLLECTIONS:

Follows collection protocols for assigned accounts (follow up metrics, etc. )Maintains worklist ensuring each patient account has been reviewed timelyMonitors payments, accessing payor portals regularly for claim statusFollows third party rules regarding balance billingIdentifies denials, determines root cause, performs appealsEscalates trendy denials to management for further research Provides information to management regarding uncollectable account balancesAdheres to KPI metrics for Collection percentages, AR aging, Denial Management, etcReviews ERA’s and EOB’s as necessary, reporting posting errors to managementActively participates in department staff meetingsKeeps abreast of changes in payor regulations and updates.

Follows departmental Policy and Procedures at all timesWillingness to assist other areas in the RCM department when neededJOB REQUIREMENTS: Knowledge of medical billing/collection practices requiredExcellent billing/collections software expertise, preferably with eClinicalWorksWorks well in fast-paced, high volume environments with firm deadlinesResults orientedPossesses the ability to multi-taskAble to work both independently and as part of a teamStrong analytical skills requiredCapable of making good independent decisionsQUALIFICATIONS/ REQUIREMENTS: High school diploma or general equivalency diploma (GED)Note: This description indicates, in general terms, the type and level of work performed and responsibilities held by the team member(s).

Duties described are not to be interpreted as being all-inclusive or specific to any individual team member. No Third Party Agencies or Submissions Will Be Accepted. Our company is committed to creating a diverse environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. DFWP Opportunities posted here do not create any implied or express employment contract between you and our company / our clients and can be changed at our discretion and / or the discretion of our clients.

Any and all information may change without notice. We reserve the right to solely determine applicant suitability. By your submission you agree to all terms herein. Powered by JazzHRuhgpvp6TYD