Rev Cycle Billing Spec 3- Experience with HomeHealth, Epic, Denials, Follow up and Billing

Carle Health•Champaign, IL

2d•$18 - $30

About The Position

Proficient in Revenue Cycle Account Billing Specialist 2 responsibilities. Additionally, serves as an expert resource for escalated account activities for multiple payer product lines. Responsible for downloading, reviewing, and interpreting payment remittance advice in order to post insurance payments, denials, transfers, and adjustments. Represents Carle in external accounts receivable efforts (examples: court appearances, fair hearings, meetings with employers and insurance companies). Assists with mentoring, training and observing staff for quality assurance. Assists with creating training materials and process flows. Participates in projects. Involved in system testing and development. Builds and analyzes management summary reports. Serves as a liaison with third party vendors assisting with collection of accounts receivable.

Requirements

Experience with HomeHealth, Epic, Denials, Follow up and Billing
Healthcare business operations
Associate's Degree

Responsibilities

Must be able to perform essential job functions of Revenue Cycle Account Billing Specialist 2.
Assists with developing policies and procedures, training materials and process flows to ensure best practice.
Mentors, trains, observes and educates staff for quality assurance.
Facilitates maximization of revenue by ensuring correct coding initiative and payer specific guidelines are applied appropriately and claims are appealed as necessary.
Assists with daily department flow, ensures appropriate staffing and optimal productivity levels.
Handles escalated patient, provider and third party issues in absence of supervisor.
Responsible for downloading, reviewing and interpreting payment remittance advice in order to post insurance payments, denials, transfers, and adjustments.
Monitors age trial balance reports for assigned business line to optimize collection of accounts receivable.
Participates in system testing and development related to system upgrades and process improvements.
Prepares and submits quarterly Medicare credit balance report.
Gathers requested documentation for Medicare ADR, CERT and RAC audits.
Assists in evaluation of billing opportunities related to new technology and/or services.
Builds and analyzes management reports to identify patterns and trends and recommends opportunities for improvement.
Participates in projects.
Conducts team meetings and provides direction to team members.
Represents Carle in external venues such as court appearances, fair hearings, meeting with employers, attorneys, insurance companies, community events etc.