Revenue Cycle Associate - Customer Service Rep

Mecklenburg EMS Careers•Charlotte, NC

1d•$23 - $26

About The Position

Primary responsibility is managing high-volume inbound patient calls to address billing questions, process payments, and route issues appropriately. The role also requires working knowledge of at least one revenue-cycle area, including ambulance billing claims, claim form submission, cash application, registration, insurance follow-up on unpaid or denied claims, targeted outbound calls as needed, and collections for services rendered to support MEDIC’s long-term success. DUTIES & RESPONSIBILITIES: Ability to demonstrate proficient knowledge and understanding with the ability to apply key concepts from various payors reimbursement and clinical coverage policies including Commercial, Medicare, Medicare Advantage, Medicaid, Medicaid Managed Care, third-party, contract, etc. Ability to demonstrate proficient knowledge and understanding with the ability to apply key concepts from various compliance Federal and State security regulations including HIPAA, The Security Rule, Personal Financial Information, Personal Health Information Demonstrate and be proficient with general accepted accounting principles and methods, with the ability to apply understanding and application Basic analytical skills with the ability to apply logical decision-making skills to resolve claims or barriers impacting work product Ability to demonstrate proficiency with basic office automation technologies including internet, payor web applications or portals, and Microsoft Office applications Ability to demonstrate proficient use with various patient accounting billing software(s), medical records systems, and payment portals Ability to generate assigned reports and apply task specific knowledge to resolve claims with limited oversight Ensures quality customer service is provided to all patients, including but not limited to taking inbound patient phone calls, properly verifying insurance coverage, filing insurance claims, insurance follow-up, payment posting, and returning phone calls in timely fashion Ensures the accuracy of charges applied, payments posted, denial/follow-up procedures, and documentation Meets established quality and productivity standards Stays current on ambulance coding and regulatory billing guidelines Stays current on healthcare accounts receivable billing and collection procedures. Including any additions and changes to insurance laws Maintains confidentiality of information as assigned and abides by all applicable laws, and the corporate compliance program Demonstrates continuous effort to improve operations, streamline work process and work cooperatively and jointly to provide quality and seamless customer service Maintains positive working relationships with internal and external customers Knowledge of ambulance medical billing and procedures Participate in department and agency-wide activities to include meetings, trainings, specialized committees and workgroups

Requirements

High school graduate or equivalency
Experience in healthcare revenue cycle process
Excellent verbal communication skills
Demonstrated ability in the use of Microsoft products
Demonstrated ability to use computer, internet, web applications
Ability to perceive and distinguish emotions during interactions with customers via telephone or in person, and respond professionally, with compassionate care
Maintain acceptable attendance and adhere to scheduled work hours
Ability to work within a team-oriented, fast-paced, customer-focused environment
Ability to apply on demand problem solving skills
Certified Ambulance Coder (initial certification only)

Nice To Haves

Certified Professional Coder (CPC-AAPC)
Certified Professional Biller (CPB-AAPC)
Associate's degree
Bilingual

Responsibilities

Managing high-volume inbound patient calls to address billing questions, process payments, and route issues appropriately
Working knowledge of at least one revenue-cycle area, including ambulance billing claims, claim form submission, cash application, registration, insurance follow-up on unpaid or denied claims, targeted outbound calls as needed, and collections for services rendered to support MEDIC’s long-term success
Demonstrate proficient knowledge and understanding with the ability to apply key concepts from various payors reimbursement and clinical coverage policies including Commercial, Medicare, Medicare Advantage, Medicaid, Medicaid Managed Care, third-party, contract, etc.
Demonstrate proficient knowledge and understanding with the ability to apply key concepts from various compliance Federal and State security regulations including HIPAA, The Security Rule, Personal Financial Information, Personal Health Information
Demonstrate and be proficient with general accepted accounting principles and methods, with the ability to apply understanding and application
Basic analytical skills with the ability to apply logical decision-making skills to resolve claims or barriers impacting work product
Demonstrate proficiency with basic office automation technologies including internet, payor web applications or portals, and Microsoft Office applications
Demonstrate proficient use with various patient accounting billing software(s), medical records systems, and payment portals
Generate assigned reports and apply task specific knowledge to resolve claims with limited oversight
Ensures quality customer service is provided to all patients, including but not limited to taking inbound patient phone calls, properly verifying insurance coverage, filing insurance claims, insurance follow-up, payment posting, and returning phone calls in timely fashion
Ensures the accuracy of charges applied, payments posted, denial/follow-up procedures, and documentation
Meets established quality and productivity standards
Stays current on ambulance coding and regulatory billing guidelines
Stays current on healthcare accounts receivable billing and collection procedures. Including any additions and changes to insurance laws
Maintains confidentiality of information as assigned and abides by all applicable laws, and the corporate compliance program
Demonstrates continuous effort to improve operations, streamline work process and work cooperatively and jointly to provide quality and seamless customer service
Maintains positive working relationships with internal and external customers
Knowledge of ambulance medical billing and procedures
Participate in department and agency-wide activities to include meetings, trainings, specialized committees and workgroups