Revenue Cycle Associate - Temporary

Chiricahua Community Health Centers, Inc•Sierra Vista, AZ

9d•Onsite

About The Position

The Revenue Cycle Associate/Patient Accounts maintains a highly professional environment, ensuring all Revenue Cycle (RC) processes are completed in a timely and accurate manner. This is a full-time, temporary position expected to last approximately six (6) months. This position is not eligible for employer-sponsored benefits (including medical, dental, vision, retirement plans, or paid time off), except as required by applicable law. Eligible employees will receive Earned Paid Sick Time in accordance with Arizona law. Employment is at-will and may be terminated by either the employee or the organization at any time, with or without cause or notice, consistent with applicable law.

Requirements

High School Diploma or GED.
Any combination of experience and/or education that provides the necessary skills required may be considered.
Driver's License and Proof of Insurance may be required if requesting mileage reimbursement.
Ability to comprehend and compose effective instructions, correspondence, and communications in English in both oral and written format.
Ability to occasionally exert enough force to move objects weighing up to 10 pounds.
Ability to continuously remain in a stationary position.
Ability to occasionally move about inside the workplace to access files, office machinery, etc.
Possesses hand-eye coordination and manual dexterity necessary to constantly operate computer, telephone, and other office machinery.
Possesses close visual acuity necessary to accurately record and view information on a computer monitor, handwritten and typed documents.
Ability to discern the nature of sounds at a normal spoken volume.
Ability to add, subtract, multiply and divide in all measure, using whole numbers, common fractions, and decimals.
Ability to compute rate, ratio, and percent.
Ability to skillfully gather and analyze data.
Ability to perform variety of assignments requiring independent judgment.
Ability to deal with challenges involving one or more variables in routine situations.
Knowledge of billing, medical records, health plans, and community health centers preferred.
Advanced, specialized knowledge of medical codes and coding procedures.
Thorough knowledge of ICD, CPT, and NDC codes.
Knowledge of HIPAA and Corporate Compliance rules and regulations.
Computer literacy required in Microsoft Office.
Participates in training and education programs to maintain professional competence and skills.

Nice To Haves

One-year experience in FQHC medical billing preferred.
Proficiency in Nextgen EHR software preferred.

Responsibilities

Submit appeals and/or reconciliation letters as needed for denials.
Address all non-payment transactions.
Submit any requested documentation to third party payers.
Make appropriate adjustments to patient accounts as directed by third party payers and related revenue cycle procedures.
Communicate with insurance companies as need to ensure timely claim processing.
Attend trainings and meetings, internal and external, as applicable.
Investigate and gather appropriate information to ensure accuracy of patient account balance and demographic information.
Process and submit patient statements.
Post patient payments and adjust as necessary and related to revenue cycle procedures.
Assists patients to address questions regarding statement balances.
Setup and maintain budget plans.
Refer patients to CCHCI to Outreach and Enrollment to review state and federal financial assistance programs.
Run automated processes include SFDP, Unapplied credits and Auto Adjustment batches
Work all assigned tasking.
Process all third-party payments and lockbox correspondence.
Provide accurate daily and end of month balancing.
Process all charges from the holding tank daily.
Review charge accuracy prior to claim submission and address inaccuracies
Run and correct all claim edits daily within NextGen and Clearinghouse.
Mail paper claims daily as needed.