Revenue Cycle Management Specialist (AR Focus)

Community Care Network Of Va• Henrico, VA, US, VA

14d•$20 - $25•Remote

About The Position

The Revenue Cycle Management (RCM) Specialist is responsible for billing duties and coordinates with client contacts on daily and monthly revenue cycle management processes. The role covers claims processing, payment processing, accounts receivable follow-up, denial management, internal support-ticket coordination, client communication, and review of accounts receivable reports and department performance indicators. This is a remote position. Employees must have suitable and secure technology, such as secure Wi-Fi, a telephone, and a dedicated workspace, and must participate in video conference meetings with their camera on. Salary is commensurate with experience, relevant certification or education, and relevant RCM software proficiency.

Requirements

At least two years of experience in insurance reimbursement, account collections, coding, and medical terminology.
Significant experience performing and managing billing services for a Federally Qualified Health Center (FQHC).
Advanced proficiency in eClinicalWorks (eCW).
Proficiency in Microsoft Excel and Word.
Excellent customer service and communication skills.
High school diploma or equivalent.

Responsibilities

Review progress notes and accounts.
Update patient demographics and insurance information.
Create and delete billing-related alerts.
Process paper and electronic claims.
Review clearinghouse activity and manage rejected claims.
Manage and follow up on claims returned by clients.
Perform daily balancing and manual and electronic payment posting.
Manage collections.
Navigate insurance websites and maintain login access.
Review provider participation status through e-status.
Process patient statements.
Handle refunds, small-balance adjustments, and bad-debt adjustments.
Manage claim denials and resubmit denied Medicare Part A claims through the NGS Fiscal Intermediary Shared System.
Submit and follow up on eClinicalWorks support tickets and CCNV IT support tickets.
Provide the client or team lead with information about account issues to discuss with the client.
Respond to team members and clients in a timely and thorough manner.
Communicate professionally with clients and company employees.
Handle patient phone calls and interpretive management services.
Participate in continued education and internal training, and complete assigned special projects.
Review accounts receivable management reports and follow up as needed.
Monitor common claim processing and denials, department goals, and key performance indicators.
Reassign duties in the absence of others in coordination with the client or team lead supervisor.