Revenue Cycle Management Specialist

NeurAbilities•Voorhees Township, NJ

123d•Hybrid

About The Position

The Revenue Cycle Management Specialist position will report to the Director of Revenue Cycle Management and will be responsible for entering charges, posting payments, managing patient accounts, follow-up and resolution of outstanding accounts receivable including investigating and resolving payment discrepancies with payers. Responsible for the timely submission of claims both electronically and on paper in addition to A/R, follow-up within the company's centralized billing and reimbursement group.

Requirements

Excellent customer service skills and phone manner
Ability to work well in a team environment. Being able to triage priorities, delegate tasks if needed and handle conflict in a reasonable fashion.
A minimum of three to five years of experience in a medical office setting
Prior EMR/Practice Management Software experience strongly desired, particularly Central Reach or AdvancedMD
Medical billing: 3 years (Required)
High school or equivalent (Required)
Knowledge of medical billing/coding required preferably in Applied Behavior Analysis services
Knowledge of insurance guidelines including Medicaid and Commercial Plans
Knowledge in out of network billing and insurance appeals

Nice To Haves

Certification as a Medical Billing Specialist or a Professional Coder through an accredited organization, preferred

Responsibilities

Enter charges accurately and expeditiously to ensure proper records handling and fast payment responses.
Process and follow up on payer denials, consulting with the patient and/or an authorized family member as needed.
Follow up on submitted out of network claims, monitor unpaid claims; resubmit as necessary.
Follow up on Clearinghouse claims activity.
Researching and appealing denied claims; submit requested documentation as needed.
Identifying and billing secondary or tertiary insurance.
Research and resolve patient inquiries and complaints regarding billing issues via telephone or in writing.
Maintain a record of patient inquiries and resolutions in the patient chart.
Prepare and recommend accounts to the Manager for submission to an outside collection agency.
Post payments and denials in a timely manner and/or prepare batches to upload to Revenue Cycle Management system.
Call insurance companies regarding any discrepancy in payments as necessary.
Review patient statements for accuracy and completeness and obtaining any missing information.
Prepare daily deposit, including scanning checks into the bank, downloading ERA’s from payors, uploading ERA’s into EHR systems, maintain documentation, filing and record keeping accordingly.
Performs various clerical operations in support of the billing department duties and responsibilities, such as processing mail, faxes, sorting, filing and scanning correspondence, printing, and mailing patient statements, etc.
Ensure strict confidentiality of financial records in accordance with HIPAA guidelines.