Revenue Cycle Specialist

HEALTH WEST INC•Pocatello, ID

3d•Remote

About The Position

Reports directly to the Revenue Cycle Manager and will assist to the develop, plan, organize and implement current and future strategies to bill customers, process payments, minimize bad debt, improve cash flow and manage the overall health of the companys receivables. Will assist with the day-to-day activities of the Revenue Cycle team which include but are not limited to billing, collections, accounts receivables and financial planning for patients. This position will work with the Revenue Cycle team to meet department long and short term strategic goals. Work is performed under minimal supervision and in accordance with established procedures. The Revenue Cycle Specialist position requires the use of computers and other office equipment.

Requirements

Minimum of one years in medical billing, accounts receivables, and patient customer service.
Proven ability to effectively communicate with all levels of staff, insurance companies and patients.
Competency in computerized patient billing systems and appropriate computer software.
Strong ethics and a high level of personal and professional integrity.
Proven record of change management skills
Ability to organize and prioritize work and manage multiple priorities.
Excellent verbal and written communication skills including, letters, memos and emails.
Excellent attention to detail and high degree of accuracy.
Ability to research and analyze data.
Ability to work independently with minimal supervision.
Exhibit a high degree of confidentiality in all aspects of the position.
Hearing: Adequate to perform job duties in person and over the telephone.
Speaking: Must be able to communicate clearly in person and over the telephone.
Vision: Visual acuity adequate to perform job duties, including reading information from printed sources and computer screens.
Sitting for long periods of time and repetitive hand motions for data entry.

Nice To Haves

Prefer at least three years experience in medical billing, accounts receivables, and patient customer service.
Prefer demonstrated knowledge, usage, and experience with CPT and ICD10 codes.

Responsibilities

Strong customer service skills
Answering client calls
Prompt return and follow up to all interactions
Prompt response to requests for information, both internally and externally
Assist patients with questions regarding outstanding balances.
Ensure proper CPT and IDC-10 codes were used.
Review to ensure insurances were billed properly.
Ensure slides were applied properly.
Collect remaining outstanding patient owed balances.
Process medical and behavioral health payments made directly to Health West
Process paper insurance checks to Athena
Process credit card payments from insurance companies and patients
Running the credit card payment through the Athena linked credit card terminal
Uploads transaction to Athena
Work Athena task list
Work Athena hold buckets as assigned by supervisor.
Work the Athena unapplied credits
Insurance Refund insurance companies as appropriate
Patient Refund patients as appropriate
Works with outside collections vendor to provide requested statements and information.
Works with all workers compensation insurance company inquiries for additional billing record information.
Slide application audits.
Working accounts receivable to collect past due payments.
Develop and sustain a good working relationship with insurance companies; identify possible problems that may cause any slowing of the cash flow. (i.e. new insurance plans, new network providers, reference services, or new providers).
Assist front desk and central scheduling staff
Patient questions
Determining correct insurance package for patients
Slide questions
Slide correctly
Income documentation
Work assigned tasks in Athena
Back-up staff when needed.
To attend company meetings as assigned.
Exhibit a positive professional attitude at all times with supervisor, co-workers, health center personnel, patients, and the community at large while adhering strictly to the confidentiality of Health West financial, personnel and patient information.
Participate in the companys annual planning process when requested.
Participate in professional development opportunities.
Accept and perform other duties as assigned.
Demonstrates willingness to try new tasks; communicate and discuss potential areas of risk to the appropriate manager; generates new ideas for change; evaluates and recognizes priorities; selects effective team members; challenges others to learn; keeps current and integrates new information; communicates and models organization values; fosters high performance; continuous improvement, recognizes need for and provides adequate resources.
This position is responsible for role modeling and promoting Health West Inc. values throughout the organization.
Demonstrates active listening techniques; gains support through effective relationships; treats others with dignity and respect; seeks feedback; creates and maintains reporting mechanisms.
Ability to read, analyze and interpret professional journals, technical procedures or governmental regulations.
Ability to communicate orally and through written reports and other documents relating to resident, staff and others.
Ability to effectively present information and respond to questions from groups of executives, managers, clients, customers and the public
Ability to add, subtract, multiply and divide in all units of measure, using whole numbers, common fractions and decimals.
Ability to compute rate, ratio and percent and to draw and interpret bar graphs.
Advanced knowledge of computers is desired.
Ability to define and solve problems, collect data, establish facts and draw valid conclusions.
Ability to interpret an extensive variety of technical journals and deal with several abstract and concrete variables.
Applies quality improvement methods techniques; assists in data collection; Identifies processes for improvements in daily work and educates new employees in team process.
Demonstrates understanding of emergency procedures; participates in emergency drills; demonstrates understanding of safety and security procedures; applies safety and security precautions; demonstrates understanding of hazardous materials plan; demonstrates Health West use of equipment and assists with disaster preparation exercises and learning.
Applies hand washing principles during daily work; demonstrates understanding of isolation precautions; recognizes signs and symptoms of infection and complies with the employee health program; demonstrates understanding of the process for identifying and handling infectious waste; maintains personal hygiene; complies with OSHA standards in the work place; and demonstrates understanding of cross-contamination.
Enters or records data timely and accurately; promotes confidentiality of information; logs onto the system using own password; logs off the system when leaving the work station; reports suspected violation of security/confidentiality issues; reviews data and identifies trends.
Attends in-service and education programs as determined by Health West Administration; attends continuing education required for maintenance of professional certification or licensure.
Position requires occasional lifting and carrying items weighing up to 20 pounds unassisted; requires frequent sitting and repetitive hand movements, occasional standing, walking, squatting, bending, and reaching, with some lifting, pushing and pulling exerted regularly throughout a regular work shift.