Sr. Revenue Cycle Associate

North Kansas City Hospital - North Kansas City, MO

Full-time - Mid Level

North Kansas City, MO

Hospitals

About the position

The Senior Revenue Cycle Associate at Meritas Health plays a crucial role in the Central Services Billing team, focusing on customer service to resolve patient billing concerns and providing expertise to Revenue Cycle Specialists. This position is integral to ensuring accurate and timely claim resolution, enhancing the overall efficiency of the revenue cycle process, and contributing to the organization's mission of serving the community.

Responsibilities

• Ensures accurate and timely claim resolution.
• Assists in the analysis of claims resolution and provides feedback to management for solutions and process improvements.
• Performs follow up with insurance companies to ensure appropriate payment on claims, resolve denials, correct claims and appeal claims.
• Spools, edits and sends electronic and paper claims daily.
• Prepares and sends patient statement files daily.
• Utilizes work queues to review and analyze account balances in order to collect payment for outstanding balances.
• Utilizes multiple system applications to review and update patient information, and to research and resolve outstanding AR balances.
• Accesses and understands the various online systems' processes in determining how a claim has been paid in order to accurately apply payments and adjustments.
• Posts payments and contractual adjustments via remits to accounts and posts payments to collection accounts reversing collection adjustments.
• Maintains deposit spreadsheet to reconcile cash with bank statements.
• Scans payment batches and mail daily.
• Communicates using form letters, email or internal correspondence to resolve patient inquiries and insurance issues.
• Documents accounts with clear and concise verbiage, and reviews and responds to correspondence and inquiries received.
• Sets up and monitors payment plans to facilitate payment of outstanding personal balances.
• Issues patient or insurance refunds as necessary.
• Contacts patients and guarantors to secure necessary billing information and patient payments on account, and verifies insurance eligibility.
• Acts as a liaison with clinic staff and patients providing assistance in claims and receivables resolution.
• Performs other duties as assigned.

Requirements

• High school graduate or GED equivalent required.
• 3 or more years healthcare billing/claim experience required.
• Knowledge of ICD10 and CPT codes required.
• Customer service skills required.
• Basic knowledge of medical billing terminology required.
• Intermediate skills with Microsoft Office products required.
• Data entry and 10 Key skills required.
• Excellent written and verbal communication skills required.
• Exceptional customer service skills required.
• Detail oriented and task oriented.

Benefits

• Comprehensive Benefits (Medical, Dental, Vision, Life, FSA)
• Employer match retirement plan
• Competitive wages
• Paid time off for personal/vacation/sick
• Six paid holidays per year
• Educational assistance
• Flexible schedule; day shift schedule