System Administrator - Revenue Cycle

Mom's MealsAnkeny, IA
2d

About The Position

This System Administrator - Revenue Cycle will manage and support revenue cycle system of record while confirming accuracy of billing records regularly. This role will be a subject matter expert of the revenue cycle system and provide/assist with training new team members on requirements while still working cross functionally with a variety of internal/external partners or agencies. Position Requirements may include, but not limited to Ensure deliveries that required signatures are documented Team super-user/trouble-shoot claims pass rate; CRM views and maintenance of CRM for team members; electronic claims/remits/eligibility set-up in partnership with IT team Responsible for confirming accurate system generation of weekly/monthly billing records; responsible for ensuring billing records are generated timely Responsible for onboard/set-up new payment agencies in system timely; assist on-boarding team to new requirements that agency would have regarding billing Set-up and maintenance of administration of users in secure provider web-portals Assist with onboarding/training of new team members Work cross-functionally to support client services, customer care, sales, and revenue cycle initiatives Responsible for pulling client and claim information for research projects that drive key company initiatives Act as back-up, and sometimes lead, to generate weekly and monthly utilization reports for specific agencies Dedicated to support the team in line with the company values and mission Audit various reports regarding signatures and delivery exceptions to ensure accurate billing records Assist with billing, other projects / duties as assigned

Requirements

  • Associate Degree in healthcare, medical billing or related field
  • At least 3 years of work-related experience in a healthcare-related field, such as accounts receivable, patient financial services, and/or revenue cycle in facility or physician practices
  • Previous experience with prior authorization process working with both payers and providers
  • Strong critical thinking, problem solving, and analytical skills
  • Excellent verbal and written communication skills; ability to manage multiple priorities, demonstrated flexibility and ability to adapt and implement change in a timely and effective manner
  • Proficient in Microsoft Office, especially Outlook, Word, and Excel
  • Strong relationship building skills with payers and external/internal customers
  • Excellent attention to detail to avoid administrative errors

Nice To Haves

  • Bachelor's Degree healthcare, medical billing or related field
  • Experience with eligibility inquiry software, such as electronic 270 files and/or secure payer web portals
  • Experience with electronic and paper claim set-up and submissions (837/5010; paper CMS-1500 and paper UB); set-up of electronic remittances (837), clearinghouse, and other accounts receivable software
  • AAHAM or HFMA certification

Responsibilities

  • Ensure deliveries that required signatures are documented
  • Team super-user/trouble-shoot claims pass rate
  • CRM views and maintenance of CRM for team members
  • electronic claims/remits/eligibility set-up in partnership with IT team
  • Responsible for confirming accurate system generation of weekly/monthly billing records
  • responsible for ensuring billing records are generated timely
  • Responsible for onboard/set-up new payment agencies in system timely
  • assist on-boarding team to new requirements that agency would have regarding billing
  • Set-up and maintenance of administration of users in secure provider web-portals
  • Assist with onboarding/training of new team members
  • Work cross-functionally to support client services, customer care, sales, and revenue cycle initiatives
  • Responsible for pulling client and claim information for research projects that drive key company initiatives
  • Act as back-up, and sometimes lead, to generate weekly and monthly utilization reports for specific agencies
  • Dedicated to support the team in line with the company values and mission
  • Audit various reports regarding signatures and delivery exceptions to ensure accurate billing records
  • Assist with billing, other projects / duties as assigned

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Education Level

Associate degree

Number of Employees

1,001-5,000 employees

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