Offer summary

Qualifications:

Minimum of 3 to 5 years of experience in Healthcare Revenue Cycle management., Advanced knowledge of Excel and proficiency in EMR and billing software., Understanding of insurance billing processes, including Medicare, Medicaid, and commercial insurance., High School Diploma or Equivalent with moderate experience in Microsoft Office products..

Key responsabilities:

Retrieve and maintain fee schedules for all contracted payers and update the billing system.

Collaborate with Contracting, Provider Enrollment, and RCM teams to resolve billing issues.

Analyze data to identify trends and make necessary adjustments in reporting.

Submit corrected claims and assist in the Cash Management process as needed.

Job description

Job Details

Level: Experienced

Job Location: CleanSlate Centers Billing - Nashville, TN

Position Type: Full Time

Salary Range: $26.00 - $29.00 Hourly

Travel Percentage: None

Job Shift: Day

Description

Functions:

The Revenue Cycle Specialist works under the general supervision of the Billing System Administrator to follow the established practices, policies and guidelines of Revenue Cycle Management. Responsible for obtaining and maintaining fee schedules for all contracted payers to update the billing system. Will establish relationships with payers to resolve any issues for over/under paid claims. Will work closely with RCM to identify trends and analyze information.

Qualifications:

Minimum of 3 to 5 years of thorough working knowledge of Healthcare Revenue Cycle
Advanced knowledge in Excel
Working understanding of Explanation of Benefits, claim forms and the insurance billing process
Working knowledge of managed care, commercial insurance, Medicare, Medicaid and Worker’s Compensation
Working knowledge of Payment Posting/Reconciliation
Working knowledge of insurance plan contracts and reimbursement rates
Computer skills – proficiency in understanding EMR and billing software
High School Diploma or Equivalent
Moderate experience of Microsoft Office products

Performance Responsibilities:

Retrieve and maintain fee schedules for all contracted payers
Work closely with Contracting, Provider Enrollment & RCM teams

Update Allowable(s) (Fee Schedules) in the billing system
Data Analysis – identify trends and analyze relevant information from research

Work the Payer Mix-Match Dashboard (Reports) to identify issues
Make necessary adjustments when errors are identified in reporting so that the system reflects correctly
Submit corrected claims and/or appeals when necessary
Work with insurance companies to resolve issues with overpaid and underpaid claims
Assist in Cash Management process
Any and all other tasks or projects, as assigned
Physical and Environmental Demands:
Vision sufficient to read a computer screen, and printed text and handwritten documents.
Manual dexterity to operate a computer keyboard daily.
Ability to speak and hear sufficiently to communicate clearly in person and over the telephone, and in various forms of written communication.
Ability to prioritize multiple tasks.
Ability to work independently in a remote environment Acceptable and reliable attendance and punctuality.