RCM Specialist, AR ( REMOTE) [United States]

 

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Help at Home is the nation's leading provider of high quality care and support solutions. Our goal is to enable the highest level of personal independence and meaningful lives for our clients. Help at Home is committed to delivering a gold standard in care through our attentive and well-trained staff who support our clients comfortably and safely within their homes and communities.

Job Summary:

Performs general data entry, keying, and bookkeeping tasks for the Revenue Cycle Management Department accounts receivable functions that require a high degree of attention to detail, and the ability to analyze and resolve routine problems.

As a key member of the team:

• You are flexible and can embrace change
• You value progress over perfection
• You care about your work, the team you're on, and the people we are helping
• You make it a priority to get to know the people around you - build relationships with your colleagues and business partners
• You say what needs to be said, while considering how it'll affect culture and output
• Hold others to a high standard

Duties/Responsibilities:

• Submits claims to payors in accordance with payor requirements and agency policy.
• Receives notices of claim rejections & denials.
• Properly track and resolve issues to ensure claim payment.
• Maintains complete and accurate accounts receivable records.
• Performs troubleshooting for billing error codes.
• May work with the payer or branch operational team to identify and resolve issues.
• Maintains accurate billing analysis reports and communicates implications promptly to the appropriate parties.
• Analyzes daily reports from the state and matches the approved payments to the client.
• Alerts the Operations Team and Manager regarding late or missing documents required for billing.
• Assists with the collection of receivables by monitoring accounts receivables, resubmitting bills to overdue accounts, and alerting Manager regarding seriously overdue accounts.
• Produces reports as needed.
• Performs administrative duties such as sorting, scanning, filing, and emailing records.
• Performs other duties as assigned.

Required Skills and Abilities:

• Self-motivated; reliable; strong attention to detail; maintains confidentiality; complies with all Company policies and procedures.
• Demonstrates excellent communication and customer service skills under duress at a fast pace; ability to function as a positive team member.

Education and Experience:

• High School diploma or GED required.
• One (1) to two (2) years' experience of revenue cycle management or billing experience in the healthcare field
• Knowledge of Medicaid/Managed Care Organization (MCO) billing practices
• Experience with billing in an Electronic Data Interchange/3 rd party clearinghouse environment.
• Intermediate to advanced computer skills, including the use of Microsoft Office applications
  

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions upon request.

Help At Home is an Equal Employment Opportunity (EEO) employer and welcomes all qualified applicants. Applicants will receive fair and impartial consideration without regard to race, sex, color, religion, national origin, age, disability, veteran status, genetic data, or religion or other legally protected status.

Entry Level

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