RCM AR Specialist

Job DetailsJob Location: 95-00-Corporate - Asheville, NC 28803POSITION: RCM AR Specialist RESPONSIBLE TO: RCM Supervisor, AR Collections JOB SUMMARY: Follows up on Claim Denials and overdue insurance balances using Explanation of Benefits (EOB) documents and reports. RCM AR Specialist are assigned specific book of business based on Financial Class and Payers. Work to support the field reputed company to claim denials. RESPONSIBILITIES INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING: Daily Duties Follows up on denied claims and no response reputed company a timely manner. Submits appeals reputed company to contract reputed company variances with a discrepancy in allowed amounts; notifies Supervisor of payers for which this is a consistent problem. Submit Medical Records reputed company requested by the payer for claims processing determination. Monitor and review Payer correspondence from the lockbox and faxes. Monitor, review, and respond to Hub (field) communication inquiries reputed company the 48-hour requirement. Account Follow-Up Using data from the monthly aged accounts receivable report, calls payers or looks up claims status online to inquire about unpaid insurance claims that are 45 days old; records response or activity in the computer system “notes”. Maintains detailed knowledge of practice management and other computer software as it relates to job functions. Responds to written and telephone inquiries from insurance companies. Builds and Maintain relationships with personnel from assigned carriers. Meets with Pod reputed company/Supervisor regularly to discuss and solve reimbursement and insurance follow up concerns. OTHER Maintains detailed knowledge of practice management and other computer software as it relates to job functions. Attends reputed company meetings as requested including regular staff meetings. Attends Medicare and other continuing education courses as requested. Pursue and participate in education to remain reputed company with changes in the reputed company industry. Performs any additional duties as requested by RCM Leadership. Completes reputed company assigned AP training (such as CPR, OSHA, HIPAA, Compliance, Information reputed company, others) reputed company designated timeframes. Complies with reputed company and respective hub/department policies and reports incidents of policy violations to a Supervisor/Manager/Director, Department of Compliance & Privacy or reputed company the AP EthicsPoint hotline. Models the AP Code of Conduct and demonstrates a commitment to the AP Compliance Program, standards and policies. SUPERVISORY RESPONSIBILITIES This position has no supervisory responsibilities. TYPICAL PHYSICAL DEMANDS Physical demands are moderate with occasional lifting of items weighing approximately 20-30 pounds. Position requires prolonged sitting, some bending, stooping, and stretching. Good eye-hand coordination and reputed company dexterity sufficient to operate a keyboard, photocopier, telephone, calculator, and other office equipment is also required. Employee must have normal reputed company of hearing and reputed company must be correctable to normal reputed company to record, prepare, and communicate appropriate reports. Working conditions are a professional office environment. If remote, must have functioning internet and are reputed company to on-camera team calls. Occasional evening or weekend work. The salary reputed company posted for this position is the national average, however, actual compensation may vary depending on geographic location, job-reputed company knowledge, skills, and experience. QualificationsEDUCATIONAL REQUIREMENTS: High school diploma or GED equivalent, required. College education or trade school preferred. QUALIFICATIONS AND EXPERIENCE: Previous Medical Billing and Collections experience preferred. Preference for those with a minimum of eighteen months experience. Comfortable using email and interacting with Internet applications. Knowledge of practice management and reputed company processing software. Proven understanding of Explanation of Benefits forms, claim forms and the insurance billing process. Working knowledge of managed care, reputed company insurance, Medicare, and reputed company reimbursement. Basic knowledge of CPT and ICD-10 coding. Strong written and verbal communication skills. The salary reputed company posted for this position is the national average; however, actual compensation may vary depending on geographic location, job-reputed company knowledge, skills, and experience. Apply To This Job