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NeurAbilities Healthcare · 3 hours ago

Revenue Cycle Management Specialist

Voorhees, NJ

Full-time

Hybrid

Mid Level

3+ years exp

NeurAbilities Healthcare is a distinguished specialty healthcare provider focused on transforming the lives of individuals with autism and other neurodevelopmental disabilities. The Revenue Cycle Management Specialist will be responsible for entering charges, posting payments, managing patient accounts, and resolving outstanding accounts receivable, ensuring timely submission of claims and maintaining accurate billing records.

ConsultingHealth CareHospitalMedical

Diversity & Inclusion

Responsibilities

Enter charges accurately and expeditiously to ensure proper records handling and fast payment responses

Process and follow up on payer denials, consulting with the patient and/or an authorized family member as needed

Follow up on submitted out of network claims, monitor unpaid claims; resubmit as necessary

Follow up on Clearinghouse claims activity

Researching and appealing denied claims; submit requested documentation as needed

Identifying and billing secondary or tertiary insurance

Research and resolve patient inquiries and complaints regarding billing issues via telephone or in writing

Maintain a record of patient inquiries and resolutions in the patient chart

Prepare and recommend accounts to the Manager for submission to an outside collection agency

Post payments and denials in a timely manner and/or prepare batches to upload to Revenue Cycle Management system

Call insurance companies regarding any discrepancy in payments as necessary

Review patient statements for accuracy and completeness and obtaining any missing information

Prepare daily deposit, including scanning checks into the bank, downloading ERA’s from payors, uploading ERA’s into EHR systems, maintain documentation, filing and record keeping accordingly

Performs various clerical operations in support of the billing department duties and responsibilities, such as processing mail, faxes, sorting, filing and scanning correspondence, printing, and mailing patient statements, etc

Ensure strict confidentiality of financial records in accordance with HIPAA guidelines

Qualification

Medical billingEMR/Practice Management SoftwareMedical Billing Specialist CertificationInsurance guidelinesOut of network billingCustomer service skillsTeamworkConflict resolution