LEARN Behavioral · 22 hours ago

Senior RCM Coordinator (Remote)

Milwaukee, WI, US

Full-time

Remote

Mid, Senior Level

3+ years exp

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EducationHealth Care

No H1B

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Responsibilities

Assist in optimizing revenue and practice management system.

Assist managers with troubleshooting high level claims projects.

Review processes for admissions, pricing, billing, third party payer relationships, compliance, collections, and other financial analyses and revise, as necessary.

Process clean claim submission for all states. Follow-up with AR for all states with a focus on collection of state billing.

Manage medical accounts to include daily balancing controls, reporting, and completing month end audit activities.

Produce AR reporting for states at end of month and auditing purposes.

Support RCM departmental metrics and goals. Examples KPI’s include, W/O, DSO, cash collections, bucket percentage.

Oversee the payment allocation for all states.

Consistently follow billing practices throughout the RCM department.

Follow up on claims adjustments, corrections, and/or rebilled claims with insurance companies.

Conducts denials management/appeals and AR follow up activities to ensure timely reimbursement for the company.

Review accounts and make recommendations for supervisor regarding to non-collectible accounts.

Participates in educational activities along with staying current on assigned payers’ reimbursement guidelines.

Maintains confidentiality in accordance with all HIPAA guidelines/regulations.

Maintains procedural manuals, cross training and coverage of the teams’ work

Maintains high level of professionalism, works as a team player, demonstrates solid character at all times and applies critical-thinking logic in all manner of duties

Provides exceptional Customer Service

Any other duties as assigned.

Qualification

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Revenue Cycle ManagementBilling SoftwareClearinghousePayor PortalMicrosoft ExcelBilling KnowledgeCollections KnowledgePayment Posting KnowledgeCustomer Service SkillsEDI Reports Knowledge