RCM Specialist II
hace 4 días
Houston
Job DescriptionBenefits • Paid Time Off & Paid Company Holidays, • Medical, Dental, Vision & Life Insurance, • Flexible Spending Account (FSA), • 403(b) Retirement Plan with Company Match, • Short-Term & Long-Term Disability, • $0 Copay for Legacy Provider visits, • $0 Copay for prescriptions filled at Legacy Pharmacies, • Travel Insurance & Pet Insurance, • Subsidized Gym Membership, • Embrace a dynamic role that offers the flexibility to adapt to the needs of our department, providers, and patients., • Be a problem solver, ensuring accuracy in our patient accounting system for seamless account resolution., • Contribute to a mission-driven organization focused on community healthcare impact., • Enjoy a supportive work environment that promotes collaboration and mentorship., • Opportunities for growth, including potential loan repayment programs.Key Responsibilities, • Update and maintain patient accounts within medical software to ensure accuracy of demographic and policy information., • Scan/photocopy patients' identification, insurance cards, and correspondence as needed., • Process billing calls and correspondence from patients, staff, and third-party carriers promptly., • Communicate daily with internal and external customers via phone and written communications., • Document patient accounts accurately and completely., • Post payments, adjustments, and remittances from all payers electronically and manually., • Post zero pays, partial pays, and adjustments as indicated on payer remits., • Monitor, review, and process credits from credit balance reports., • Complete and maintain daily balance and variance reports for cash handling., • Conduct in-depth research when payments and adjustments result in a credit balance or undistributed funds., • Interpret explanation of benefits (EOB) and balance transfers to secondary insurance or patient liability., • Coordinate with the RCM team for denials, underpayments, zero pays, and unidentified payments., • Assist in reconciling deposit and patient collections., • Participate in the Performance Improvement Program and pursue ongoing education., • Work independently, maintaining productivity standards and performance goals., • Perform other duties as assigned, contributing to team efforts and special projects.Minimum Qualifications, • High School Diploma/GED required., • Minimum of 2 years of related experience in a medical revenue cycle environment., • Previous experience in a medical office RCM setting., • Training or background in Revenue Cycle Cash Posting/Refunds Processing preferred., • EPIC Certification &/or experience preferred but not required., • Basic to Intermediate Excel proficiency., • Customer service driven., • Understanding of medical terminology and insurance laws/guidelines., • Excellent organization and time management skills along with excellent oral and written communication skills. Powered by JazzHR h5rsXWItmC