Full RCM Medical Billing/Coding Account Manager
28 days ago
Portland
Job DescriptionBenefits: • 401(k), • Dental insurance, • Health insurance, • Opportunity for advancement, • Signing bonus, • Training & development, • Vision insurance This job mainly onsite You must live in Portland, OR and Vancouver Washington area Contact email: Contact person: Stephanie White If you have any questions, please feel free to email us. At this time, we cannot respond to all inquiries by phone. Job Requirements Heres how your profile aligns with the job description. Skills Customer service Education High school diploma or GED Preferred associate degree Required Certified Biller Licensed coder Description: UR Billing Solution LLC Opportunity with BMWIT Apply Today! Our company is based in Portland, Oregon; however, our services are offered nationwide. URBS provides full revenue cycle management for outsourced medical billing services. We serve physicians, private practices, clinics, hospitals, and more. We bill for multiple types of services. In this role you work for Black Men & Women In Training LLC (BMWIT) Mental Health and Wellness Group Practice. This position maintains a timely revenue cycle and ensures accurate payment for goods and services according to contracted rates and/or payor fee schedules. It is also responsible for maintaining patient confidentiality and functioning within the guidelines of HIPAA. Job Duties: Accounts Receivable • Collect accounts by sending bills or following up on bills with payers via phone, email, fax, mail, or websites., • Investigate and resolve customer inquiries regarding charges., • Monitor patient account details for non-payments, delayed payments, and other irregularities., • Communicate with customers regarding insurance, payments, and invoices.Authorization and Confirmation:, • Collaborates with internal & external customers to provide status updates & coordinate appeals on denied authorization., • Resolves pending revenue by reconciling approved authorizations and pending charges., • Ensure claims will be billed correctly to insurance.Data Support:, • Responsible for the daily claims submissions/printing for all eligible/ready status claims, • Resolves all claim rejections promptly to guarantee submission within the timely filing requirements of the payers.Unbilled Revenue:, • Analyze documentation required for billing services and ensure compliance with payer requirements., • Resolve pending revenue by reconciling received documentation and pending charges., • Requests authorization from state Medicaid programs., • Maintains and updates physician databases to ensure accurate delivery of billing documentation and communications with physician offices., • Completes accurate documentation of authorization requests and follow-up activities on each account.Patient Financial Services:, • Identify trends and root causes of inaccurate private pay billing and report to the manager while resolving account errors., • Investigate escalated customer billing inquiries and take appropriate action to resolve the account., • Work in-house collection regarding patient balances owed on accounts., • Respond to the outside Collection agency regarding patient disputes of balances owed on accounts., • Case Management performedAll RCM Specialist responsibilities:, • Educate patients, staff, and providers regarding authorization requirements, payer coverage, eligibility guidelines, documentation requirements, and insurance changes or trends., • Maintains extensive knowledge of different types of payer coverage, insurance policies, payer guidelines, and payer contracts to ensure accurate billing and timely payment is received., • Responsible for accurately entering data into the database, including, but not limited to, the payer, authorization requirements, coverage limitations, and status of any requalification., • Credentialing (when needed) or assigned., • Performs other related duties as assigned.Competency, Skills, and Abilities:, • Analytical and problem-solving skills with attention to detail., • Strong verbal and written communication., • Excellent customer service skills., • Proficient computer skills and knowledge of Microsoft Office., • Ability to prioritize and manage multiple tasks., • High School Diploma or equivalent, • One (3-5) years of work-related experience in healthcare administration, financial or insurance, customer services, claims, billing, call center, or management, regardless of industry., • Exact job experience is considered any of the above tasks in a Medicare-certified HME, Diabetic, Pharmacy, or home medical supplies environment that routinely bills insurance.UR Billing Solution LLC and BMWIT are equal opportunity employers and do not unlawfully discriminate against employees or applicants for employment based on a UR Billing Solution LLC. And BMWIT we are an equal opportunity employers and do race, color, religion, creed, sex, national origin, age, disability, marital status, veteran status, sexual orientation, gender identity, genetic information, or any other status protected by applicable law. This policy applies to all terms, conditions, and privileges of employment, including recruitment, hiring, placement, compensation, promotion, discipline, and termination. Benefits After a full 90 days of employment A complete medical plan includes vision and dental for individuals and families. Long-term disability -Aflac Accidental death policy -Aflac Paid Time Off PTO 11 days (at the beginning of employment) (New Year's Eve off early) 1. New Year's Day, 2. Martin Luther King Day, 3. Memorial Day, 4. Juneteenth 19th, 5. Independence Day, 6. Labor Day, 8. Thanksgiving Day, 9. The Day After Thanksgiving, 10. Christmas Eve, 11. Christmas After Probationary Period Sick days (5) 40 hours Personal Time Off (3) a year Mental Health Day (1) a year In this position, one can make $65-70k a year. Career Opportunities No contract employment This position will oversee Black Men & Women In Training LLC Group Practice (BMWIT) So, are you ready to jump-start your career? We would like to hear from you. How do you apply for this position? Send your resume to as an attachment. If not attached, your resume will be looked over. In the subject line: Full RCM Flexible work from home options available.