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Accounting & Finance


RCM Specialist  ,   Posted: 10/12/2022
Job Description

Job ID#:

408

Job Category:

Accounting & Finance

Positions Available:

4


                                                                     
                                                Revenue Cycle Management (RCM) Specialist
 
Become a part of the SYFR Team! We are looking for an experienced RCM Specialist. If you are looking for a company that is focused on being the best in the industry, love being challenged, and make a direct impact on our business, then look no further! We are adding to our motivated team that pride themselves on their strong critical thinking skills, dedication, team focused mentality, and our “can do/go-getter” attitude.
 
What you will do
  • Perform accurate, timely, and compliant billing of assigned accounts in a fast-paced, high-volume environment. Assist on daily billing of insurance claims
  • Track unpaid claims, denial management, and file appears when needed for reimbursement
  • Review patient bills for accuracy and completeness. Obtain any missing information
  • Prepare, review, and transmit claims using billing software, including electronic paper claim processing
  • Conduct timely follow-up on unpaid claims
  • Checking each insurance payment for accuracy and compliance with contract discount. Call insurance companies regarding any discrepancies in payments as needed
  • Identify and bill secondary or tertiary insurances and review accounts for insurance of patient follow-up
  • Conduct thorough research and appeal denied claims
  • Answer all patient or insurance telephone inquiries pertaining to assigned accounts
  • Set up patient payment plans and work collection accounts
  • Update billing software with rate changes, cash spreadsheets, and run collection reports
  • Assist with the completion of verification and prior authorizations of multiple specialties 
  • Monitors accounts for expiring authorizations 
  • Research patient accounts for invalid or missing authorization information 
  • Verify that prior authorizations and/or pre-services requirements are met
  • Proactively manage and maintain outstanding authorization accounts to increase billing of clean claims
  • Effectively and professionally answer and return calls, email, and mail communication both internally and externally
 
What it takes to join the family
  • Schedule is Monday – Friday from 8:00 am–5:00 pm ET (hours can be flexible)
  • HS Diploma, College Degree preferred
  • Minimum of one year experience in medical billing or similar position
  • Experience in billing for an OBGYN practice is a plus
  • Superior attention to detail and a solid base understanding of medical terminology, referrals and pre-authorizations, procedure and visit authorizations, eligibility and benefits verification, insurance billing procedures
  • Knowledge of systems and applications such as Greenway, AdvancedMD, Athena, or Open Practice Solutions
  • Task oriented personality with the ability to thrive in a fast-paced, goal-oriented atmosphere
  • Capable of working successfully on a team and independently
  • Analytical mindset with a problem-solving aptitude
  • Ability to escalate concerns to the appropriate person and/or department
  • Communicate and collaborate with Billers, insurance companies, patients, and leadership on a consistent basis
  • Proficient in Microsoft Office (Outlook, Excel, Teams)
  • Live out our core values: Trust, Compassion, Stability and Hope
 
Why SYFR? 
  • Family-oriented culture
  • Flexible schedule and 100% remote 
  • Option to work overtime post ramp-up period
  • Competitive benefit packages, paid holidays, and paid time off 
  • Client-Focused - We deliver high-value services that reduce complexity and simplify processes
  • Excellence and Integrity - We hold one another accountable to deliver accurate and timely results
  • Biased to Action - We work with passion and urgency
  • Improving Together - We do better work when we work as a team, leveraging our collective expertise
 

 
Job Requirements



 

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