RCM Payment Entry Specialist

• Strong customer service skills for client satisfaction, health of client AR and guidance for RCS team members

• Answers client calls: prompt return and follow up to all interactions; prompt response to requests for information, both internally and externally-

• Acts as initial point person for team regarding technical work questions/processes/procedures to provide training/guidance-

• Escalates issues to RCS Management related to clients and staff-
• Trains individuals on systems and workflow in order to ensure protocols are followed-

• Reviews and work all unpaid and denied insurance correspondence, both phone appeals and written appeals; confirm all patient demographics and insurance is current and up to date-

• Runs, reviews and works unpaid patient balance reports for payment by reading current notes and place for past due letters and phone calls-

• Prepares insurance/patient correspondence for coworkers by reviewing and batching for further attention and review-

• Prepares and sends uncollected patient payments to collections by writing up forms for the doctors to review-

• Reviews and works insurance and patient overpayments, prepare refund request and send to doctors office-

Answers phone calls from insurances and patients-

• Organizes, identifies and improves workflow with team members/Management through daily and weekly productivity reports and reports challenges and concerns and requests need for assistance to RCS Management-

• Ability to perform the duties of the Payment Entry Specialist, Charge Entry Specialist, AR Specialist and RCM Specialist roles-

• Keeps manager informed of progress, achievements and issues; assist staff with processes, information and workload-
• Achieve goals set by management and compliance requirements-
  
• Follows, and models adherence to all policies, procedures and processes
  
• Other duties as assigned-

• 3+ years relevant work experience (Preferred)

• Knowledgeable of CPT and ICD coding and medical terminology
• Extensive knowledge with email, search engines, Internet, ability to effectively use payer websites and Laserfiche; basic competence in use of Microsoft products-

• Preferred experience with MS Access and PowerPoint, Crystal reports and various billing systems, such as NextGen, Pro, Epic and others

• Knowledge of CPT, ICD10 and modifiers-
• Experience in specialties such as Psychiatry, Internal Medicine, Orthopedics, General Surgery

• Familiar with HMO and IPAs, Medicare Fee for Service Plans and Commercial Payers
• Strong communication skills

• Quarterly Company-Wide Recharge Days
• Peer-based incentive Cheer awards
• All in to Win bonus Program
• Tuition Reimbursement Program