RCM A/R Specialist (Remote) Job at Visualutions, Inc., Spring, Montgomery County, TX

TU1YeUtITlFkdXo3aHBoSFQ0d2JSWnZOZ2c9PQ==
  • Visualutions, Inc.
  • Spring, Montgomery County, TX

Job Description

Job Description

Job Description

At Visualutions, we believe in the mission of Community and Public Health, and that everyone should have access to adequate health, dental, vision, and behavioral health services. For more than two decades, Visualutions has provided public health consulting services to community health centers across the country who are passionate about providing the very best healthcare and services to their patients.

The RCM Accounts Receivable Specialist is essential for carrying out the revenue cycle management process and delivering successful outcomes for our clients.

Responsibilities:

  • Effectively review and research claim denials and contact payers to verify detailed denial reasons when necessary
  • Contact patients to obtain accurate insurance information.
  • Prepare documentation and file reconsiderations and appeals as appropriate.
  • Navigate and research insurance policies & benefits for policy exclusions for patients.
  • Navigate and research payer medical reimbursement policies and exclusions.
  • Review and work all daily correspondence received from patients and payers.
  • Understand and act on the timely filing guidelines associated with claims filing, reconsiderations, and appeals for assigned payers.
  • Review accounts for accuracy (payments and adjustments)
  • Identify and communicate denial/rejection trends to management
  • EDI transactions/troubleshooting
  • Other assigned duties

Skills Needed:

  • EPIC, eClinicalWorks, Intergy or AthenaOne is preferred
  • Minimum of 2-4 years of medical billing, collections, and/or payment posting experience
  • FQHC/Community Health Center experience is a plus
  • 10 Key – accuracy and proficiency and strong computer skills
  • Knowledge of medical EOB’s, patient deductibles and co pays, and insurance or third-party correspondence
  • Experience working with payer websites
  • Experience in working aged AR
  • Ability to work independently and adapt to a fast-changing environment
  • Knowledge of Medicare, Medicaid, Medicaid MCO’s, and commercial insurance.
  • Strong interpersonal and communications skills
  • Must have ICD-10/CPT knowledge
  • Adhere to all HIPAA guidelines/regulations

Benefits:

  • 401(k)
  • 401(k) matching
  • Health insurance
  • Dental insurance
  • Vision insurance
  • Disability insurance
  • Life insurance
  • Flexible spending account
  • Employee assistance program
  • Flexible schedule
  • Paid time off

Schedule: Monday - Friday Dayshift (remote)

Monday through Friday 8am-5pm central
Full-time position

Job Tags

Full time, Flexible hours, Day shift, Monday to Friday,

Similar Jobs

HCA Houston Healthcare Medical Center - HCA Healthcare

Internal Medicine - Physician Job at HCA Houston Healthcare Medical Center - HCA Healthcare

 ...Description Specialization: Internal Medicine Job Summary: This busy, solo...  ...is seeking an internal medicine physician to join his expanding practice in Houston...  ...Orthopedic Surgery ~ Imaging Services ~ Nuclear medicine ~ Outpatient Surgical Services... 

KOPPLIN KUEBLER & WALLACE

Chattanooga Golf & Country Club Director of Food & Beverage Job at KOPPLIN KUEBLER & WALLACE

DIRECTOR OF FOOD & BEVERAGE PROFILE:CHATTANOOGA GOLF & COUNTRY CLUBCHATTANOOGA, TNDIRECTOR OF FOOD & BEVERAGE OPPORTUNITY AT CHATTANOOGA GOLF & COUNTRY CLUBAn exciting opportunity awaits candidates with a proven leadership and excellence track record in food and beverage... 

Post Ranch Inn

Houseperson Job at Post Ranch Inn

 ...license with a clean DMV recordand be of age 21. PHYSICAL REQUIREMENTS ~Able to perform all essential duties with or without accommodation ~Pushing/Pulling: Average weight 50 lbs on a regular basis ~Lifting/Carrying: Average weight 50 lbs on a regular basis ~... 

Metro Dentalcare

General Dentist - Apple Valley, MN Job at Metro Dentalcare

 ...General Dentist Opportunity in Apple Valley, MN Metro Dentalcare - Apple Valley, MN , is seeking a passionate and driven General Dentist to join our dynamic team. Whether you're a seasoned practitioner or just beginning your journey, this is your chance to lead a practice... 

Takeda

Research (Scientific) Associate Director, Computational Chemistry Job at Takeda

Research (Scientific) Associate Director, Computational Chemistry Join to apply for the Research (Scientific) Associate Director, Computational Chemistry role at Takeda .This position offers a competitive salary range of $153,600 to $241,340 per year, depending on skills...