Job Summary
The RCM Associate will be responsible for managing all aspects of the revenue cycle, including billing, coding, and collections. A successful candidate will have a strong understanding of healthcare billing regulations, coding guidelines, and payment systems.
Qualifications
- Bachelor’s degree in healthcare administration, business administration, or a related field.
- Minimum of 2 years of experience in healthcare revenue cycle management.
- Strong knowledge of healthcare billing regulations, coding guidelines, and payment systems.
- Excellent analytical and problem-solving skills.
- Strong attention to detail and accuracy.
- Ability to communicate effectively with insurance companies, patients, and other stakeholders.
- Ability to work independently and as part of a team.
- Proficient in Microsoft Office and other relevant software applications.
Responsibilities
- Manage and oversee the revenue cycle process, from charge capture to payment posting.
- Review and analyze claims for accuracy and completeness before submitting to payers.
- Ensure compliance with billing and coding regulations and guidelines.
- Identify and resolve issues with denied or rejected claims.
- Follow up on unpaid claims and collections to ensure timely payment.
- Communicate with insurance companies, patients, and other stakeholders to resolve billing and coding issues.
- Work with healthcare providers to ensure accurate charge capture and documentation.
- Analyze billing and payment data to identify trends and opportunities for improvement.
- Collaborate with other healthcare professionals, such as physicians and nurses, to ensure efficient and effective revenue cycle management.
- Stay up-to-date on changes to healthcare regulations, coding guidelines, and payment systems.
- Ability to handle Protected Health Information in a manner consistent with the Health Insurance Portability and Accountability Act (HIPAA).
- Other duties as assigned
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