Revenue Cycle Specialist Position Available In Davidson, Tennessee

Revenue Cycle Specialist Cleanslate Centers Inc – 2.7 Nashville, TN Job Details Full-time $26 – $29 an hour 19 hours ago Qualifications Workers’ compensation law Microsoft Excel Medicare Managed care Mid-level Microsoft Office 3 years High school diploma or GED Contracts Computer skills Communication skills

Full Job Description Functions:

The Revenue Cycle Specialist works under the general supervision of the Billing System Administrator to follow the established practices, policies and guidelines of Revenue Cycle Management. Responsible for obtaining and maintaining fee schedules for all contracted payers to update the billing system. Will establish relationships with payers to resolve any issues for over/under paid claims. Will work closely with RCM to identify trends and analyze information.

Qualifications:

Minimum of 3 to 5 years of thorough working knowledge of Healthcare Revenue Cycle Advanced knowledge in Excel Working understanding of Explanation of Benefits, claim forms and the insurance billing process Working knowledge of managed care, commercial insurance, Medicare, Medicaid and Worker’s Compensation Working knowledge of Payment Posting/Reconciliation Working knowledge of insurance plan contracts and reimbursement rates Computer skills – proficiency in understanding EMR and billing software High School Diploma or Equivalent Moderate experience of Microsoft Office products

Performance Responsibilities:

Retrieve and maintain fee schedules for all contracted payers Work closely with Contracting, Provider Enrollment & RCM teams Update Allowable(s) (Fee Schedules) in the billing system Data Analysis – identify trends and analyze relevant information from research Work the Payer Mix-Match Dashboard (Reports) to identify issues Make necessary adjustments when errors are identified in reporting so that the system reflects correctly Submit corrected claims and/or appeals when necessary Work with insurance companies to resolve issues with overpaid and underpaid claims Assist in Cash Management process Any and all other tasks or projects, as assigned

Physical and Environmental Demands:

Vision sufficient to read a computer screen, and printed text and handwritten documents. Manual dexterity to operate a computer keyboard daily. Ability to speak and hear sufficiently to communicate clearly in person and over the telephone, and in various forms of written communication. Ability to prioritize multiple tasks. Ability to work independently in a remote environment Acceptable and reliable attendance and punctuality. Acceptable and reliable attendance and punctuality