RCM Administrator Position Available In Miami-Dade, Florida
Tallo's Job Summary: The RCM Administrator position at All's Well in Coral Gables, FL is responsible for managing the claims process, ensuring accurate and timely claim creation, follow-up, and correspondence with providers and insurance inquiries. The role involves assisting in process improvements, payment reconciliation, and posting accuracy. The job is full-time with a salary range of $52,000.00 - $60,000.00 per year, plus benefits such as 401(k) and health insurance. Candidates must have 3 years of RCM experience, 2 years with eClinicalWorks, and strong analytical skills. The position requires in-person work at the Coral Gables location.
Job Description
RCM Administrator All’s Well Coral Gables, FL 33134 Job description: The RCM Administrator , a key position in the revenue cycle, manages the claims process, including accurate and timely claim creation, follow-up and correspondence with providers, insurance inquiries. The incumbent will assist in the clarification and development of process improvements and inquiries, assure payment for services rendered are recorded, reconciled timely, and posted accurately.
Principal Accountabilities:
BILLING AND CLAIMS
Prepares and submits clean claims to third party payers either electronically or on paper. Properly attends to all clearinghouse reports to clear rejections accurately Ensures all eligibility rejections are properly researched and corrected. Attends to all requirements for secondary billing protocols. • Submits resubmissions, evaluating root causes and escalating any trends. Communicates eAectively with each practice regarding insurance issues. Alerts practice staA of open balances by properly documenting in eClinicalWorks. Identifies and resolves all billing problems, keeping management informed. Uses the alert system in eClinicalWorks to communicate any coding errors. Maintains the strictest confidentiality, adhering to all HIPAA regulations.
COLLECTIONS
Follows collection protocols for assigned accounts (follow up metrics, etc.) Maintains worklist ensuring each patient account has been reviewed timely. Monitors payments, accessing payor portals regularly for claim status. Follows third party rules regarding balance billing. Identifies denials, determines root cause, performs appeals. Escalates trendy denials to management for further research . Provides information to management regarding uncollectable account balances. Adheres to KPI metrics for Collection percentages, AR aging, Denial Management, etc. Reviews ERA’s and EOB’s as necessary, reporting posting errors to management.
OTHER:
Actively participates in department staff meetings. Keeps abreast of changes in payor regulations and updates. Always Follows departmental Policy and Procedures. Willingness to assist other areas in the RCM department when needed.
JOB REQUIREMENTS
Knowledge of medical billing/collection practices required. Excellent billing/collections software expertise, preferably with eClinicalWorks. Works well in fast-paced, high-volume environments with firm deadlines. Results oriented. Possesses the ability to multi-task. Able to work both independently and as part of a team. Strong analytical skills required. Capable of making good independent decisions
Job Type:
Full-time Pay:
$52,000.00 – $60,000.00 per year
Benefits:
401(k) Dental insurance Health insurance Life insurance Paid time off Vision insurance
Schedule:
8 hour shift
Experience:
RCM:
3 years (Required) e
ClinicalWorks:
2 years (Required) Medical billing, claims and collections: 3 years (Required) Pediatric billing: 1 year (Preferred) Ability to
Commute:
Coral Gables, FL 33134 (Required)
Work Location:
In person
