FT Revenue Cycle Specialist Position Available In Richmond, Georgia

FT Revenue Cycle Specialist 4.5 4.5 out of 5 stars 1226 Dantignac St, Augusta, GA 30901

General Summary:

Under supervision of Revenue Cycle Manager, the Revenue Cycle Specialist performs various day-to-day patient accounts functions for our Medical programs, including patient and third-party billing, remittance advice and payment processing, problem resolution, statement processing, old balance review, and account inquiry.

Billing specific software includes:

eClinicalworks, Trizetto, Availity, GA Medicare CMS, SC Medicare CMS.

Major Areas of Responsibility:

Coordinate the initiation and processing of claims through practice management software and through manual entry at third-party payor websites; Verify insurance via ECW and/or third-party sites Scrub claims in order to comply with applicable coding and billing guidelines; Comparing progress notes for coding and diagnose accuracy Creating batches of medical claims (1500/UB) to be sent to the patient’s medical insurance including Chronic Care Management and Medicare Wrap claims Add quality codes to claims to receive incentives from insurance payers Correct and re-process clearinghouse-initiated rejections; Review and maintain follow up associated with unpaid/rejected claims, making corrections/adjustment as necessary; which includes submitting claim disputes and/or appeals for denied claims Troubleshoot problems as detected in various billing and collections processes and document solutions; Review patient accounts for possible refund scenarios, in coordination with the Revenue Cycle Manager; Occasionally provide customer service to patients inquiring about their accounts or those with outstanding balances; Other billing- and collections-related duties, as assigned.

Required Knowledge, Skills, Abilities:

Champion and embody the mission and vision of CCH; Able and willing to demonstrate love, compassion, and genuine care when interacting with others; Thorough knowledge of medical/dental and insurance terminology and payment collection practices; Basic-to-intermediate knowledge of medical coding rules and guidelines, including CPT and ICD-10. Desire for continual learning and improvement and the ability to communicate effectively to various types and groups of people; High attention to details involving claims and coding, noticing the little mistakes and following them through to ensure a claim is 100% accurate before it gets sent out; Inquisitive nature and ability to research things that appear incorrect in order to maximize revenue; Strong interpersonal communication skills that allow for regular and effective communication of sensitive and confidential information in accordance with HIPPA with a variety of people, including patients, third-party payors, and providers Able to prioritize work and work independently to meet deadlines set daily, weekly, and monthly while proactively engaging supervisor and co-workers when needed. Strong overall computer skills, including meaningful experience working within an EHR platform and basic experience with Microsoft Excel.

Education and Experience:

A high school diploma or equivalent is required. CPC certification is preferred but not required. At least two (2) years of billing & coding experience, including charge capture, claims processing, and collections in a primary medical care setting is required Recent experience working with EHR eClinicalWorks and/or clearinghouse and Trizetto is highly preferred. Experience within the framework of a federally qualified health center (FQHC) and Behavioral health

Working Conditions:

The position has normal office working conditions with the absence of disagreeable elements.

Physical Requirements:

Rarely (0-12%) Occasionally (13-33%) Frequently (34-66%) Regularly (67-100%)

Seeing:

Must be able to read reports and use computer ü

Hearing:

Must be able to hear well enough to communicate with coworkers ü Standing/Walking ü Climbing/Stooping/Kneeling ü Lifting/Pushing/Pulling ü

Fingering/Grasping/Feeling:

Must be able to write, type, and use phone system ü

Note:

The statements herein are intended to describe the general nature and level of work being performed by employees, and are not to be construed as an exhaustive list of responsibilities, duties, and skills required of personnel so classified. Furthermore, they do not establish a contract for employment and are subject to change at the discretion of the employer.

Required Knowledge, Skills, Abilities:

Champion and embody the mission and vision of CCH; Able and willing to demonstrate love, compassion, and genuine care when interacting with others; Thorough knowledge of medical/dental and insurance terminology and payment collection practices; Basic-to-intermediate knowledge of medical coding rules and guidelines, including CPT and ICD-10. Desire for continual learning and improvement and the ability to communicate effectively to various types and groups of people; High attention to details involving claims and coding, noticing the little mistakes and following them through to ensure a claim is 100% accurate before it gets sent out; Inquisitive nature and ability to research things that appear incorrect in order to maximize revenue; Strong interpersonal communication skills that allow for regular and effective communication of sensitive and confidential information in accordance with HIPPA with a variety of people, including patients, third-party payors, and providers Able to prioritize work and work independently to meet deadlines set daily, weekly, and monthly while proactively engaging supervisor and co-workers when needed. Strong overall computer skills, including meaningful experience working within an EHR platform and basic experience with Microsoft Excel.

Education and Experience:

A high school diploma or equivalent is required. CPC certification is preferred but not required. At least two (2) years of billing & coding experience, including charge capture, claims processing, and collections in a primary medical care setting is required Recent experience working with EHR eClinicalWorks and/or clearinghouse and Trizetto is highly preferred. Experience within the framework of a federally qualified health center (FQHC) and Behavioral health

Company Background:

Our Mission:

To proclaim Jesus Christ as Lord and to demonstrate His love by providing affordable, quality primary health care to the underserved.

Our Vision:

In response to God’s grace, we desire to be a part of the redemptive work of Christ to the economically, socially, and spiritually impoverished communities of Augusta, Georgia.

About:

Christ Community Health Services Augusta (CCH) is a rapidly growing, primary care health clinic and a community and faith-based 501 (c) (3) organization serving families in a ten-county region between Georgia and South Carolina. As our patient population continues to grow throughout the greater Augusta area, we are in search of a caring and competent team members to join our team! Our four clinics (five, including dental) are strategically located in urban Augusta neighborhoods, providing local access to affordable care for patients who face medical, economic and transportation hardships. As a federally qualified health center and certified patient-centered medical home, we accept patients with no insurance, Medicare, Medicaid and most commercial insurance plans.

Our services include:

Adult and Pediatric Primary Care Integrated Behavioral Health Family Dentistry Physical Therapy HIV/Chronic Disease Care Management Lab Services Prescription Assistance Specialty Referrals Christ Community Health aims to share Christ’s love through healing of the body, mind, and soul. We hope you’ll consider joining us in this ministry. Help us meet the needs of others in our community! Working at Christ Community, you’ll find community, vocational purpose, and a place to grow in the health care field. What Christ Community has to offer: CCH is committed to understanding the needs of its staff and recognizing that there’s more to an employee than just what happens during the typical work week. Because of that, we strive to offer a compensation package that includes a competitive salary; employer-paid medical, life, short-term disability, and long-term disability insurance; available 401k plan with employer matching. Additional benefits include dental and vision insurance, paid time off, paid holidays, flexible spending accounts, employee care credit, uniform allowances, tuition assistance, and more. We are also a qualifying employer under HRSA-funded loan repayment and Public Service Loan Forgiveness (PSLF) program. Join our team today! •Christ Community Health Services Augusta Inc. is an Equal Opportunity Employer and does not discriminate on the basis of race, sex, color, age, national origin, marital status, disability, veteran status, sexual orientation, gender identity or any other federal, state, or local protected class.