RCM Billing Representative (Circulogene)

Mako Medical • Birmingham, AL

7h

About The Position

The RCM Billing Representative role ensures that the highest levels of RCM
service delivery possible are
met and maintained. As part of that effort, the RCM Billing Representative will
be responsible for a variety
of administrative and clerical tasks, ensuring the accuracy and completeness of
billing data, resolving billing
issues, and maintaining accurate records.

The ideal candidate will have a strong attention to detail, excellent
organizational and communication
skills, and the ability to work independently and as part of a team.

Requirements

• Basic knowledge of Revenue Cycle Management within either Billing, AR, and Remittance Posting.
• Minimum 2 years of administrative experience
• Ability to organize, prioritize, and manage various work assignments in a timely fashion
• Knowledge of insurance carriers’ payment regulations, including various reimbursement schemes, coinsurance, and deductibles, and contractual adjustments
• Ability to review data, identify issues and trends, and propose recommendations on necessary changes to management, offshore team, and team members.
• Proficient in Microsoft Office 365.
• Minimum three (3) years of experience in Laboratory, Physician, or Hospital Billing, AR Follow-up, and Remittance.
• High School Diploma

Nice To Haves

• Knowledge of ICD-10-CM, CPT, and HCPCS codes.
• Customer relations and/or hospitality experience is a plus.
• Understanding of HIPAA regulations and confidentiality requirements.
• Knowledge of Telcor is a plus

Responsibilities

• Handle inbound phone calls regarding billing inquiries and patient responsibility.
• All Mail Handling Responsibilities, including but not limited to: o Sorts and organizes all mail/or Faxes associated with Medical Record Requests, Claims, Correspondence, or any other insurance information, including the uploading of the information to the appropriate location and the notification to the associating team. o Filtering all mail associated with the Billing Department. o Logging of commercial payments and patient payments - informing the payment posting team so reconciliation of payments can be done in the PM System. o Daily review of lockbox payments and correspondence o Works with the Accounts Payable department on Client Bill invoices and reconciliation of payments.
• Communicate with patients and healthcare providers to clarify or obtain necessary information for billing.
• Support and contribute to ad hoc special projects as needed
• Verification of patient information, including demographics, eligibility, and benefits.
• Follow up with insurance companies or healthcare providers to ensure timely approval or processing of prior authorization.
• Oversee all outstanding patient AR and resolve patient billing discrepancies.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED