Revenue Cycle Associate

Innovive Health • Medford, MA

1d

About The Position

The Revenue Cycle Associate supports a high performing Revenue Cycle Department. The individual filling this position will be an ambitious hands-on problem solver and effective communicator that will support the achievements of the team. The role may include but is not limited to the following: following up on denials and collections, posting payments, or any other projects as needed.

Requirements

• Associate’s degree in business or 1-2 years of related work experience.
• Intermediate level in Microsoft Office, Excel, Word, and Outlook
• Ability to perform diversified clerical functions and intermediate level accounting procedures

Nice To Haves

• Previous experience using HealthWyse
• Previous experience with the MassHealth Provider Online Service Center (POSC)

Responsibilities

• Processes payments and denials within 48 business hours of receipt from insurers.
• Documents denial reasons within the EMR using clear, concise language.
• Reconciles the Cash Posting Journal/Deposits Report from each of our EMRs to the bank deposits.
• Ability to comprehend and work with various payers’ remittance advices/explanations of benefits.
• Understands the reason for denials or partial payments on remittance advices/explanations of benefits.
• Research denials and partial payments to determine if further action is needed.
• Research payers’ payment policies when necessary.
• Contacts payers and patients to obtain payment on outstanding accounts.
• Navigates through software systems efficiently.
• Notifies appropriate parties if payment is not received or payer fails to respond.
• Records information about financial status of accounts and status of collection efforts.
• Prepares collections reports.
• Requests timely adjustments and write offs.
• Assists with related special projects and perform other related duties as assigned by management.
• Adheres to all home health care regulations including CMS and multiple state Medicaid programs.
• Adheres to agency’s policies and procedures.
• Performs other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree