What are the responsibilities and job description for the Revenue Cycle Specialist (RCM) position at IntraCare?
About IntraCare
IntraCare Health Center (DFW Healthcare MSO) proudly serves the greater Dallas-Ft. Worth and Phoenix, Arizona areas with a decade of excellence in value-based care and clinic operations. Our outstanding leadership and commitment to service have established us as a trusted partner for multiple healthcare organizations.
At IntraCare, we believe in more than just a job; we offer a vibrant workplace where culture and collaboration thrive. We are dedicated to fostering an inclusive environment that values diverse perspectives and promotes respectful dialogue. Our approach encourages innovation and healthy debate, as we seek to build a team of dedicated partners who contribute to our collective success. We are passionate about empowering our employees, helping them grow both personally and professionally. This unwavering focus on team culture and individual development is the cornerstone of our ongoing achievements.
Position Summary :
We are seeking a highly skilled and detail-oriented Revenue Cycle Specialist to join our team. The ideal candidate will oversee the financial aspects of patient billing and revenue collection, ensuring efficient, accurate, and timely processing of claims, payments, and reimbursements. This role is critical in optimizing the organization's financial performance and maintaining compliance with relevant regulations.
Key Responsibilities :
- Claims Management :
- Review, prepare, and submit insurance claims accurately and promptly.
- Monitor and resolve claim rejections, denials, and resubmissions.
- Ensure compliance with payer requirements and coding guidelines.
- Billing and Payments :
- Perform follow-ups on outstanding balances with patients and insurance companies, as needed.
- Accounts Receivable :
- Manage and reconcile accounts receivable reports.
- Identify and address aging accounts to maximize revenue recovery.
- Collaborate with the team to minimize write-offs.
- Compliance and Reporting :
- Maintain compliance with HIPAA, state, and federal regulations.
- Prepare and analyze revenue cycle performance reports.
- Identify trends and recommend process improvements.
- Customer Service :
- Respond to patient and insurance inquiries regarding billing and payments.
- Provide clear and professional communication to resolve issues effectively.
Qualifications :
Skills and Competencies :
Work Environment :
This position may require working in an office setting with the potential for remote work depending on organizational needs. Occasional overtime may be necessary to meet deadlines.
PI260145120
