RCM Payment Specialist II

Description

Position Summary: The Revenue Cycle Management (RCM) Payment Specialist II performs a wide variety of clerical duties in support of RCM services. As an integral part of our RCM team the position serves in a cross-functional, fast-paced environment in order to meet performance and quality assurance benchmarks. Essential duties include the preparation of encounters/superbills, data entry of transactions along with communication with team regarding outstanding issues.

Responsibilities:

Other duties as assigned

• Posts insurance and private payments, for multiple specialties, into MedEvolve application and or other software applications used by RCM client.
• Post appropriate adjustments based on client protocols and/or Explanation of Benefits (EOB).
• Keep current on informational changes in billing procedures
• Know how to read and understand an EOB.
• Meet benchmarks for data entry accuracy.
• Communicate/answer questions regarding payment issues
• Understands RCM lifecycle, including the process of each claim and how this position directly impacts the process and other steps within the process

Qualifications

Education and Experience:

• Minimum of 3 years of relevant experience OR combination of degree from an accredited college and 1 year of experience

Qualifications:

• Excellent communication skills
• Ability to deal with a number of tasks simultaneously
• Strong attention to detail
• Intermediate computer skills
• Understands the importance of maintaining confidentiality; able to maintain confidentiality under HIPAA standards.
• Must have the ability to exercise a high degree of diplomacy and tact; excellent customer services skills.
• Must be highly flexible; able to accommodate changing needs of the department. 6. Must be a self-starter, motivated and have the ability to multi-task.
• Training and/or experience with computer data entry.
• Knowledge of medical terminology, required.
• Ability to understand and follow instructions.