What are the responsibilities and job description for the ASC RCM Specialist position at Midwest Vision Partners?
This role is responsible for the billing, follow-up and collections, denials resolution, payment posting, and reconciliation of accounts for MVP Ambulatory Surgery Centers. This position performs various accounting, customer services, and organizational tasks to promote the financial health of the organization, and may also oversee the intake of patient calls.
The identification of Duties and Responsibilities does not display an exhaustive list of all duties that may be assigned to this position, nor does it restrict the related work that may be assigned to this position.
WHAT YOU WILL BE WORKING ON:
- Accounts Receivable follow-up, both collection and denials resolution: Requires direct calling to payers and use of payer portals, working in patient account system, work queues, and use of Excel documents
- Credit balance resolution, requiring the ability to interpret a variety of Explanation of Benefits (EOB) to reconcile the patient account. Determining appropriate balance and actions needed to reconcile account to determine if credit is accurate and take appropriate action for refund/takeback
- Compliant billing to all papers promptly
- Payment posting and reconciliation for insurance and self-pay
- Place outgoing calls to insurance companies to resolve outstanding claims/balances
- Perform month-end close procedures within the established time frame
- Communicate with the manager regarding any payer and account issues promptly
- Monitor accounts for other opportunities (i.e. copay, deductible, and coinsurance)
- Enter appropriate comments in the software system clearly and concisely for tracking and documentation
- Ensure adherence to HIPAA standards and all other privacy and compliance policies
- Staying knowledgeable on Payer/Contract updates and bulletins
- Perform other duties as assigned to support the financial health of the organization
KNOWLEDGE, EDUCATION, and SKILLS REQUIREMENTS:
- High School diploma or equivalent
- Previous Healthcare experience in Accounts Receivable Management
WHAT WILL MAKE YOU AWESOME:
- Excellent written and verbal communication skills
- Excellent computer skills, including Excel, Word, and RCM systems as needed
- Highly organized, detail-oriented, strong work ethic, and demonstrated teamwork skills
- Ability to multi-task and meet deadlines
- Knowledge of HST Pathways, ASC software
- Knowledge of Waystar
WHAT YOU KNOW:
To be successful in this role you will have the following experience or knowledge:
- Ability to read various Explanation of Benefits (EOB)
- Experience working in payor portals
- Working knowledge of Medicare, Medicaid, government and commercial payors
- Ability to trend and communicate payor scenarios
- Experience working with ambulatory surgery centers (ASC)
About Midwest Vision Partners
Headquartered in Chicago, our mission is to provide world-class support to ophthalmologists and optometrists, enabling them to focus on improving patients' vision to help people live their best lives. Today, MVP's network consists of 16 practices, 125 physicians, and roughly 1500 employees providing medical and surgical eye care services at over 60 locations throughout the Midwest. We strive to be the premier provider of eyecare in the Midwest through a culture of collaboration and excellence.
