ASC RCM Specialist

Job Description

Job Description

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 in a timely manner
• 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 established time frame
• Communicate with manager regarding any payer and account issues in a timely manner
• 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 :

WHAT WILL MAKE YOU AWESOME :

WHAT YOU KNOW :

To be successful in this role you will have the following experience or knowledge :

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