What are the responsibilities and job description for the Revenue Cycle Specialist position at Premier Medical Associates?
Job Summary: Completes payments and controls expenses by receiving, processing, verifying, and reconciling invoices. Manages charge entry responsibilities so that information is entered into the system accurately and timely. Responsibilities & Duties:Receive and review charge entry data from practice sites.Identify and investigate incomplete or missing charges.Post charges and adjustments.Follows up with insurance companies on unpaid or rejected claims.Research and resolve incorrect payments.Answer patient inquiries by phone or in person regarding outstanding account balances and insurance guidelines.Update and maintain patient demographics as needed.Contact responsible party to resolve delinquent accounts.Prepare payment plans and monitor adherence to the agreed upon plan.Compose routine correspondence.Review delinquent self-pay accounts for collections.Identify and prepare patient and insurance refunds as needed.Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.Inform Manager about consistent issues or problems.Expand knowledge by participating in company and office educational initiatives.Must possess emotional maturity and stability to approach highly stressful situations in a calm and rational manner.Use critical thinking to make sound clinical decisions.Adhere to ethical standards of conduct as well as applicable state and federal laws.Provide effective oral or written nonverbal communication with patients and their families, colleagues, and health care providers.Performs other duties as assigned.Qualifications & Skills: Knowledge of ICD-10 and CPT terminology.Knowledge of modifiers.Knowledge of third party insurances including timely filing requirements.Ability to make basic numerical calculations, interpret account and records, persuade and influence and prioritize processes.
