What are the responsibilities and job description for the Revenue Cycle Spec, Cust Srvce & Collect [Remote] position at WCM-Q?
Position Summary
Customer Service and Collections department of a respected academic medical institution that is deeply committed to exemplary patient care. Performs the day-to-day customer service activities within the centralized revenue cycle business office, responsible for ensuring customer satisfaction through timely and professional follow-up to customer inquiries and balances.
Job Responsibilities
- Responsible for the review and follow-up of a large volume of self-pay patient accounts for resolution and prompt payment.
- Responsible for account discrepancies, variances, and credit validation across all departments.
- Responsible for reviewing insurance claim and registration edits, eligibility issues, denied and rejected claim follow up.
- Establishes and monitors patient payment plan patterns; alerts management on deviations.
- Assists with the development and implementation of strategies and procedures that will reduce denials, maximize reimbursements and promote faster payment.
- Responsible for maintaining a high level of professionalism with patients and working to establish a positive rapport with every caller.
- Serves as Liaison between WCM and NYP Global services for billing of professional services between entities.
- Assists in training current and new employees on the use of systems and departmental policies and procedures.
- Maintains established institutional and department policies and procedures, objectives and quality & safety standards. Respects and adheres to rules and regulations regarding patient confidentiality, HIPAA and handling PHI (Privileged Health Information).
- Performs other job related duties as required.
Education
Experience
Approximately 3 years of medical billing and collections experience.
Demonstrated knowledge of medical terminology.
Working knowledge of third-party payor reimbursement - Medicare, Medicaid, Managed Care and Commercial Insurance.
Previous related experience in an office setting
Secured remote workspace that adheres to HIPPAA regulations and handling PHI.
Knowledge, Skills and Abilities
Licenses and Certifications
Working Conditions / Physical Demands
Salary : $29 - $35
