The Revenue Cycle Associate will be involved in the company's day-to-day revenue cycle management and accounts receivable operations to ensure timely and appropriate submission of health care claims and subsequent payment for services rendered.

Core Responsibilities:

• Ensure payments are collected timely and in full from payers, and perform appropriate accounts receivable follow-up for denied claims

• Make use of all available tools (websites, electronic medical records, and payer systems) to efficiently identify reasons for non-payments, and follow the necessary steps for the insurance company to adjudicate the claims

• Work with insurance companies to follow up on denials of claims, make necessary corrections, and refile the claim to payer for reimbursement

• Process and upload checks/electronic payments for cash posting

• Review/approve patient statements prior to mailing

• Analyze data to identify trends and create reports for management

• Interact and collaborate with administrative staff within our clinics and our billing vendor to resolve billing questions

• Proficiency reading proper insurance plan and policy# from insurance ID cards

• Experience using Multi-payer web portals

• Ability to extract details from medical records to substantiate billing coding changes

• Communicate effectively using helpdesk ticketing system to reply to clinic inquiries regarding patient statements

• Contact payers to obtain clarification and/or details regarding incorrect payment/denials

• Effectively work edits within claim scrubbing software

• Accurately complete assignments in a timely manner

• Maintain working knowledge of company policies for collections, adjustments and write offs

• Possess strong critical thinking and problem solving skills to work through payers issues such as denials, underpayments and/or missing payment

• Adaptable to changing procedures and a growing environment

• Other duties as assigned

What are we looking for?

• The ideal candidate must have experience in health care accounts receivable follow-up,  a good understanding of the claims revenue cycle, and EPIC experience

• Must know how to read and interpret insurance Explanation of Benefits (EOB) statements

• At least 2 years of working on coding denials, and understanding of NCCI edits is preferred

• Solid understanding of insurance guidelines and principles including; COB, HIPAA, CPT, ICD-10, medical terminology, and managed care plans

• Time management skills, and the ability to meet deadlines is imperative

• education minimum of Associates degree, Bachelors preferred

• excel/google sheets experienced preferred

• CPB and /or CPC credentials are a plus

• US work authorization

• Someone who embodies being "Oaky"