May 04, 2012 (last updated 1 day 5 hours ago)
The Revenue Cycle Specialist will be responsible for all aspects of billing medical claims for our clients enrolled in advisory services. This will include but not be limited to: verifying patient eligibility, preparation and submission of authorization requests, preparation and submission of claims, denied and unpaid claims resolution, cash posting, answering billing questions, and patient billing and collections. The Revenue Cycle Specialist will work under the guidance of the Senior Manager, Revenue Cycle Management to ensure all claims are handled properly.
Essential Job Functions: Maintains the following revenue cycle management standards for each client enrolled in advisory services: o 90% of accounts billed within 10 business days from date of service, with 100% billed within 30 business days o 90% of denied claims worked within 1 business day of notification, with 100% of denials worked within 2 business days o 90% of cash applications and adjustments made within 1 business day of notification, with 100% made within 2 business days o 100% of patients receive monthly statements o Maintain Days Sales Outstanding (DSO) of 45 days or less Prepare, review, and submitting clean claims to various insurance companies either electronically or via paper Prepare, review and send patient statements Process and post payments from insurance companies and patients Follow-up on unpaid or denied claims and if necessary submit corrected claims Prepare, review, and send refunds to patients and insurance companies Answer questions from patients, clients, and insurance companies Identifies and resolves patient billing complaints and report complaints to manager Follow and report status of delinquent accounts to manager Performs various collection activities including contacting patients and insurance companies via telephone, mail, fax, and/or email Prepare, review, and work all billing related reports Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations Participate in educational activities and attend staff meetings Conducts self in accordance with Bio MedixTM Advisory Services employee handbook Professional Requirements: 1+ years of experience performing medical billing in a multi physician practice or healthcare related organization Experience working with Medicare, Medicaid, and other third party payers Knowledge of Medicare, Medicaid, and other third party payers billing standards and policies. Strong understand of medical billing and collection practices Knowledge of HIPAA guidelines/regulations Strong understanding of medical terminology Excellent written, verbal communication, and interpersonal skills Excellent customer service skills Well organized and detail-oriented Excellent time management skills Ability to work independently or as part of a team Ability to work effectively and efficiently under tight deadlines, high volumes, and competing priorities Ability to read, understand, and follow oral and written instructions preferred Fluency in spoken and written English preferred Ability to operate a computer and basic office equipment preferred Experience with Microsoft Office software (i.e. Word, Excel, Outlook, and Power Point) preferred Ability to operate a multi-line telephone system preferred Associates or Bachelors Degree preferred Professional Medical Billing and Coding Training preferred Please forward Resume and salary requirements to (please use the apply button below) or fax to 651-305-5154 or mail to Bio Medix Attn: Human Resources, 178 East 9th Street, St. Paul, MN 55101. No agencies, please. Bio Medix is an equal opportunity employer. (EOE).
NOTE: This job description is not intended to be all-inclusive. Employee may perform other related duties as negotiated to meet the ongoing needs of the organization.
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