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NextGen RCM Specialist

Texas Health Care PLLC

Fort Worth, TX

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JOB DETAILS
SKILLS
Analysis Skills, Billing, Communication Skills, Current Procedural Terminology (CPT), Customer/Client Research, Government, HIPAA (Health Insurance Portability and Accountability Act), HL7 (Health Level 7), Healthcare, Healthcare Common Procedure Coding System (HCPCS), High School Diploma, ICD-10, Insurance, Medical Coding, Medical Records, Medical Terminology, Medical Treatment, Microsoft Excel, Microsoft PowerPoint, Microsoft Word, Presentation/Verbal Skills, Regulations, Reimbursement, Research Skills, Resolve Customer Issues, Revenue Management, Staff Requirements, Writing Skills
LOCATION
Fort Worth, TX
POSTED
5 days ago

Essential Duties and Responsibilities:

  • Work collaboratively with peers, offshore vendors, and senior management to ensure business needs are met.
  • Provide support to physicians and care center staff with RCM questions or escalations.
  • Conduct account research and analysis.
  • Understand Payer nuances and will be able to help in creating payer-specific billing rules.
  • Identify and execute necessary process initiatives related to Billing, adjustments, etc.
  • Prepare and maintain various reports.
  • Interact with internal and external customers to resolve outstanding issues.
  • Maintain confidentiality of all information; adhere to all HIPAA guidelines/regulations.
  • Additional duties to be assigned from time to time.

Required Experience and Skills:

  • Minimum 3 years experience with NextGen EPM software - Preferred
  • Minimum 3 years of progressive professional experience in healthcare revenue cycle management.
  • Proficient in government and commercial insurance billing and experience with working on various Clearing houses (Waystar, Trizetto, etc)
  • Proficient in the use of Excel, Word, and PowerPoint or equivalent Google software
  • Knowledge and understanding of ICD-10, CPT, and HCPCS codes and payer-specific coding guidelines.
  • Knowledge and understanding of medical terminology and procedures.
  • Knowledge of coding, medical records, remittance codes, and reimbursement policies
  • Experience working on HL7 library - Not Mandatory
  • High School diploma or general equivalency.
  • Good verbal and written communication skills.
  • Ability and willingness to work flexible hours to meet staffing needs.

About the Company

T

Texas Health Care PLLC