The primary purpose of this position is to create claims invoices to 3rd party insurance carriers for commercial products and to monitor aging to ensure proper and timely payment.
- Responsible for correcting claim data in Acuity Logic system prior to billing for specified plans
- Responsible for submitting both paper and electronic claims in Acuity Logic for specified plans to 3rd party carriers timely
- Responsible for submitting manual vouchers and invoices to plans that don't accept claim forms in a timely manner
- Responsible for interpreting and following up on claim denials from 3rd Party carriers for specified plans
- Responsible for monitoring the aging of specified plans to ensure prompt and accurate payment for specified plans
- Develops expertise in specific plans assigned to the position and acts as a department and company resource for questions relating to billing of these plans
- Leads special projects, team calls (as needed), and provides daily support to management.
- Researches and provides solutions for billing and collections issues impacting the collections results
- Assists with onboarding, training, and supporting peer to peer staff and new hires.
- Assists in the timely response and support of the help desk team and help desk tickets to provide answers to field operations in a timely manner
- Runs weekly or monthly reports as directed by management
- Monitor claims scrubs and makes recommendations for removal or addition
- Communicates all system, site, and billing company issues to management on a timely basis to allow management oversight and proper resource planning
- Be a resource for retail units for questions relating to billing
- Makes recommendations for efficiencies, processes, etc. which will deliver quality, cost savings, and/or profitability improvements within the department and / or across the organization
- High school diploma or GED or equivalent
- 3 years AR experience with 3rd party billing
- Knowledge of insurance billing processes
- Intermediate level PC skills in MS Windows, Word and Excel
- Effective verbal and written communication skills to effectively speak with coworkers, and prepare concise and accurate reports
- Demonstrated ability to work successfully in a team environment, functioning for the good of the team over the individual
RCM Operations Center Alton $21.50 - $23.50 $21.50 - $23.50 Benefits: 401(k) with Match, Medical/Dental/Life/STD/LTD, Vision Service Plan, Employee Vision Discount, Program HSA/FSA, PTO, Paid Holidays Benefits applicable to Full Time Employment only Benefits: 401(k) with Match, Medical/Dental/Life/STD/LTD, Vision Service Plan, Employee Vision Discount, Program HSA/FSA, PTO, Paid Holidays Benefits applicable to Full Time Employment only