Matthew Walker Comprehensive Health Center has an exciting opportunity available for a skilled, resourceful and motivated individual who would like to make a difference in the lives of others in helping a non-for-profit organization fulfill its mission to provide quality health care. Reporting to the Revenue Cycle Manager,the Revenue Cycle Specialist 1 is responsible for ensuring the organization meets its desired patient revenue goals by maintaining weekly claims processing, monitoring aging reports, monitoring unprocessed/denied claims and collections of private pay, insurance and fee for service claims. Additional duties include but are not limited to:
· Efficiently and professionally resolve insurance accounts analyzing and reviewing for payment resolution, working all assigned rejections and denials. Prepare and sends written appeals when necessary with appropriate documentation.
· Professionally answer incoming telephone calls from Payers and patients providing answers to questions and concerns about billing statements and accepting payments from patients’ over the phone.
· Work exception reports, review EOB’s for correct insurance payment.
· All work on each account should be accurately documented in the system on the appropriate account and date of service.
· Notifies the Revenue Cycle Manager of any problems with patients claims or insurance companies.
· Meet or exceed all goals set by Revenue Cycle Manager
· Strong ability to uphold organizational values, work with integrity and ethically, inspire the trust of others, and treat people with respect
· Ensure compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines.
· Assist with auditing data within the practice management system for accuracy and validity.
· Perform additional duties as requested by Supervisor or Management team.
· Maintains current knowledge of state and federal billing requirements and regulations
· Responsible for the maintenance of patient confidentiality and adherence to Patient Rights and Responsibilities, as issued in the New Hire Orientation
· Adheres to all MWCHC policies and procedures
Benefits:
- Health insurance
- Dental insurance
- Vision insurance
- Retirement plan
- Paid time off
- Tuition reimbursement
Schedule:
- Monday to Friday
- 8 hour shift
This Job Is Ideal for Someone Who Is:
- People-oriented -- enjoys interacting with people and working on group projects
- Detail-oriented -- would rather focus on the details of work than the bigger picture
- Autonomous/Independent -- enjoys working with little direction
- High stress tolerance -- thrives in a high-pressure environment
Job Type: Full-time
Experience:
- billing/coding: 2 years (Required)
- Medicare, TennCare and third-party billing: 1 year (Required)
- Electronic medical record proficiency: 1 year (Required)
- medical/billing terminology, ICD-10 and CPT codes: 1 year (Required)
- diagnostic and procedural coding: 1 year (Required)
License:
- Medical Billing & Coding (Preferred)
Work Location: In person