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Form of workRevenue Cycle Associate - On-Site Only, MON-FRI (Day-Shift)
Position Summary: This position is responsible for the resolution of outstanding and/or denied claims based on third party claim processing rules within established timelines. The Revenue Cycle Associate reports to the central business office supervisor or manager.
Requirements:
Experience/Education:
Salary Range: $16.50 - $21.50
Position Summary: This position is responsible for the resolution of outstanding and/or denied claims based on third party claim processing rules within established timelines. The Revenue Cycle Associate reports to the central business office supervisor or manager.
- Meets goals and objectives in assigned area.
- Complies daily with departmental policies and procedures.
- Performs collection activity to ensure proper resolution and reimbursement on claims.
- Provides thorough, courteous, and professional assistance to coworkers and patients.
- Ensures that all claims are billed and collected and meets all government-mandated policies for Integrity and Compliance.
- Collaborates with hospital departments in the resolution of accounts.
- Resolves claims processing issues with third party payers and provides all required information timely; involves patients and family members (where necessary) to ensure timely resolution of claims with insurance companies.
- Re-submits clean and accurate claims to insurance companies in a timely and compliant manner.
- Researches, prepares, and submits appeals to insurance companies.
- Details all actions taken on account with clear and concise notes.
- Monitors and recognizes denials and/or issues that may be trends and escalates to supervisor as needed - maintain strict confidentiality and adheres to all HlPAA guidelines/regulations.
Requirements:
- KNOWLEDGE of basic medical coding/terminology and third-party insurance operating procedures and practices.
- General clerical skills REQUIRED - high competency w/ Microsoft: Outlook, Teams, Word, and Excel.
- EXCELLENT communication and people skills is a MUST.
- Understands payer guidelines related to effective claim resolution.
- Knowledgeable and proficient with payer websites and other useful resources.
- Knowledge of REVENUE CYCLE and/or business office procedures.
- HIGHLY detail-oriented and organized - with the ability to multi-task.
- Ability to read, understand, and follow oral and written instructions.
- Ability to establish and maintain effective working relationships and communicate clearly with customers and insurance companies both within and outside of Steward.
- MUST BE RELIABLE, punctual, and prepared for daily tasks, meetings, functionality across multiple departments within Revenue Cycle.
Experience/Education:
- Entry Level - no previous experience required; This position would be ideal for starting a career within the field of Revenue Cycle.
- High School Diploma/GED - REQUIRED.
Salary Range: $16.50 - $21.50
