Sr. RCM Alliance Billing Implementations Specialist

Job Summary: Sr. RCM Alliance Billing Implementations Specialist is a business management position where the Individual is responsible for the billing implementation and financial health of the practice. This member of the team will be the client’s primary billing contact. They will work very closely with the Alliance Project Manager and every other department involved in the onboarding of the account to the organization.

Job Responsibilities:

• Evaluating the clients billing requirements
• Creating and educating client on best practice workflow
• Responsible for working with PM and internal team for content building in the software to ensure good billing workflows.
• Work closely with the Implementation team assigned to ensure proper system build and billing setup.
• Knowledge of clearing house enrollment concept and purpose along with giving guidance to client as well as our internal Credentialing team to facilitate the enrollment processes.
• Responsible for recurring communications and continued education on all processes and procedures based on organizations SOP.
• Establish and maintain a working relationship with client on an ongoing basis.
• Train the client and billing team remotely on how to use the software to conduct their billing processes.
• Proactively analyzes the client’s financial health monthly to identify reimbursement trends, patterns of denials and to develop an intimate understanding of the factors that are contributing to the clients’ financial performance.
• Making workflow recommendations to clients to improve their back-office operation.
• Understanding of Month End Reporting and processes

Experience: 

• Excellent documentation skills
• Strong attention to detail
• Ability to organize, prioritize and manage various work assignments in a timely fashion.
• 3-year years of medical billing experience and knowledge of RHC/ASC/FQHC/Dental billing requirements
• 3 years of experience with Medicare, Medicaid, commercial paper, and electronic claims processing.
• 3 years of experience of knowledge of ICD, CPT, HCPC coding, ability to read EOB/ERAs, HCFA, Dental, UB claim submission, post payments and refunds.
• 3 years of experience in eligibility verification, familiarity with HIPAA rules
• 3 years of experience with billing workflow knowledge (claim life cycle)