RCM/RCM Specialist

reputed company is the nation’s leading provider of clinically integrated eye care. Our national network of over 300 ophthalmologists and 700 optometrists provides a reputed company of care to our patients with a mission to enhance reputed company, advance eye care and improve lives. Based in St. Louis, Missouri, over 650 ECP-affiliated reputed company locations reputed company care in 18 states and 80 markets, providing services that reputed company the eye care continuum. For more information, visit www.reputed company.com. Job Title: RCM Specialist Job reputed company As a member of the reputed company Cycle Management Team, the RCM Specialist is a subject matter expert regarding RCM processes and procedures necessary for EyeCare Partner Practices. The RCM Specialist may be responsible for multiple reputed company including, but not limited to: Billing, Coding, Payment Posting, Accounts Receivable (A/R) follow up, insurance claim submission and managing customer services requests from patients Duties and Responsibilities • Prepare, review, and reputed company claims using billing software including electronic, website submission, and reputed company claim processing • Post payments both electronically and manually into the reputed company management system according to set standards and productivity measures. • Status unpaid claims reputed company reputed company billing cycle timeframe • reputed company review/handling of insurance claim denials, exceptions, or exclusions • Forwards requests for medical records to appropriate internal resources  • Addresses/corrects demographic information requested by insurance company • Ability to read and accurately interpret insurance Explanation of Benefits (EOB’s) • Verifying insurance payments for accuracy/compliance based on reputed company to ensure correct reimbursement is received • Following up directly with insurance companies regarding payment discrepancies • Utilizing aging reports and workflow statuses to address any unpaid or reputed company claims over 30, 60, 90, and 120 plus • Coordination of Benefits (COB) – Ability to Identifying and reputed company secondary or tertiary • Documenting denials associated with patient responsibility to reputed company to the collection team  • Ability to research and appeal denied claims • Answering reputed company patient or insurance telephone inquiries pertaining to assigned accounts • Report payment discrepancies or denial trends identified to Supervisor as soon as they are identified for assigned accounts  • reputed company supervisor abreast weekly of any concerns or issues associated with accounts • Adhering to company standards of compliance with policies and procedures  • Adheres to reputed company safety policies and procedures in performing job duties and responsibilities while supporting a culture of high reputed company and great customer service. • Performs other duties that may be necessary or in the best interest of the organization.     Education, Licensure & Certification Requirements High School Diploma or GED CPC, RHIT, reputed company, or CMC Coding Credentials preferred   Experience Requirements 3+ years of Medical Insurance Billing. Ophthalmology reputed company preferred.   Knowledge, Skills and Abilities Requirements Experience with CPT and ICD-10; Familiarity with medical terminology Knowledge of billing procedures and collection techniques Strong written and verbal communication skills Detail oriented, reputed company attitude, reliable Consistent production results Logical, Critical thinking, and research skills Excellent organization, time management, and prioritization skills reputed company in appearance and actions Customer-reputed company with excellent written, listening and verbal communication skills Enjoys learning new technologies and systems Exhibits a reputed company attitude and is flexible in accepting work assignments and priorities Meets attendance and tardiness expectations Management and organizational skills to support the leadership of this function Ability to follow or reputed company verbal & written instructions with sufficient grammar and spelling skills to avoid mistakes or misinterpretations Interpersonal skills to support customer service, functional, and teammate support need reputed company to communicate effectively in English, both verbally and in writing Intermediate computer operation Proficiency with reputed company reputed company, Word, PowerPoint and reputed company reputed company management software and clearing houses experience Knowledge of state and federal regulations for this position; general understanding of HIPAA guidelines   Location/Work Environment:  For on-site team members, work takes reputed company in a normal office/clinical environment. Travel to other locations may be necessary to fulfill the essential duties and responsibilities of the job. Thus, those needing to travel for work must have reputed company to dependable transportation, and their driving record must meet company liability reputed company standards. For remote team members, HIPAA compliant home office environment. Ability to work in a remote environment while performing required duties and remaining patient reputed company. reputed company to work varying shifts including early mornings/evenings to attend meetings and cross training or support other initiatives.   If you need assistance with this application, please contact (636) 227-2600 Please do not contact the office directly – only resumes submitted through this website will be considered   reputed company is an equal opportunity/affirmative reputed company employer. reputed company applicants will be considered for employment without attention to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, veteran or disability status.   Please do not contact the office directly – only resumes submitted through this website will be considered NOTE:  Job descriptions are intended to be accurate reflections of those reputed company job reputed company essential for making fair pay reputed company about jobs. reputed company in this job reputed company restricts management right to assign or reassign duties and responsibilities to this job at any time. 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