Revenue Cycle Lead in Northbrook, IL

Revenue Cycle Lead - USA Clinics Group - Northbrook, IL - work from home job Company: USA Clinics Group Job description: The Revenue Cycle Lead, reporting to the Revenue Cycle Manager, acts as a subject matter expert for all revenue cycle functions and activities. This position is responsible for ensuring compliance with third party payor requirements as well as all applicable state/federal laws and regulations. Only candidates able to commute to the jobs on-site location (Northbrook, IL) Monday through Friday 5 days a week will be considered. Remote work is not an option. Responsibilities • Acts as subject matter expert for assigned revenue cycle areas, ensuring optimal revenue collection and patient satisfaction with the billing experience and ensuring compliance • Performs RCA (Root Cause Analysis) to resolve problems affecting the revenue cycle and develop solutions to implement. • Contacts insurance regarding claim status, denials, underpayments, and recoupments • Read and understand insurance eligibility and benefits • Research & resolve outstanding claim issues and patterns • Submit Appeals for Denied Claims • Submit Medical Records and other documentation requests to insurance • Ability to work on 40+ denied claims per day on the phone and provider portals • Ensures compliance with USAVC policies and procedures, health plan requirements, and federal and state laws and regulations • Additional duties as assigned Requirements • Bachelor's Degree plus 3 or more year's previous experience in medical collections, or an equivalent of experience and education, required • Minimum of 2 years prior revenue cycle experience required • Experience with Aetna, BCBS, UHC, Medicare, and Medicaid denials required • Experience with multi state insurance denial collecting a preferred • Familiar with provider portal eligibility and claim tools. Example: Availity, Navinet required • Ability to read and understand insurance remittance including denial and remark codes required • Ability to understand the remittance denial codes and get claims reprocessed required • Strong personality and willingness to rebuttal with insurance claims representatives to overturn denials • Exceptional customer service and phone etiquette • Thorough understanding of physician billing practices and procedures, including knowledge of state, local and federal laws • Strong knowledge of reimbursement rules and methodologies for both physician and ambulatory surgery billing • Strong knowledge of Microsoft Excel (VLOOKUP and Pivot Tables) • Only candidates able to commute to the jobs on-site location (Northbrook, IL) Monday through Friday 5 days a week will be considered. Remote work is not an option. Benefits • Health • Dental • Vision • 401K & match • PTO Revenue Cycle Lead - USA Clinics Group - Northbrook, IL - work from home job Expected salary: $60000 per year Location: Northbrook, IL Revenue Cycle Lead - USA Clinics Group - Northbrook, IL - work from home job Job date: Sat, 26 Aug 2023 22:04:57 GMT Apply for the job now! Revenue Cycle Lead - USA Clinics Group - Northbrook, IL - work from home job Apply Job!