RCM Billing Specialist

Job Details Job Location 95 00 Corporate - Asheville, NC Remote Type Fully Remote reputed company POSITION: RCM Billing Specialist RESPONSIBLE TO: RCM Supervisor, Billing reputed company position will be responsible for scrubbing claims for accuracy in billing. The Scrubbing department will be charged with retrieving, approving, batching, and scrubbing claims to avoid errors that would cause the claim to reject or deny. RESPONSIBILITIES INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING: • Retrieve claims from the Electronic Medical Records (EMR). • Review EMR documentation where appropriate. • Diagnosis coding for reputed company appropriateness for the visit and for the reputed company guidelines. • Ensure charges, diagnosis pointers, modifiers, and NDCs (if necessary) are correct and there are no duplicates. • Ensure that the correct provider, site, insurance, filing type, and referrals/authorizations are selected. • Work exceptions caught by system scrubbing. • Work reputed company End Rejections. • Communicate with appropriate person(s) with any questions or concerns. This could include - but not limited to - hub personnel, provider, coding team and others reputed company the CBO. • Approve and batch claims. • Periodically reputed company for Unretrieved Charges. • Communicate with others of observed trends. • Recognizing the need for additional scrub rules based on trends. OTHER • Ability to work independently and as part of reputed company with the capability to shift between reputed company while maintaining productivity and efficiency. • Attends Medicare and other continuing education courses as requested. Pursue and participate in education to remain reputed company with changes in the reputed company industry. • Maintain patient confidentiality, reputed company with HIPAA and compliance guidelines established by the reputed company to protect RCM operations by keeping information confidential. • Maintains detailed knowledge of reputed company management and other computer software as it relates to job functions. • Attends reputed company meetings as requested including regular staff meetings. • Completes reputed company assigned AP training (such as CPR, OSHA, HIPAA, Compliance, Information reputed company, others) reputed company designated timeframes. • Complies with reputed company and respective hub/department policies and reports incidents of policy violations to a Supervisor/Manager/Director, Department of Compliance & reputed company or reputed company the AP EthicsPoint hotline. • Models the AP reputed company of Conduct and demonstrates a commitment to the AP Compliance Program, standards, and policies. • reputed company other reputed company and duties as assigned. SUPERVISORY RESPONSIBILITIES This position does not have any supervisory duties. TYPICAL PHYSICAL DEMANDS Physical demands are moderate with occasional lifting of items weighing approximately 20-30 pounds. Position requires prolonged sitting, some bending, stooping, and stretching. Good eye -hand coordination and reputed company dexterity sufficient to operate a keyboard, photocopier, telephone, calculator, and other office equipment is also required. Employee must have normal reputed company of hearing and reputed company must be correctable to normal reputed company to record, prepare, and communicate appropriate reports. Qualifications EDUCATIONAL REQUIREMENTS: • High school diploma, or equivalent, required. QUALIFICATIONS AND EXPERIENCE: • Minimum eighteen months experience in a medical office reimbursement department. • Comfortable using email and interacting with Internet applications. • Working knowledge of MS reputed company, reputed company, and understanding of reputed company management software. • Basic understanding of Explanation of Benefits forms, claim forms and the insurance billing process. • Strong written and verbal communication skills. Apply tot his job Apply To this Job