• Revenue Cycle Receivables Associate

    Job Locations US-ME-Brunswick
    Job ID
    2018-2372
    Job Type
    Regular Full-Time
    Category
    Customer Service/Support
    Unit
    Patient Financial Services
    Shift
    First
    Hours per Week
    40
  • Overview

    Under the direct supervision of the Supervisor of Patient Accounts, this position is responsible for overall revenue integrity for billed accounts while bridging optimal working relationships with all third party payers for reimbursement and education. This position is responsible for the resolution of outstanding and/or denied claims based on third party claim processing rules within established timelines. Manages accounts receivable, resolves difficult accounts personally, recommends claim escalation, completes claim projects as assigned and advises other peers and departments seeking information and direction. Remains responsive to new developments and performs related duties as assigned.

    Responsibilities

    • Maintains a high level of knowledge, expertise and professionalism to set forth best practices across the revenue cycle.
    • Meets goals and objectives in the receivables area as established by the organization.
    • Complies daily with departmental policies and procedure. Provides thorough, courteous, and professional assistance to coworkers and patients with account resolution.
    • Performs collection activity to ensure proper resolution and reimbursement on claims.
    • Resolves claims processing issues with third party payers and provide all required information timely.
    • Involves patients and family members (where necessary) to ensure timely resolution of claims with insurance companies.
    • Resubmits 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 as needed.
    • Collaborates with hospital departments on the resolution of accounts.
    • Performs drill down, root cause analysis work on receivables. Removes barriers that have interrupted payment.
    • Participates in special projects/assignments as indicated by the Department Director.

    Qualifications

     

    • High School Graduate.
    • College courses in Business Administration, or degree, highly desired.
    • 5+ years working in the healthcare setting that demonstrates progressive responsibility and/or leadership.
    • Certification as a Revenue Cycle Professional through AAPC, AHIMA or AHAAM highly desired.

     

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