Website RC Billing
Qualifications
- (ProPM & Rad Onc Coding)
Responsibilities
- Responsible for timely daily Accounts Receivable resolution in accordance with RC Billing standards and reimbursement policy and procedures
- Is responsible for seeking resolution to problem payers while ensuring excellent communication between management and ensuring client satisfaction
- Responsible for generating revenue by researching outstanding payer claims and patient balances, generate appeals, makes payment arrangements, collects on account and monitors and pursues delinquent accounts
- Demonstrates thorough understanding of the accounts receivable functions; compliant with federal and state regulations and RC Billing policy and procedures
- Works insurance accounts receivable reports per accounts receivable work plan beginning with >120 aging top dollar working in descending order
- Submits written appeals to insurance carriers when applicable and ensures timely follow-up regarding status
- Maintains tickler file and ensures timely follow-up of outstanding claims/balances
- Daily prepares and maintains the Client Communication Log (CCL) per client ensuring timely resolution
- Maintains working day to day knowledge of the practice management system
- (Misys/Tiger, Allscripts, Allscripts Pro PM and Practice EDI Insight)
- Maintains strong working knowledge of Radiation Oncology coding or the specific specialty in which the accounts receivable is assigned
- Updates job knowledge by participating in educational opportunities
- Ensures strong communication with management and team members
- Ensures compliance with RC Billing Reimbursement Policies and Procedures to maximize efficiency
- Ensures compliance with appropriate industry regulations and state and federal regulations
- Maintains working knowledge of applicable laws and regulations as they relate to assigned responsibilities
- Maintains confidentially of all information related to patients, medical staff, finances and cost-effective health care delivery issues
- Strives to achieve and maintain company Days Sales Outstanding (DSO) and Account Receivable aging standards
- Strives to achieve goals and benchmarks
- Demonstrates the ability to work well with peers while ensuring a strong cohesive team
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