This role is responsible for supporting vendors and care centers with billing and accounts receivable obstacles. This position will support the Revenue Cycle Management team.

Essential Duties and Responsibilities:

• Work collaboratively with peers, offshore vendors and senior management to ensure business needs are met.
• Provide RCM support to physicians and care center staff.
• Conduct account research and analysis.
• Perform complex appeals.
• Identify and execute necessary process adjustments.
• Prepare and maintain various reports.
• Interact with internal and external customers to resolve outstanding issues.
• Maintain confidentiality of all information; adhere to all HIPAA guidelines/regulations.
• Additional duties to be assigned from time to time.

Required Experience and Skills:

• Minimum two years experience with NextGen Practice Management software - Required
• Minimum two years of progressive professional experience in healthcare revenue cycle management.
• Proficient in government and commercial insurance billing.
• Proficient in use of Excel, Word and PowerPoint or equivalent Google software
• Knowledge and understanding of ICD-10, CPT, and HCPCS codes.
• Knowledge and understanding of medical terminology and procedures.
• Knowledge of coding, medical records, remittance codes and reimbursement policies
• Experience working complex and high-dollar appeals
• High School diploma or general equivalency.
• Good verbal and written communication skills.
• Ability and willingness to work flexible hours to meet staffing needs.
• Certified Professional Coder