What are the responsibilities and job description for the Revenue Cycle Claims Specialist position at Azalea Health Innovations Inc?
IN SUMMARY...
Azalea Health is seeking a Revenue Cycle Claims Specialist to provide Revenue Cycle Management/Medical Billing services for Azalea clients. Operating under the direct supervision of the Revenue Cycle Claims Specialist Team Lead, this role will be critical to retaining and growing our RCM customer base.
If you want the challenge of contributing to a critical function that fuels the success of Azalea Health, then this may be the role for you.
WHAT YOU WILL DO...
- Scrub medical claims and bill for assigned accounts
- Review and interpret clinical documentation and medical records as it pertains to coding verification and charge capture
- Understand and calculate industry standard KPIs and benchmarks related to accurate and timely billing and coding
- Monitor, review and correct EDI level clearinghouse rejections for assigned accounts
- Effectively monitor and audit billing/coding related RCM activities being performed by both domestic and overseas subcontractors as well as partner companies
- Communicate issues to the claims leadership team as well as clients regarding missing, incomplete or inaccurate data provided by assigned clients
- Maintains HIPAA compliance when handling patient protected health information (PHI)
- Perform other duties as assigned
BACKGROUND AND SKILLS YOU WILL BRING...
- High School diploma or equivalent required
- 1-3 years of experience in medical coding and billing preferred
- Medical Billing/Coding Program certification or diploma preferred; CPC designation is a plus
- Excellent computer and internet skills
- Strong attention to detail
- Well-developed verbal written communication skills
SUCCESS LOOKS LIKE...
- Being aggressive and taking initiative; we trust you to move the needle forward
- Doing the job; outcomes are just as important as strategy
- Being adaptable and amenable to meet the changes of a dynamic and evolving industry
- Demonstrating humility; partnership and collaboration is who we are and how we operate
- Tapping into your innovative side; conventional is not always correct
HOW WE INVEST IN YOU...
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Competitive and comprehensive benefits: Coverage options to support the whole person, including full medical, dental, vision, and life insurance
- Generous employer sponsored subsidy towards employee's medical insurance premiums
- Azalea Health covers 100% of the premiums for Life AD&D and Long-Term Disability for all eligible full-time employees
- Balance and flexibility: Simple Paid Time Off (PTO) options. You earn your time, use it as you choose
- Economic opportunity: Competitive total rewards package that offers competitive pay and advancement opportunities
Azalea Health's EEO Statement
Azalea Health is an Equal Opportunity Employer committed to creating a diverse and inclusive workforce where our employees excel based on merit, qualifications, knowledge, ability, and job performance. We embrace and encourage our employees' differences in age, color, disability, ethnicity, gender identity or expression, language, national origin, physical and mental ability, political affiliation, race, religion, sexual orientation, socioeconomic status, veteran status, and any other characteristics protected by federal, state, and local laws that make our employees unique.