What are the responsibilities and job description for the Revenue Cycle Specialist position at Frontier Home Health?
Description
JOB DUTIES/RESPONSIBILITIES
Required Skills/Abilities/Knowledge:
JOB DUTIES/RESPONSIBILITIES
- Monitor held billing and coordinate resolution of related issues to ensure timely claim submission
- Review, research, and correct claims that fail payer edits; update payer information and resubmit claims within the EMR system as needed
- Understand and actively follow up on outstanding accounts receivable to minimize aging
- Work all assigned and denied claims promptly and accurately
- Assist in preparing and submitting appeals and reconsiderations to payers
- Collaborate with internal teams (billing, authorizations, clinical, etc.) to resolve billing and collections issues
- Communicate with payers to obtain claim status and resolve outstanding balances
- Maintain accurate documentation of collection activities and provide updates and reports on collection efforts as requested
- Assist with special projects, audits, or process improvement initiatives as assigned
- Identifies trends related to denials/coding and delinquent claims and communicates effectively with client manager for feedback to the client
- Identifies system/payer issues such as rates, codes, set up and coordinate accordingly
- Reports status of accounts and issues to appropriate supervisors and departments – always maintains full transparency of accounts
- Follows requirements through the full cycle until accounts are satisfied, including patient collections and appeals
- Documents, processes and coordinates all write offs and adjustments as needed
- Works with contracting team and management to resolve payer issues
- Works with branches for all questions on accounts
- Attends regular meetings with teams and management to ensure open communication
- Perform other duties as assigned
Required Skills/Abilities/Knowledge:
- Excellent verbal, written and computer communication skills
- Able to communicate across all levels of authority within company
- Excellent organization, problem solving, and project/time management skills
- Able to work with multiple teams within the organization to promote viable, ethical, and cost-effective solutions
- Proven track record of successful collections
- Able to effectively deal with change
- Able to complete projects within specific timetables
- Able to successfully interact with people in face-to-face situations as well as by telephone in a professional and effective manner
- Satisfactory background screens as required by State, Federal and Company policy free of any OIG sanctions