What are the responsibilities and job description for the Revenue Cycle Specialist position at Premier Medical Associates?
Job Summary: Completes payments and controls expenses by receiving, processing, verifying, and reconciling invoices. Manages charge entry responsibilities so that information is entered into the system accurately and timely.
Responsibilities & Duties:
- Receive and review charge entry data from practice sites.
- Identify and investigate incomplete or missing charges.
- Post charges and adjustments.
- Follows up with insurance companies on unpaid or rejected claims.
- Research and resolve incorrect payments.
- Answer patient inquiries by phone or in person regarding outstanding account balances and insurance guidelines.
- Update and maintain patient demographics as needed.
- Contact responsible party to resolve delinquent accounts.
- Prepare payment plans and monitor adherence to the agreed upon plan.
- Compose routine correspondence.
- Review delinquent self-pay accounts for collections.
- Identify and prepare patient and insurance refunds as needed.
- Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
- Inform Manager about consistent issues or problems.
- Expand knowledge by participating in company and office educational initiatives.
- Must possess emotional maturity and stability to approach highly stressful situations in a calm and rational manner.
- Use critical thinking to make sound clinical decisions.
- Adhere to ethical standards of conduct as well as applicable state and federal laws.
- Provide effective oral or written nonverbal communication with patients and their families, colleagues, and health care providers.
- Performs other duties as assigned.
Qualifications & Skills:
- Knowledge of ICD-10 and CPT terminology.
- Knowledge of modifiers.
- Knowledge of third party insurances including timely filing requirements.
- Ability to make basic numerical calculations, interpret account and records, persuade and influence and prioritize processes.