RCM Billing Specialist

Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions.

·        Prepare, review, and submit clean, error-free claims to insurance payers.

·        Follow up on denied or rejected claims to secure reimbursement.

·        Process claims showing amounts billed to insurance companies and to patient and miscellaneous adjustments.

·        Talk with patients about their Slocum clinic or ASC medical bill, via phone, in person or patient portal.

·        Manage patient accounts, calculate intake costs, and arrange payment options.

·        Answer patient questions regarding their Slocum statements in person, via phone or patient portal.

·        Refund over payment of claims either to the patient or the insurance company.

·        Compute total bills showing amounts billed to insurance company and to patient.

·        Verify patient’s coverage via website or telephone and to obtain information concerning extent of benefits.

·        Telephone, write or message via website companies with unpaid insurance claims to obtain settlement of claim.

·        Verify OHP Line Finder Code.

·        Work denied insurance claims via letter, website or call

·        Manage the private insurance A/R.

·        Create estimates via Experian as well as manually as needed.

·        Communicate cross-functionally with providers and other Slocum departments regarding patient questions or billing concerns