RCM Specialist, Accounts Receivable

Summary

Join Help at Home as a RCM Specialist, AR and contribute to enabling individuals to live with independence and dignity at home. As a key member of the team, you will be responsible for general data entry, keying, and bookkeeping tasks, and work in a remote role.

Requirements

• High School diploma or GED required
• One (1) to two (2) years’ experience of revenue cycle management or billing experience in the healthcare field
• Knowledge of Medicaid/Managed Care Organization (MCO) billing practices
• Experience with billing in an Electronic Data Interchange/3 rd party clearinghouse environment
• Intermediate to advanced computer skills, including the use of Microsoft Office applications

Responsibilities

• Submits claims to payors in accordance with payor requirements and agency policy
• Receives notices of claim rejections & denials
• Properly track and resolve issues to ensure claim payment
• Maintains complete and accurate accounts receivable records
• Performs troubleshooting for billing error codes
• May work with the payer or branch operational team to identify and resolve issues
• Maintains accurate billing analysis reports and communicates implications promptly to the appropriate parties
• Analyzes daily reports from the state and matches the approved payments to the client
• Alerts the Operations Team and Manager regarding late or missing documents required for billing
• Assists with the collection of receivables by monitoring accounts receivables, resubmitting bills to overdue accounts, and alerting Manager regarding seriously overdue accounts
• Produces reports as needed
• Performs administrative duties such as sorting, scanning, filing, and emailing records. ​​​​
• Performs other duties as assigned