Revenue Cycle Specialist II, RCM

Job description

The Revenue Cycle Specialist II is a position that calculates and posts receipts to appropriate accounts, verifies details of transactions; performs billing, posting and collection of claims related to specific payers. In this role, you will report to the Accounts Receivable Manager, RCM. 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 relat...