IN SUMMARY…

The Revenue Cycle Operations Specialist provides Revenue Cycle Management/Medical Billing services for Azalea clients and operates under the direct supervision of the Revenue Cycle Operations Manager. Duties will include backend processes including but not limited to ensuring unapplied payments are posted, hold credits, sending of patient statements, auditing of RCM functional teams, or other various tasks as needed.

BACKGROUND AND SKILLS YOU WILL BRING…

• Associates degree in healthcare management field preferred; CPC, CPB or CPMA designation preferred
• Minimum 3 years experience in Revenue Cycle Management
• Proficient in Microsoft Excel
• Excellent ICD-10, CPT, and HCPCS coding knowledgeskills
• Excellent computer and internet skills/instincts
• Strong analytical and problem-solving skills

• Analyzes Explanation of Benefits and/or payor correspondence to reconcile system credit balances or potential over-payments by insurance payers and/or patient.
• Identify trends with overpayments and communicate trends to Management
• Research and resolve problem accounts on HOLD status
• Review unapplied payments for client and post to the appropriate encounter
• Reviews accounts pending collections and assists client in sending to collection agency
• Submit statements for patient balance due for processing
• Address Client Tasks and Cases assigned to RCM Operations in a timely manner
• Identify and apply adjustments to encounters per documentation provided
• Communicate with Customer Success Management regarding trends and issues that could affect client satisfaction and revenue.
• Demonstrates a good working knowledge of CPT, ICD10, and HCPCS codes as well as remaining current on regulatory coding changes.
• Maintains HIPAA compliance when handling patient protected health information (PHI)
• Responsible for other Revenue Cycle Management-related duties as assigned