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Rcm Specialist Medical Billing

Chmb

Rcm Specialist Medical Billing

Escondido, CA
Full Time
Paid
  • Responsibilities

    RCM Specialist (Medical Billing) CHMB 30 reviews - Escondido, CA 92025 CHMB offers a competitive compensation package and a great work environment! If you are someone looking to use your talents to help our clients meet their needs, you are looking for career advancement and want to work with an exciting team; we want to hear from YOU! We have an exciting new full-time opportunity for a Medical Billing Team Lead (RCM Team Lead) The RCM Team Lead is responsible to know and facilitate specific accounts and their unique attributes in order to successfully provide customized RCM for each account. This is a dual position with its own workload along with oversight to train, audit and monitor the group for accurate procedures and turnaround. and delivering results. Essential Functions: * Strong customer service skills; answering client calls; prompt return and follow up to all interactions; prompt response to requests for information, both internally and externally. * Trains individuals on CHMBs systems and workflow in order to ensure protocols are followed. * Review and work all unpaid and denied insurance correspondence, both phone appeals and written appeals; confirm all patient demographics and insurance is current and up to date. * Run, review and work unpaid patient balance reports for payment by reading current notes and place for past due letters and phone calls. * Prepare and send uncollected patient payments to collections by writing up forms for the doctors to review. * Review and work insurance and patient overpayments, prepare refund request and send to doctor's office. * Answer phone calls from insurances and patients. * Organize, identify and improve managers workflow through daily and weekly productivity reports report challenges and concerns and request need for assistance to supervisor. * Ability to perform the duties of the payment entry specialist, charge entry specialist and AR specialist. * Keep manager informed of progress, achievements and issues; assist staff with processes, information and workload * Complies and enforces all policies and procedures related to the position, the department and the company.

    • Achieve goals set forth by supervisor regarding error-free work, transactions, processes and compliance requirements. * Other duties as assigned. Experience/Training/Education: * High School Diploma or GED; One year certificate from college or technical school preferred * 3-5 years of experience in same/related field * Extensive knowledge on use of email, search engine, Internet; ability to effectively use payer websites and Laserfiche; knowledge and use of Microsoft Products: Outlook, Word, Excel. Preferred experience with various billing systems, such as NextGen, Pro and Allscripts. * Strong written, oral, and interpersonal communication skills; Ability to present ideas in business-friendly and user-friendly language; Highly self-motivated, self-directed, and attentive to detail; team-oriented, collaborative; ability to effectively prioritize and execute tasks in a high-pressure environment. * Ability to read, analyze and interpret complex documents. Ability to respond effectively to sensitive inquiries or complaints from employees and clients. Ability to speak clearly and to make effective and persuasive arguments and presentations. * Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to use critical thinking skills to apply principles of logic and analytical thinking to practical problems. Benefits & Perks at CHMB We want talented individuals with an entrepreneurial spirit and the drive to create success for themselves, their team, our clients and CHMB! CHMBs history of growth and innovation has set the stage for us to continue to win as a team, but it takes talented and diverse individuals to make that happen! To show our appreciation, we offer the following benefits and perks!! * Medical, Dental, and Vision insurance for team member and their dependents with an employer contribution to the costs. Our medical plan also includes wellness programs and discounts * Employer paid basic Life Insurance and Accidental Death & Dismemberment (AD&D) coverage * Employee paid voluntary Life Insurance and AD&D coverage * Voluntary Short-Term and Long-Term Disability Insurance * Employee Assistance Program (EAP) * Worldwide Emergency Travel Assistance * Flexible Spending Account (FSA) for healthcare * 401(k) Retirement Savings Plan with employer match * Paid Vacation, Sick and Company Holidays * Longevity bonuses * Casual dress Fridays * Discount tickets to local events/activities * Other employee events, employee recognition and reward CHMB has provided technology & business services for healthcare professionals for over twenty years. CHMB works with physicians and health systems nationally to successfully manage the revenue cycle and to optimize payment for services provided. Today, more than 11,000 physicians encompassing 45 different medical specialties rely on CHMB for their experience in delivering proven solutions to improve practice profitability and optimize healthcare technology investments CHMB promotes a drug-free workplace and all job offers will be contingent on passing a drug screen and a favorable pre-employment background check. EEO/M/F/D/V 10 hours ago - save job - original job Apply Now Please review all application instructions before applying to CHMB.
  • Industry
    Hospital and Health Care