The Revenue Cycle Generalist supports multiple clients with a team of Analysts located in the centralized office. The candidate must have proven productivity track record, great attitude, thrive in a fast-paced environment, be quality oriented, and possess the ability to adapt to a variety of technologies and client needs.

ROLE AND RESPONSIBILITIES

Post patient and carrier payments in Revenue Cycle Management system (RCM)

Review payment postings for accuracy and to ensure account balances are current

Insurance verification

Review patient statements for accuracy

Review and submit patient claims

Review reports, identify denied claims, research and resolve issues, may perform a detailed reconciliation of accounts, resubmit claim to payer

Work with Revenue Cycle team to resolve payment and billing errors

Answer patients’ payment, billing, and insurance questions and resolves complaints

Contact payers to resolve payer issues, expedite claim processing and maximize medical claim reimbursement

Submit appeals with appropriate/requested documentation to payers

Maintain credit balances of patients and payers ensuring timely refunds within government guidelines/regulations

Maintain a daily productivity log showing number of accounts worked and submits the log as requested

Perform other duties as assigned

QUALIFICATIONS AND EDUCATION REQUIREMENTS

1 years experience in healthcare industry required

Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Ability to define problems, collect data, establish facts, and draw valid conclusions

Highly detail oriented, with strong organizational skills

Excellent communication and interpersonal skills with a focus on customer service

Investigate problems and develop/communicate solutions

Act and operate independently, with minimal supervision

Meet assigned deadlines

Bachelor’s Degree preferred

ADDITIONAL SKILLS PREFERRED

Experience with eCW platform

Knowlege of Medicare and Commercial payers and guidelines governing collection activities

Strong Excel skills