At ncgCARE, our mission is to provide successful behavioral health services to families in need. As a leader in community-based services, we understand that CARE is more than a service, it is an approach. Through our CARE model, we provide support, coordination, trainings and guidance to help forever shape the lives of children and families and provide them with a future filled with opportunity. Join our team today to help families in need!
Now hiring a Revenue Cycle Representative to join our revenue cycle team in Raleigh, NC.
The Revenue Cycle Representative will provide direct support to customers for all revenue cycle related activities. The successful candidate will have knowledge of insurance reimbursement practices, will be detail oriented and maintain a professional manner.
Revenue Posting Specialist
Raleigh, NC
Essential Functions:
- Medical payment posting from various carriers to include Medicare, Medicaid, and other commercial insurances.
- Routinely drop 835 files to Medicaid and all Commercial payers by direct submission or through a clearinghouse.
- Must be able to post from paper remits with a full understanding of contractual allowances, copay/coinsurance amounts, deductibles etc. with 100% accuracy in volume.
- Contact payers, as necessary, for additional information to post all payments received to the appropriate account.
- Post payments appropriately for local government funders developing the relationships required to receive this information timely.
- Review the pending and rejected claims report weekly to identify any soft claims corrections available. For any issues that require operational support to correct, the user must be able to communicate this required data to the assigned Revenue Cycle Team member within 48-hours of discovery. Denial management occurs within the Revenue Cycle team in which this employee is a vital contributor.
- Any identified write-offs are to be documented, entered into each EHR for approval.
- Answer all incoming calls promptly from clients or payers with billing questions.
- Ability to keep the daily cash log accurate and up to date.
- Provide reports daily/weekly/monthly on items related to each partner’s cash position.
- Ability to communicate thoroughly regarding cash received, payment trend changes and slow payers to management.
- Ability to handle small to medium sized projects related to improving cash flow by setting up manual payers on EFT, receivable turnover and days in sales data.