Revenue Cycle Lead in Northbrook, IL
Revenue Cycle Lead - USA Clinics Group - Northbrook, IL - work from home job
Company: USA Clinics Group
Job description: The Revenue Cycle Lead, reporting to the Revenue Cycle Manager, acts as a subject matter expert for all revenue cycle functions and activities. This position is responsible for ensuring compliance with third party payor requirements as well as all applicable state/federal laws and regulations.
Only candidates able to commute to the jobs on-site location (Northbrook, IL) Monday through Friday 5 days a week will be considered. Remote work is not an option.
Responsibilities
Acts as subject matter expert for assigned revenue cycle areas, ensuring optimal revenue collection and patient satisfaction with the billing experience and ensuring compliance
Performs RCA (Root Cause Analysis) to resolve problems affecting the revenue cycle and develop solutions to implement.
Contacts insurance regarding claim status, denials, underpayments, and recoupments
Read and understand insurance eligibility and benefits
Research & resolve outstanding claim issues and patterns
Submit Appeals for Denied Claims
Submit Medical Records and other documentation requests to insurance
Ability to work on 40+ denied claims per day on the phone and provider portals
Ensures compliance with USAVC policies and procedures, health plan requirements, and federal and state laws and regulations
Additional duties as assigned
Requirements
Bachelor's Degree plus 3 or more year's previous experience in medical collections, or an equivalent of experience and education, required
Minimum of 2 years prior revenue cycle experience required
Experience with Aetna, BCBS, UHC, Medicare, and Medicaid denials required
Experience with multi state insurance denial collecting a preferred
Familiar with provider portal eligibility and claim tools. Example: Availity, Navinet required
Ability to read and understand insurance remittance including denial and remark codes required
Ability to understand the remittance denial codes and get claims reprocessed required
Strong personality and willingness to rebuttal with insurance claims representatives to overturn denials
Exceptional customer service and phone etiquette
Thorough understanding of physician billing practices and procedures, including knowledge of state, local and federal laws
Strong knowledge of reimbursement rules and methodologies for both physician and ambulatory surgery billing
Strong knowledge of Microsoft Excel (VLOOKUP and Pivot Tables)
Only candidates able to commute to the jobs on-site location (Northbrook, IL) Monday through Friday 5 days a week will be considered. Remote work is not an option.
Benefits
Health
Dental
Vision
401K & match
PTO
Revenue Cycle Lead - USA Clinics Group - Northbrook, IL - work from home job
Expected salary: $60000 per year
Location: Northbrook, IL
Revenue Cycle Lead - USA Clinics Group - Northbrook, IL - work from home job
Job date: Sat, 26 Aug 2023 22:04:57 GMT
Apply for the job now!
Revenue Cycle Lead - USA Clinics Group - Northbrook, IL - work from home job
Apply Now
Company: USA Clinics Group
Job description: The Revenue Cycle Lead, reporting to the Revenue Cycle Manager, acts as a subject matter expert for all revenue cycle functions and activities. This position is responsible for ensuring compliance with third party payor requirements as well as all applicable state/federal laws and regulations.
Only candidates able to commute to the jobs on-site location (Northbrook, IL) Monday through Friday 5 days a week will be considered. Remote work is not an option.
Responsibilities
Acts as subject matter expert for assigned revenue cycle areas, ensuring optimal revenue collection and patient satisfaction with the billing experience and ensuring compliance
Performs RCA (Root Cause Analysis) to resolve problems affecting the revenue cycle and develop solutions to implement.
Contacts insurance regarding claim status, denials, underpayments, and recoupments
Read and understand insurance eligibility and benefits
Research & resolve outstanding claim issues and patterns
Submit Appeals for Denied Claims
Submit Medical Records and other documentation requests to insurance
Ability to work on 40+ denied claims per day on the phone and provider portals
Ensures compliance with USAVC policies and procedures, health plan requirements, and federal and state laws and regulations
Additional duties as assigned
Requirements
Bachelor's Degree plus 3 or more year's previous experience in medical collections, or an equivalent of experience and education, required
Minimum of 2 years prior revenue cycle experience required
Experience with Aetna, BCBS, UHC, Medicare, and Medicaid denials required
Experience with multi state insurance denial collecting a preferred
Familiar with provider portal eligibility and claim tools. Example: Availity, Navinet required
Ability to read and understand insurance remittance including denial and remark codes required
Ability to understand the remittance denial codes and get claims reprocessed required
Strong personality and willingness to rebuttal with insurance claims representatives to overturn denials
Exceptional customer service and phone etiquette
Thorough understanding of physician billing practices and procedures, including knowledge of state, local and federal laws
Strong knowledge of reimbursement rules and methodologies for both physician and ambulatory surgery billing
Strong knowledge of Microsoft Excel (VLOOKUP and Pivot Tables)
Only candidates able to commute to the jobs on-site location (Northbrook, IL) Monday through Friday 5 days a week will be considered. Remote work is not an option.
Benefits
Health
Dental
Vision
401K & match
PTO
Revenue Cycle Lead - USA Clinics Group - Northbrook, IL - work from home job
Expected salary: $60000 per year
Location: Northbrook, IL
Revenue Cycle Lead - USA Clinics Group - Northbrook, IL - work from home job
Job date: Sat, 26 Aug 2023 22:04:57 GMT
Apply for the job now!
Revenue Cycle Lead - USA Clinics Group - Northbrook, IL - work from home job
Apply Now