Revenue Cycle Management Analyst (Remote)
Healthstat, Inc

Job Info

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ABOUT THE JOB

The Revenue Cycle Management Coder will extract and verify codes from patient visits. The coder will follow client specific coding requirements and assist with claims processing. This is a full cycle position that may include payment posting and statement processing. The information gathered assists with full client and patient reporting including ROI.

COMPANY OVERVIEW

Everside Health is a national on-site, near-site and virtual primary care provider on a mission to fix America's broken healthcare delivery model. We are technology-driven and care-obsessed. With our expanding reach, scale, and expertise, we truly make an impact on a national level by serving more clients and improving the health of more people, all while achieving the goal of reducing the total cost of healthcare for employers and organizations. That's why we exist - and our relentless focus through care delivery access, technology, transparency, and relationships drives us every day.

ESSENTIAL DUTIES & RESPONSIBILITIES

• Process encounters and post charges daily.
• Verify completeness and accuracy of all claims prior to submission to carriers and clearing houses
• Communicate with clinic staff to ensure proper coding of records prior to submission
• Review file data batches and submit claim files daily/weekly/monthly to proper carriers and clearing houses
• Consistently follow up on unprocessed claims utilizing monthly reports and filing corrected when appropriate
• Monitor patient accounts for collections
• Working with payers through claim processing to ensure accurate reimbursement
• Ensure collections are accurate and up to date
• Post payments via ERA and Manual to line items
• Follow up timely on insurance claim denials, exceptions or exclusions
• Work appeals and claim adjudication
• Monitor remittance files daily for issues and coordinate resolution with clinic staff, insurance carriers, and patients
• Monitor claim accounts and work with clinic staff to ensure all accounts balance within the Practice Management system
• Coordinate reports to Finance for clinic billing, adjudication, and bad debt
• Provide telephone support service to employees/patients with questions concerning their EOBs
• Provide training to staff regarding EPM and claims processing
• Regularly meet with Account Manager to discuss and resolve reimbursement issues or billing obstacles
• Work with Implementation for credentialing and testing of new clients.
• Apply HIPAA privacy and IT security standards to information as required
• Scanning of documents necessary for medical records

QUALIFICATIONS

• High School diploma; Associates degree, preferred
• Coding Certification through AAPC/AHIMA CPC, CCS or CPC-A, required
• Strong knowledge of ICD-10/PCS/CPT/HCPCS coding and billing compliance, required
• 2+ years industry related work experience, required
• Proficiency in use of Microsoft Office products
• Experience with Practice Management software, a plus

Pay Range: $22 - $25/hr

The actual offer may vary dependent upon geographic location and the candidate's years of experience and/or skill level.

Everside Benefits Summary

We believe in empowering teammates to do their best work and build better healthcare. Below are some of our benefit offerings. Eligibility is based on 24/hr week.

• Health and Well-Being: Free Everside membership for in person and virtual care, employer paid life and disability insurance, and choice in medical/dental plans, vision, employer funded HSA, FSA, and voluntary illness, accident and hospitalization plans. Benefits are effective on the first of the month following date of hire.
• Financial Support: Competitive compensation, 401k match, access to financial coaching through our Employee Assistance Program
• Lifestyle: Paid time off for vacation, sick leave, and more, holiday schedule

Learn more at https://www.eversidehealth.com/careers/

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