RCM Contract Analyst
September 23
Description
•Electronic Remittance Advice (ERA) Posting via Electronic Medical Record (EMR), experience with Candid Health is a plus •Manual payment posting •Private pay posting •Ensuring appropriate adjustments to payments posted •Processing paper checks •End of month posting •Making the Revenue Cycle Manager aware of any potential or ongoing payment issues •Keeping current on fee schedules and charges •Contract Analyst - weekly reviewing payer contracts to ensure correct reimbursement from payers •Alert Account Receivable Representative of issues with payments and assist with appeals as needed •Ensure all payments are posted in a timely manner •Run reconciliation reports •Assist Patient Financial Coordinator with billing patients and reconciling payments in Stripe •Insurance verification •Other duties as assigned
Requirements
•1-2 years of experience in insurance payment posting and remittance review •Knowledge of insurance company contract rates •Understanding of medical office revenue cycle •General computer skills, typing skills, and working knowledge of Medicare, Commercial Payer, and HIPAA Compliance •Requires understanding of accounts receivable in a healthcare setting •Requires the ability to prioritize multiple tasks simultaneously in an occasionally stressful environment •Ability to work both independently and as part of a team •MAC O/S experience preferred
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