Revenue Cycle Specialist
Full Circle Medical Billing is committed to providing timely and accurate billing services to physician groups and ambulatory surgical centers. Full Circle believes in the ripple effect of investing in our employees. We care about diversity, equity, and inclusion. We search for those employees seeking to advance their career path through promotion and development. Full Circle’s leadership is invested in each of our employee’s successes
JOB SUMMARY
Position is responsible for working the accounts receivable to collect outstanding balances from insurance companies and patients to include working all claim denials, appeal of improper payments, billing, and resolution of credit balances.
RESPONSIBILITIES:.
- Review Clearinghouse daily to ensure claims are flowing through the process and any denials, errors or rejections are corrected timely. Work all rejections
- Monitors accounts receivable to identify billing errors and timely rebilling
- Follow up on all denials, Daily
- AR Follow up including patient AR (follow up calls should be made every 14 to 30 days until the balance is paid in full.)
- Make sure all accounts that are worked are fully notated
- Returning phone calls within 2 hours of message left
- Maintaining Payer Contracts in Software system, Payer Grid and insurance guidelines of claims processing.
- Collection Placement- Review patient balances for Collections and turnover to third party as needed, per center guidelines
- Credit Balances - follow up and process credit balances per center guidelines
- Improper Payments and Denials received from the Payers as provided from the payment poster
- Maintains All Center Sheet under the RCM section
- Working with the Center or other team members as needed
This is a full-time remote position.
Month End
1.Month End Close
A. Runs Month End reports – Center specific month end policy
B. Balances the system and reports by completing AR Analysis
C. Sends all Center specific monthly reports to all participants noted on the All Center Sheet
D. Responsible for completing the Agenda, over 90+ report with status and Monthly Financial Overview and providing to all members participating in the facility monthly conference call.
2.Completing the Monthly status report and providing it to all managers with explanations if the following Key Indicators are not met.
Key Indicators
- AR > 60 days = < 25%
- AR > 120 days = < 10%
- AR Days = < 32
- Cash Collections = 100%