RCM Analyst Ortho Clinic
Share
Job Location:
Roanoke, VA - USA
Monthly Salary:
Not Disclosed
Posted on:
4 days ago
Vacancies:
1 Vacancy
Job Summary
Employment Status:
Full timeShift:
Day (United States of America)Facility:
2331 Franklin Rd - RoanokeRequisition Number:
R159086 RCM Analyst - Ortho Clinic (Open)How Youll Help Transform Healthcare:
Identifies and analyzes problem accounts determines solutions and implements corrections to result in accurate processing/payment of claims. Investigates billing and insurance problems or issues as it relates to coding services provided and associated charges with the total patient account. May coordinate computer system functionality in order to obtain reimbursement while working with a variety of complex billing issues. Some positions may require a strong working knowledge of multiple payers knowing payer specific policies and procedures in order to serve as subject matter expert. Makes important decisions and determination of proper adjudication by the payers for claims. Works in a fast-paced office environment with high productivity and accuracy standards that requires focus and concentration on tedious details and research.
- Investigate and identify errors in billing coding or procedures relating to patient accounts.
- Conducts analysis of complex accounts. Determines actions and completes action steps to resolve accounts.
- Serving as a subject matter expert and provides guidance to RCM Specialists.
- Communicates effectively with patients staff and has a excellent understanding of various procedures and process associated with billing and reimbursement.
- Collaboration with team lead/training team in recommending solutions to management related to insurance issues departmental procedures and operations.
- Facilitates special assignments based on payer requirements specialized functions and processes.
- Manages denial aged no response at risk account work queues.
- Possesses the knowledge for working with multiple payers with proven success.
- Reports any erroneous processing trends by payer to team lead/management.
What We Require:
Education: High School graduate with extended college course work preferred in Business or Accounting.
Experience: Minimum of five (5) years medical billing required with proven communication analytical and problem-solving skills. Proficiency in EPIC Fundamentals required. EPIC Administrator preferred
Other Minimum Qualifications: Must be able to meet high productivity and accuracy standards. High focus and concentration needed for computer analytical organizational and time management required. Visual perception and high hand/eye coordination necessary. Requires excellent hearing clear/concise speech excellent finger dexterity to operate computer terminal/keyboarding as well as use of a calculator. Must be proficient with word processing computer/PC skills. Excellent documentation and follow-up skills required.
Recruiter:
EMILY ALLENRecruiter Email:
For more information contact the HR Service Center at 1-.
Carilion Clinic is an Equal Opportunity Employer: We provide equal employment opportunities to all employees and applicants without regard to race color religion sex national origin age (40 or older) disability genetic information or veterans status. Carilion is a Drug-Free Workplace. For more information or for individuals with disabilities needing special assistance with our online application process contact Carilion HR Service Center at 8:00 a.m. to 4:30 p.m. Monday through Friday.
Required Experience:
IC
Key Skills
About Company
Carilion Clinic is a not–for–profit health care organization based in Roanoke, Va. Through our comprehensive network of hospitals, primary and specialty physician practices and other complementary services, we work together to provide quality care
