Billing Specialist II - RCM

Overview

The Billing Specialist II - RCM utilizes knowledge of insurance regulations, health insurance contracts, medical coding, and bookkeeping to perform a variety of revenue cycle support activities. These include but are not limited to medical coding, insurance verification, ensuring the accuracy of the information housed in the practice management system, preparing deposits, collecting, posting, and managing account payments, submitting accurate claims, and following up on accounts. At this time, US Anesthesia Partners does not hire candidates residing in California, Hawaii, or Alaska. The base pay estimate for this role is $16.49 - $26.39 hourly. The final offer will depend on the skills, experience, and qualifications of the selected candidate. This range is for base pay only and does not include bonuses or other compensation. This position is eligible for a quarterly bonus. Bonuses are not guaranteed and are awarded based on company and individual performance. Job Highlights ESSENTIAL DUTIES AND RESPONSIBILITIES: (The ideal candidate must be able to complete all physical requirements of the job with or without a reasonable accommodation)

• Maintains the practice management system by entering accurate data, verifying and updating insurance and claims information, handles carrier correspondence, manages EOBs, and keys payments received into the system.
• Prepares, reviews, submits, and follows up with clean claims to various companies/individuals.
• Collects, posts, and manages patient account payments.
• Investigates rejected claims to see why denials were issued and correct claims.
• Facilitates swift payment of invoices due to the organization by sending patient invoices, billing reminders, and making collection calls on outstanding balances as directed by the supervisor.
• Reviews and provides RCM weekly and monthly reports including productivity and financial reports as directed and completed action steps as necessary.
• Follows HIPAA guidelines when accessing and sharing patient information.
• Maintains patient and business confidentiality.
• Provides timely and professional customer service, verifies discrepancies by and resolves patient billing issues, and answers questions from patients, facility staff, and third-party vendors.
• Supports additional coding, billing, and practice management projects as needed.
• All other duties as assigned.

Qualifications

KNOWLEDGE/SKILLS/ABILITIES (KSAs):

• Highschool graduate or equivalent.
• Minimum three years of billing experience.
• Minimum one year of Healthcare experience preferred.
• Knowledge of revenue cycle processes, medical insurance, and general accounting principles.
• High degree of accuracy and attention to detail.
• Ability to manage multiple tasks/projects, and deadlines simultaneously and to identify and resolve exceptions and to interpret data; proficient in data entry.
• Excellent communication skills, both verbal and written.
• Proficient computer skills, including Microsoft Office applications.
• The physical demands described here are representative of those that may need to be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• Occasional Standing
• Occasional Walking
• Frequent Sitting
• Frequent hand, finger movement
• Use office equipment (in office or remote)
• Communicate verbally and in writing

US Anesthesia Partners, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, gender identity, sexual orientation, pregnancy, status as a parent, national origin, age, disability (physical or mental), family medical history or genetic information, political affiliation, military service, or other non-merit based factors.