Revenue Cycle Lead in Northbrook, IL

Revenue Cycle Lead - USA Clinics Group - Northbrook, IL - work from home job

Company: USA Clinics Group

Job description: The Revenue Cycle Lead, reporting to the Revenue Cycle Manager, acts as a subject matter expert for all revenue cycle functions and activities. This position is responsible for ensuring compliance with third party payor requirements as well as all applicable state/federal laws and regulations.

Only candidates able to commute to the jobs on-site location (Northbrook, IL) Monday through Friday 5 days a week will be considered. Remote work is not an option.

Responsibilities
? Acts as subject matter expert for assigned revenue cycle areas, ensuring optimal revenue collection and patient satisfaction with the billing experience and ensuring compliance
? Performs RCA (Root Cause Analysis) to resolve problems affecting the revenue cycle and develop solutions to implement.
? Contacts insurance regarding claim status, denials, underpayments, and recoupments
? Read and understand insurance eligibility and benefits
? Research & resolve outstanding claim issues and patterns
? Submit Appeals for Denied Claims
? Submit Medical Records and other documentation requests to insurance
? Ability to work on 40+ denied claims per day on the phone and provider portals
? Ensures compliance with USAVC policies and procedures, health plan requirements, and federal and state laws and regulations
? Additional duties as assigned

Requirements
? Bachelor's Degree plus 3 or more year's previous experience in medical collections, or an equivalent of experience and education, required
? Minimum of 2 years prior revenue cycle experience required
? Experience with Aetna, BCBS, UHC, Medicare, and Medicaid denials required
? Experience with multi state insurance denial collecting a preferred
? Familiar with provider portal eligibility and claim tools. Example: Availity, Navinet required
? Ability to read and understand insurance remittance including denial and remark codes required
? Ability to understand the remittance denial codes and get claims reprocessed required
? Strong personality and willingness to rebuttal with insurance claims representatives to overturn denials
? Exceptional customer service and phone etiquette
? Thorough understanding of physician billing practices and procedures, including knowledge of state, local and federal laws
? Strong knowledge of reimbursement rules and methodologies for both physician and ambulatory surgery billing
? Strong knowledge of Microsoft Excel (VLOOKUP and Pivot Tables)
? Only candidates able to commute to the jobs on-site location (Northbrook, IL) Monday through Friday 5 days a week will be considered. Remote work is not an option.

Benefits
? Health
? Dental
? Vision
? 401K & match
? PTO

Revenue Cycle Lead - USA Clinics Group - Northbrook, IL - work from home job

Expected salary: $60000 per year

Location: Northbrook, IL
Revenue Cycle Lead - USA Clinics Group - Northbrook, IL - work from home job

Job date: Sat, 26 Aug 2023 22:04:57 GMT

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Revenue Cycle Lead - USA Clinics Group - Northbrook, IL - work from home job

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