rcm coordinator

rcm coordinator.

denver , colorado (remote)

posted today

job detailssummary

$15 - $22 per hour

contract

high school

category computer and mathematical occupations

reference1067753

job detailsjob summary:Job Summary:This position is responsible for billing effectively and efficiently to facilitate prompt payment for services via billing systems and developing collaborative relationships with payor's billing departments. This role will be able to perform all of the following tasks: verifying client eligibility, monthly claim/invoice submissions, resubmissions or back billing, resolve denied or rejected claims, including researching accounts, analyzing EOBs, and interacting with insurance companies and government payors.Responsibilities:Utilizes the phone system application by logging in and setting a status of ready to manage incoming phone calls by responding to request and assisting with inquiries.

Identifies and researches eligibility through multiple web portals, collects needed information to ensure timely processing of electronic, portal, and invoiced claims.

Follows revenue cycle processes from charge creation through resolution of outstanding AR. - Verifies eligibility when required prior to billing payers and documents insurance verification.

Generates monthly charges and transmission of EDI claims and invoices for timely and accurate invoices submission.

Assists in investigating and resolving claim rejections and denials via Clearinghouse or payer portals. - Utilizes payer portals or contact payers as needed for claim corrections and/or missing information.

Adds and understands specific data such as modifiers, payer specific information, including authorization criteria, CPT and ICD-10 coding.

Applies corrections to patient demographics, charges, adjustments, and payments or when needed forwards to the appropriate department for correction.

Handles reporting cards and tickets assigned through company applications. - Handles rejection and denial workgroups for timely review and resubmission of EDI claims.

Assists with resolving problems by clarifying issues, researching potential solutions, helping to implement changes to maximize timely and complete reimbursement, and escalating unresolved issues.

Utilizes multiple system applications daily to work through assigned inventory.

Identifies and documents any payer issues and communicate with RCM leadership.

Performs resubmission projects and additional daily reports.

Participate in other projects or duties as assigned.

Skills:strong attention to detail and accuracy.

Basic understanding of claims and invoicing process.

Proficient in the use of computer software and data entry.

Excellent communication and interpersonal skills.

Ability to work effectively in a team-oriented environment.

Basic problem-solving skills.

Time management and organizational abilities, ability to manage multiple tasks.

Customer service-oriented mindset.

Self-motivation and the ability to work independently and with teams.

Proficient in the use of Word, Excel, Outlook, and PowerPoint.

location: Denver, Coloradojob type: Contractsalary: $15 - 22 per hourwork hours: 8am to 5pmeducation: High Schoolresponsibilities:Job Summary:This position is responsible for billing effectively and efficiently to facilitate prompt payment for services via billing systems and developing collaborative relationships with payor's billing departments. This role will be able to perform all of the following tasks: verifying client eligibility, monthly claim/invoice submissions, resubmissions or back billing, resolve denied or rejected claims, including researching accounts, analyzing EOBs, and interacting with insurance companies and government payors.Responsibilities:Utilizes the phone system application by logging in and setting a status of ready to manage incoming phone calls by responding to request and assisting with inquiries.

Identifies and researches eligibility through multiple web portals, collects needed information to ensure timely processing of electronic, portal, and invoiced claims.

Follows revenue cycle processes from charge creation through resolution of outstanding AR. - Verifies eligibility when required prior to billing payers and documents insurance verification.

Generates monthly charges and transmission of EDI claims and invoices for timely and accurate invoices submission.

Assists in investigating and resolving claim rejections and denials via Clearinghouse or payer portals. - Utilizes payer portals or contact payers as needed for claim corrections and/or missing information.

Adds and understands specific data such as modifiers, payer specific information, including authorization criteria, CPT and ICD-10 coding.

Applies corrections to patient demographics, charges, adjustments, and payments or when needed forwards to the appropriate department for correction.

Handles reporting cards and tickets assigned through company applications. - Handles rejection and denial workgroups for timely review and resubmission of EDI claims.

Assists with resolving problems by clarifying issues, researching potential solutions, helping to implement changes to maximize timely and complete reimbursement, and escalating unresolved issues.

Utilizes multiple system applications daily to work through assigned inventory.

Identifies and documents any payer issues and communicate with RCM leadership.

Performs resubmission projects and additional daily reports.

Participate in other projects or duties as assigned.

Skills:strong attention to detail and accuracy.

Basic understanding of claims and invoicing process.

Proficient in the use of computer software and data entry.

Excellent communication and interpersonal skills.

Ability to work effectively in a team-oriented environment.

Basic problem-solving skills.

Time management and organizational abilities, ability to manage multiple tasks.

Customer service-oriented mindset.

Self-motivation and the ability to work independently and with teams.

Proficient in the use of Word, Excel, Outlook, and PowerPoint.

qualifications:

Experience level: Entry Level

Minimum 1 year of experience

Education: High School (required)

skills:

Revenue cycle management

Planning

Operations

Telecommunications

Network

SchedulingEqual Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.At Randstad Digital, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad Digital offers a comprehensive benefits package, including health, an incentive and recognition program, and 401K contribution (all benefits are based on eligibility).This posting is open for thirty (30) days.