Revenue Cycle Specialist: Medicare Collections
Accounting Now - Tampa, FL
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We are hiring Revenue Cycle Specialists who excel in Medicare Collections for our Revenue Operations DepartmentSpecialists in this role will contact Medicare Administrative Contractors (MACs) to reconcile outstanding accounts receivable (debit balances), research and resolve problem accounts, and request adjustments or rebills on claims.Duties: Research, initiate follow-up, and resolve all unpaid or underpaid system debit balances on Medicare insurance claims; includes but is not limited to remit review, calling payer(s) and clinics, rebilling, navigating payer portals, and taking adjustmentsUses critical thinking, problem-solving and analytical skills to determine the root cause of our underpayment and follow appropriate policy and procedure to remediateNavigate through various payer systems and multiple internal systems to ensure timely and accurate resolution of Medicare claimsUses exceptional organization, written, and verbal communication skills to produce detailed documentation of research and actions taken on claims Ad hoc monthly reporting of outstanding debit balances and trendsStay current on communication relating to healthcare reimbursement and regulatory changesMaintain confidentiality of all company and patient information in accordance with HIPAA regulations and Company policiesQualifications: Min2 years of Medicare Experience years of experience with generic accounting, transactions, or medical billing systems requiredPrior healthcare and medical billing/collections/denial remediation experience requiredIntermediate computer proficiency in Microsoft Office tools including Excel, PowerPoint and OutlookEducation: Highschool Diploma or equivalent required
Created: 2024-10-03