Revenue Cycle Associate - Customer Service Rep
Mecklenburg EMS Agency (Medic), Charlotte, NC, United States
Description
Primary responsibility is managing high-volume inbound patient calls to address billing questions, process payments, and route issues appropriately. The role also requires working knowledge of at least one revenue-cycle area, including ambulance billing claims, claim form submission, cash application, registration, insurance follow-up on unpaid or denied claims, targeted outbound calls as needed, and collections for services rendered to support MEDIC’s long-term success.
Duties & Responsibilities
Demonstrate proficient knowledge and understanding of key concepts from various payors reimbursement and clinical coverage policies including Commercial, Medicare, Medicare Advantage, Medicaid, Medicaid Managed Care, third-party, contract, etc.
Demonstrate proficient knowledge and understanding of key concepts from various compliance Federal and State security regulations including HIPAA, The Security Rule, Personal Financial Information, Personal Health Information.
Demonstrate proficiency with general accepted accounting principles and methods.
Basic analytical skills to resolve claims or barriers impacting work product.
Proficient with office automation technologies including internet, payor web applications or portals, and Microsoft Office applications.
Proficient use of patient accounting billing software(s), medical records systems, and payment portals.
Generate assigned reports and apply task specific knowledge to resolve claims with limited oversight.
Ensure quality customer service is provided to all patients, including verifying insurance coverage, filing insurance claims, insurance follow-up, payment posting, and returning phone calls in a timely fashion.
Ensure accuracy of charges applied, payments posted, denial/follow-up procedures, and documentation.
Meet established quality and productivity standards.
Stay current on ambulance coding and regulatory billing guidelines.
Stay current on healthcare accounts receivable billing and collection procedures, including any additions and changes to insurance laws.
Maintain confidentiality of information and abide by all applicable laws and the corporate compliance program.
Demonstrate continuous effort to improve operations, streamline work process and work cooperatively to provide quality and seamless customer service.
Maintain positive working relationships with internal and external customers.
Knowledge of ambulance medical billing and procedures.
Participate in department and agency-wide activities including meetings, trainings, specialized committees and workgroups.
Education/Experience
High school graduate or equivalency.
Experience in healthcare revenue cycle process.
Excellent verbal communication skills.
Demonstrated ability to use Microsoft products.
Demonstrated ability to use computer, internet, web applications.
Ability to perceive and distinguish emotions during interactions with customers via telephone or in person, and respond professionally, with compassionate care.
Maintain acceptable attendance and adhere to scheduled work hours.
Ability to work within a team-oriented, fast-paced, customer-focused environment.
Ability to apply on-demand problem solving skills.
Preferred: Certified Ambulance Coder (initial certification only).
Preferred: Certified Professional Coder (CPC-AAPC).
Preferred: Certified Professional Biller (CPB-AAPC).
Preferred: Associate's degree.
Preferred: Bilingual.
Certifications / Licenses / Registrations
Certified Ambulance Coder (initial certification only) Preferred.
Certified Professional Coder (CPC-AAPC) Preferred.
Certified Professional Biller (CPB-AAPC) Preferred.
Associate's Degree Preferred.
Special Working Conditions The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit for prolonged periods, maintain hand and finger dexterity, view a computer screen for extended periods, listen to and comprehend instructions, sustain concentration for tasks requiring attention to detail, and occasionally reach, stoop, kneel, stand, walk, crouch or crawl. The employee may be required to lift or carry light objects, up to 25 pounds.
Individuals must not be excluded from filing claims to any federal or state government payor.
Salary Range Hiring Range = $23.23 - $26.02/hr; starting rate based on experience.
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Duties & Responsibilities
Demonstrate proficient knowledge and understanding of key concepts from various payors reimbursement and clinical coverage policies including Commercial, Medicare, Medicare Advantage, Medicaid, Medicaid Managed Care, third-party, contract, etc.
Demonstrate proficient knowledge and understanding of key concepts from various compliance Federal and State security regulations including HIPAA, The Security Rule, Personal Financial Information, Personal Health Information.
Demonstrate proficiency with general accepted accounting principles and methods.
Basic analytical skills to resolve claims or barriers impacting work product.
Proficient with office automation technologies including internet, payor web applications or portals, and Microsoft Office applications.
Proficient use of patient accounting billing software(s), medical records systems, and payment portals.
Generate assigned reports and apply task specific knowledge to resolve claims with limited oversight.
Ensure quality customer service is provided to all patients, including verifying insurance coverage, filing insurance claims, insurance follow-up, payment posting, and returning phone calls in a timely fashion.
Ensure accuracy of charges applied, payments posted, denial/follow-up procedures, and documentation.
Meet established quality and productivity standards.
Stay current on ambulance coding and regulatory billing guidelines.
Stay current on healthcare accounts receivable billing and collection procedures, including any additions and changes to insurance laws.
Maintain confidentiality of information and abide by all applicable laws and the corporate compliance program.
Demonstrate continuous effort to improve operations, streamline work process and work cooperatively to provide quality and seamless customer service.
Maintain positive working relationships with internal and external customers.
Knowledge of ambulance medical billing and procedures.
Participate in department and agency-wide activities including meetings, trainings, specialized committees and workgroups.
Education/Experience
High school graduate or equivalency.
Experience in healthcare revenue cycle process.
Excellent verbal communication skills.
Demonstrated ability to use Microsoft products.
Demonstrated ability to use computer, internet, web applications.
Ability to perceive and distinguish emotions during interactions with customers via telephone or in person, and respond professionally, with compassionate care.
Maintain acceptable attendance and adhere to scheduled work hours.
Ability to work within a team-oriented, fast-paced, customer-focused environment.
Ability to apply on-demand problem solving skills.
Preferred: Certified Ambulance Coder (initial certification only).
Preferred: Certified Professional Coder (CPC-AAPC).
Preferred: Certified Professional Biller (CPB-AAPC).
Preferred: Associate's degree.
Preferred: Bilingual.
Certifications / Licenses / Registrations
Certified Ambulance Coder (initial certification only) Preferred.
Certified Professional Coder (CPC-AAPC) Preferred.
Certified Professional Biller (CPB-AAPC) Preferred.
Associate's Degree Preferred.
Special Working Conditions The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit for prolonged periods, maintain hand and finger dexterity, view a computer screen for extended periods, listen to and comprehend instructions, sustain concentration for tasks requiring attention to detail, and occasionally reach, stoop, kneel, stand, walk, crouch or crawl. The employee may be required to lift or carry light objects, up to 25 pounds.
Individuals must not be excluded from filing claims to any federal or state government payor.
Salary Range Hiring Range = $23.23 - $26.02/hr; starting rate based on experience.
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