Accounts/Receivable Specialist RCM (NextGen)

Essential Duties and Responsibilities:

Work collaboratively with peers, offshore vendors, and senior management to ensure business needs are met.
Provide support to physicians and care center staff with RCM questions or escalations.
Conduct account research and analysis.
Understand Payer nuances and will be able to help in creating payer-specific billing rules.
Identify and execute necessary process initiatives related to Billing, adjustments, etc.
Prepare and maintain various reports.
Interact with internal and external customers to resolve outstanding issues.
Maintain confidentiality of all information; adhere to all HIPAA guidelines/regulations.
Additional duties are to be assigned from time to time.

Required Experience and Skills:

Minimum 3 years experience with Athena software - Preferred
Minimum 3 years of progressive professional experience in healthcare revenue cycle management.
Proficient in government and commercial insurance billing and experience with working on various Clearing houses (Waystar, Trizetto, etc.)
Proficient in the use of Excel, Word and PowerPoint or equivalent Google software
Knowledge and understanding of ICD-10, CPT, and HCPCS codes and payer-specific coding guidelines.
Knowledge and understanding of medical terminology and procedures.
Knowledge of coding, medical records, remittance codes, and reimbursement policies
High School diploma or general equivalency.
Good verbal and written communication skills.
Ability and willingness to work flexible hours to meet staffing needs.

Job Type: Full-time