Job Description

The Jr Account Manager of Revenue Cycle Management will be responsible for the productivity of workflow within a functioning team. They will be expected to:

Communicate effectively to ensure a concrete workflow that increases practice revenue while reporting to the Sr. Account Managers on all aspects of the account.

Responsibilities:

• Ensure timely and proper payments from all payers.
• Follow up on any outstanding items and client issues. Identify and quickly rectify any issue that interrupts the Revenue Cycle for clients.
• Initial escalation points for all lead issues within the assigned team.
• Assist the Sr. Account Manager in all aspects of training regarding assigned team members.
• Coordinate weekly and daily calls with the assigned team on open items.
• Ensure that the payment poster’s issues within the portfolio are tracked and resolved.
• Ensure that the denial team’s issues within the portfolio are tracked and resolved.
• Review monthly close reports to ensure that all payments have been applied correctly assigned accounts.
• Run the End of the Month Reconciliation with the Sr. Account Managers.
• Report to upper management on items not resolved by Sr. Account Managers in a timely manner.
• Maintain strict patient confidentiality/HIPAA compliance.
• Maintain knowledge of ICD9/ICD10 diagnostic as well as CPT/HCPCS procedural coding.
• Maintain thorough knowledge of insurance carriers and their claim guidelines/requirements.
• Guide the team to meet the metrics (production targets) and enable faster resolution in case the targets are not met.
• Regularly evaluate a set % of payments posted /A/R worked for correctness and ensures that the policies are applied.
• Follow up on invoices submitted whenever necessary in case of resource crunch.
• Assist in creating and updating Collection training modules & train new and existing employees.
• Make calls to troubleshoot payment discrepancies and establish resolution.
• Document, in detail, phone calls, including phone numbers, person spoken to, and call details on a consistent basis. (Who, What, When, Where & Why)
• Resolve issues that created a denial within 5 days of receipt of denial.
• Interact with others in a positive, respectful, and considerate manner.
  
  

Qualifications:

Must have a minimum of 2 years of experience with Revenue Cycle Management/Medical Billing.

Knowledge of Practice Management Systems. Medics Premier and/or Medics Elite experience a plus.

Experience with electronic claim submission via Clearinghouse. Emdeon/ Change Healtcare experience a plus.

Billed for multiple specialties.

Billed for both Professional and Institutional claims with a solid understanding of HCFA-1500 and UB-04 claim forms as well as the electronic equivalent.

Processed ERAs.

Enrolled EDI.

Excellent oral and written communication skills.

Experience with provider credentialing a plus.