Revenue Cycle Associate - REMOTE
Dallas, TX, United States
Location: Steward Health Care Posted Date: 3/19/2024 Job Type: Full Time Department: 1301.42071 CVBO This position is responsible for the resolution of outstanding and/or denied claims based on third party c l aim processing rules within established timelines. The Revenue Cycle Associate reports to the central bus i ness o f fice supervisor or manager.
Meets goals and objectives in assigned area;
Complies daily with departmental policies and procedures;
Performs collection activity to ensure proper resolution and reimbursement on claims;
Provides thorough, courteous, and professional assistance to coworkers and patients;
Ensures that all claims are billed and collected and meet all government mandated policies for Integrity and Compliance;
Collaborates with hospital departments in the resolu t ion of accounts;
Resolves claims processing issues with third party payers and provide a ll required information timely; involves patients and family members (where necessary) to ensure timely resolution of claims with in s urance companies;
Resubmits clean and accurate claims to insurance companies in a timely and compliant manner;
Researches, prepares, and submits appeals to insurance companies;
Details all actions taken on account with clear and concise notes;
Monitors and recognizes denials and/or issues that may be trends and escalate to superv i sor as needed; and
Maintain strict confidentiality and adhere t o all HlPAA guidelines/regulations.
Knowledge of basic medical coding/terminology and third-party insurance operating procedures and practice s a plus;
Understands payer guidelines related to effective claim r esolution;
Knowledgeable and proficient with payer websites and other useful resources;
Knowledge of revenue cycle and/or business office procedures;
Highly detail oriented and organized;
Ability to read, understand, and follow oral and written instructions; and
Ability to establish and maintain effective working relationships and communicate cl early with customers and insurance companies both within and outside of Steward.
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