RC Edits Specialist PG

Full Time
Naples, FL
Posted
Job description
Business Office NCHHG
Full-Time
Day
8:00am - 5:00pm

Weekend: None / Not Applicable

Req # 56374

  • Essential Job Accountabilities:


      Job Summary:
        Reviews and analyzes diagnostic and procedural information to remediate pre-bill edits, supporting the Centralized Billing Office. The primary function of this position is to perform pre-bill claim and registration edits. This position will be required to train onboarding team members as needed.

      Essential Duties and Responsibilities:
        • Demonstrates a strong ability to work independently and enters all information accurately into patient accounting system.
        • Documents complete and detailed descriptions of any charge modifications within patient accounting system.
        • Analyzes data and makes recommendations regarding resolution of identified issues.
        • Participates in interdisciplinary meetings to foster communication and education.
        • Maintains professional working relationship with Revenue Cycle Management to ensure optimum charge capture.
        • Maintains standards of excellence.
        • Demonstrates regular, reliable, and predictable attendance
        • Must be able to register a patient account in the HER.
        • Must be able to repoint charges to the appropriate registration in the billing system.
        • Maintains knowledge and clear understanding of revenue cycle processes.
        • Works closely with Revenue Integrity and Revenue Cycle Billing & Denial Specialists to ensure charges are going out the door correctly.
        • Demonstrates ability to work independently and research billing edits to resolve prior to billing.
        • Creates files for the patient statements daily for the statement vendor.
        • Prints and mails supplemental claims daily with associated documentation.
        • Works closely with the Revenue Cycle Cash Supervisor to print, sort, and distribute correspondence from the Lock Box and the Clearinghouse based on team.

      Education, Experience, Qualifications:
        • Minimum of a High School diploma or GED is required.
        • 1-year medical billing experience or PSR experience preferred.
        • Excellent customer service skills.
        • Ability to effectively gather and exchange information in both oral and written communications.
        • Organizational and time management skills and ability to work independently.
        • Proficiency in computer keyboarding skills required.
        • Ability to work independently with minimal supervision.
        • Detail oriented, analytical skills, ability to problem solve and recommend resolutions.
        • Ability to use MS Office Suite (Word, Excel, Outlook) at a beginner level.
        • Stays current on industry regulations and requirements.

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