Revenue Cycle Specialist I
Department: Financial Operations
Job Status: Full Time
FLSA Status: Non-Exempt
Reports To: Billing Manager
Grade/Level: High School/GED
Amount of Travel Required: None
Position is fully remote for candidates residing in Missouri
Work Schedule: 40+ hours per week


POSITION SUMMARY
Responsible for submitting claims and following up with insurance companies for all providers as defined by FQHC regulations. Responsible for collecting, posting and managing account payments.

Reasonable Accommodations Statement
To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. This job description in no way implies that these are the only duties to be performed and may be modified, interpreted, and/or applied in any way, as necessary. Maintaining regular and punctual attendance is required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties.

Essential Functions
ESSENTIAL FUNCTIONS STATEMENT(S)

• Prepare and submit clean claims to various insurance companies either electronically or by paper

- Post payments from insurance companies and patients; run a day sheet with each deposit for balancing- Work account aging reports by performing various collection actions including contacting patients and/or insurance companies by phone, correcting and resubmitting claims; follow reports status of delinquent accounts for possible collection

• Prepare, review and send patients statements
• Answer questions from patients, clerical staff and insurance companies
• Identify and resolve patient billing complaints
• Evaluate patient's financial status and establish budget payment plans
• Respect and maintain privacy and dignity of patients: assure client confidentiality at all times
• Adhere to all HIPAA guidelines/regulations
• Participate in staff and educational meeting

POSITION QUALIFICATIONS
Competency Statement(s)

• Detail Oriented - Ability to pay attention to the minute details of a project or task.
• Initiative - Ability to make decisions or take actions to solve a problem or reach a goal.
• Judgment - The ability to formulate a sound decision using the available information.
• Knowledge - Appraise familiarity with techniques and procedures needed to complete the work.
• Problem Solving – Ability to recognize courses of action which can be taken to handle problems or potential problems and a contingency to solve those problems.
• Productivity - Asses the amount of work completed in relation to expectations.
• Teamwork - Assess the ability to work with others, when appropriate, to attain organizational goals and objectives.
• Time Management - Ability to utilize the available time to organize and complete work within given deadlines.

Work Experience
Required Experience: 1 to 2 years
Experience: - 1 to 2 years related experience

• Knowledge of medical billing/collection practices
• Knowledge of medical billing system for Medicare and Medicaid
• Knowledge of diagnosis and medical procedure coding (ICD-9 and CPT)

Computer Skills: Knowledge of modern office practices and equipment including computer basics
Other Requirements: Occasional overtime may be required and/or hours may be shortened as business needs dictate.


Education
Degree Level Required: High School High School Graduate or General Education Degree (GED): Required
Graduate of an accredited school for Medical Billing preferred, or the equivalent in years of experience

WORK ENVIRONMENT
100% Remote