What are the responsibilities and job description for the Revenue Cycle Management (RCM) Specialist position at Acorn Health?
Acorn Health is an Applied Behavioral Analysis (ABA) treatment provider dedicated to providing the best quality care for our clients. We aim to continually establish best-in-class standards in integrity and quality for not only ourselves, but also in the field of ABA. We work courageously and with accountability to focus on the individuality of each child, collaborate with client families, and generate permanence in client outcomes. We strive to hire and to invest in our greatest asset - our employees, who are the heart of Acorn Health.
Acorn Health is a standard-setting family of ABA treatment providers. We believe the best employees want to work with companies who share their beliefs, and that is true for families who entrust us with children they love. Every day and every interaction, we strive to demonstrate our Five Core Values.
The Revenue Cycle Management Specialist utilizes knowledge of insurance regulations, health insurance contracts, medical billing and coding, and accounts receivables to perform a variety of revenue cycle support activities. These include but are not limited to billing for services, ensuring the accuracy of the information housed in the practice management system is in accordance with payer guidelines, collecting and managing account payments, submitting accurate claims, and following up on accounts
Duties/Responsibilities:
Acorn Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, age, genetic information, veteran status, disability or other legally protected characteristic.
Apply to join our team today!
Your positive impact on our clients and their families will be significant, and you will expand your knowledge and expertise ready to take on additional challenges and grow your career.
Acorn Health is a standard-setting family of ABA treatment providers. We believe the best employees want to work with companies who share their beliefs, and that is true for families who entrust us with children they love. Every day and every interaction, we strive to demonstrate our Five Core Values.
The Revenue Cycle Management Specialist utilizes knowledge of insurance regulations, health insurance contracts, medical billing and coding, and accounts receivables to perform a variety of revenue cycle support activities. These include but are not limited to billing for services, ensuring the accuracy of the information housed in the practice management system is in accordance with payer guidelines, collecting and managing account payments, submitting accurate claims, and following up on accounts
Duties/Responsibilities:
- Audits service entries to ensure clean claim submissions to insurance carriers.
- Respond to inquiries from insurance companies, patients, and providers.
- Resubmits improperly paid/denied claims to the carrier for proper payment in a timely manner.
- Research all assigned contracted and/or non-contracted carrier and private-pay accounts to ensure the proper payment through reports, spreadsheets, and special projects as deemed necessary.
- Make necessary arrangements for medical records requests, completion of additional information requests, etc. as requested by insurance companies.
- Maintain tasks and entries actioned by other departments.
- Read and interpret insurance explanations of benefits.
- Posts all charges and payments for accounts and balances daily activity.
- Regularly attend monthly staff meetings and training.
- Interface with clinical, authorizations, and credentialing department staff regarding insurance/patient issues.
- Communication with payer contacts/representatives to provide billing or appeals resolutions.
- Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.
- Utilize monthly aging accounts receivable reports to follow up on unbilled claims.
- Identifies and corrects any claim processing errors due to data entry, verification, coding and/or posting mistakes.
- Ensures accounts are properly documented.
- Performs other related duties as assigned.
- Knowledge of Healthcare billing systems and practices.
- Familiarity with CPT and ICD-10 Coding.
- Proficient with Microsoft Office Suite or related software.
- Ability to prioritize tasks and delegate them when appropriate.
- Meet established production and quality goals/metrics.
- Strong analytical and problem-solving skills.
- Demonstrates organizational skills and thrives in paying attention to details.
- Excellent time management skills with a proven ability to meet deadlines.
- Effective verbal and written communication skills in a virtual environment such as over the phone, email, and video calls.
- Professionalism- Approaches others in a tactful manner; reacts well under pressure; treats others with respect and consideration regardless of their status or position; accepts responsibility for own actions; follows through on commitments.
- Adaptability- Adapts to changes in the work environment; manages competing demands; changes approach or method to best fit the situation; able to deal with frequent change, delays, or unexpected events.
- Dependability- Follows instructions, responds to management direction; takes responsibility for own actions; keeps commitments; completes tasks on time, or notifies the appropriate person with an alternate plan.
- Quality- Demonstrates accuracy and thoroughness; looks for ways to improve and promote quality; applies feedback to improve performance; monitors own work to ensure quality.
- Organizational Support - Follows policies and procedures; completes administrative tasks correctly and on time; supports organization's goals and values; benefits organization through outside activities; supports affirmative action and respects diversity.
- High School Diploma or General Education Degree (GED).
- At least two years of related experience in Healthcare Billing.
- Remain in a stationary position: More than 2/3
- Traverse or move around work location: none
- Operate or use department specific equipment: More than 2/3
- Ascend/Descend equipment or ladder: none
- Constantly position self to accomplish the Essential Functions of the role: More than 2/3
- Receive and communicate information and ideas for understanding: More than 2/3
- Transport, position, and/or exert force:
- Up to 10 pounds: 1/3-2/3
- Up to 25 pounds: less than 1/3
- Up to 50 pounds: none
- Up to 100 pounds: none
- More than 100 pounds: none
Acorn Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, age, genetic information, veteran status, disability or other legally protected characteristic.
Apply to join our team today!
Your positive impact on our clients and their families will be significant, and you will expand your knowledge and expertise ready to take on additional challenges and grow your career.
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