What are the responsibilities and job description for the RCM AR Specialist- Fully Remote position at Allscripts?
Welcome to Allscripts! Our Mission is to be the most trusted provider of innovative solutions that empower all stakeholders across the healthcare continuum to deliver world-class outcomes. Our Vision is a Connected Community of Health that spans continents and borders. With the largest community of clients in healthcare, Allscripts is able to deliver an integrated platform of clinical, financial, connectivity and information solutions to facilitate enhanced collaboration and exchange of critical patient information.
**This is a fully remote position
Job Summary
Responsible for the overall recovery and management of accounts receivable as it relates to maximizing accounts receivable collections for RCMS clients. The position involves detailed research and follow-up on medical insurance claims and the careful preparation of appeals and responses to efficiently interact with insurance carriers and resolve the claim. Supports the RCMS BU's overall Operations and Client Services by efficiently and effectively driving the accounts receivable process and achieving KPI results. No budget responsibilities, but must meet established RCM KPI's.
Essential Functions
- Strong customer service skills for client satisfaction and client AR health
- answering client, patient and carrier calls; prompt return and follow up to all interactions; prompt response to requests for information
- Timely management of unpaid claims as assigned, through the use of the client's office management/administrator;
- aging reports; correspondence; Clearinghouse and PM rejections; SharePoint reference/maintenance
- Effectively handle complex payer denials; responsible to ensure that secondary claims are processed and paid
- Monitoring and reconciliation of claims to include:
- Held vouchers
- Unbilled vouchers
- Denial trends
- Patient balance report
- Credits and refunds
- Manage and track information requests to client.
- Answer and resolve all incoming calls and requests in a timely manner.
- Complies with and enforces policies and procedures
- Achieves goals set forth by RCM management regarding error-free work, transactions, processes, productivity and compliance requirements. Specific goals include 1,400 accounts worked per month
- May act as partner for new hires to assist them in learning
- Other duties as assigned
Job Requirements
- High School Diploma or GED or equivalent (Required)
- 1 year relevant work experience (Preferred)
Compliance
Job responsibilities include fostering the Company's compliance with all applicable laws and regulations, adherence to the Code of Conduct and Compliance Program requirements, policies and procedures. Compliance is everyone's responsibility.
Knowledge, Skills and Abilities
- Extensive knowledge with email, search engines, Internet; ability to effectively use payer website and Laserfiche; basic competence in use of Microsoft products. Preferred experience with MS Access and PowerPoint, Crystal reports and various billing systems, such as NextGen, Pro, Allscripts, Epic and others
#LI-VER
We strongly advocate that our associates receive all CDC recommended vaccinations in prevention of COVID-19.
Visa Sponsorship is not offered for this position.
At Allscripts, our greatest strength comes from bringing together talented people with diverse perspectives to support the technology needs of 180,000 physicians, 1,500 hospitals and 10,000 postacute organizations across the globe. Allscripts offers a comprehensive compensation and benefits package, including holidays, vacation, medical, dental, and vision insurance, company paid life insurance and retirement savings.
Allscripts' policy is to provide equal employment opportunity and affirmative action in all of its employment practices without regard to race, color, religion, sex, national origin, ancestry, marital status, protected veteran status, age, individuals with disabilities, sexual orientation or gender identity or expression or any other legally protected category. Applicants for North American based positions with Allscripts must be legally authorized to work in the United States or Canada. Verification of employment eligibility will be required as a condition of hire. Allscripts is proud to be an equal opportunity workplace dedicated to pursing and hiring a diverse and inclusive workforce.
From a "VEVRAA Federal Contractor" We request Priority Referral of Protected Veterans
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