RCM AR specialist

Allscripts
Houston, TX Remote Full Time
POSTED ON 10/27/2022 CLOSED ON 11/11/2022

What are the responsibilities and job description for the RCM AR specialist 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.

AR Associate is responsible for timely follow up, denial review, corrections and appropriate reimbursement for all claims billed for all insurance payers. AR Associate is knowledgeable in their assign area/financial class. Duties include identifying and possessing working knowledge of claim life cycle in revenue cycle process. Additional responsibility includes identifying contractual write offs, adjustments, trends, and recoupments.

  • Follow-up on all outstanding insurance accounts within a timely manner.
  • Research denials/underpayments/rejections and requests/inquiries from insurance payers within standard billing cycle timeframe.
  • Submit corrected claims and process all claim appeals.
  • Ensure appropriate supporting documentation is received and complete to ensure accurate and timely processing of claims.
  • Research and perform all secondary billing.
  • Possess full understanding of EOBs to ensure payment accuracy and compliance with contract discount.
  • Review and recommend claims for adjustment/write off to management.
  • Communicate with payers about re-filing claims that were underpaid due to plan/provider errors. Use tracking system to follow up on re-filed claims with plans to ensure complete resolution.
  • Maintains productivity and quality results by following standard operating procedures outlines in the Staff Policy.
  • Other duties as assigned and directed by team management.

Job Requirements

  • High School Diploma or GED or equivalent (Required)
  • 2-3 years of physician billing experience required
  • Experience with Epic is required
  • Excel Experience is required

Must have received or be willing to receive the COVID-19 vaccine by date of hire to be considered for employment with Allscripts.

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

This is an official Allscripts Job posting. To avoid identity theft, please only consider applying to jobs posted on our official corporate site.

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