What are the responsibilities and job description for the Revenue cycle specialist position at Urgent Care for Kids?
Description :
Goodside Health is seeking Revenue Cycle Management Specialists with expertise and dedication to play a vital role in ensuring the financial health of our organization.
Our RCM team members are instrumental in managing the intricate process of revenue generation, from the initial patient encounter to the final payment collection.
At the heart of our RCM department lies the commitment to efficiency, accuracy, and excellence. Our RCM team collaborates with various stakeholders, including clinicians, administrative staff, and insurance providers, to optimize revenue streams while maintaining compliance with regulatory standards.
Our RCM team is a key contributor to the organization's success. Attention to detail and the ability to adapt to evolving industry trends are essential in navigating the complexities of healthcare reimbursement.
The team's efforts impact the organization's ability to provide high quality care to our patients while sustaining the financial viability of our organization.
ABOUT GOODSIDE HEALTH
Our pediatric urgent care line of business, Urgent Care for Kids, was founded in 2011 and operates thirteen clinic locations throughout Texas.
We launched our novel SchoolMed offering in 2019 with the aim to advance the delivery of pediatric care. Today, SchoolMed proudly serves more than 1.
1 million eligible students and their campus communities though our telehealth and well care programs.
At Goodside Health , we are driven to provide excellent patient care and customer service. Our purpose is to close the gaps in children's healthcare through innovation and execution.
The ideal candidate is initiative-taking, innovative, and passionate about our purpose as well as our core values of Passion, Humility, Adaptability, Nurture, and Experience.
Join us for a career where you can grow professionally in a nurturing environment that values innovation and a collaborative approach.
We offer competitive benefits, opportunities for professional development, and a dynamic workplace culture aligned with our core values.
Available positions : Billing Specialists & Payment Posting Specialists.
Requirements for ALL Positions
High school diploma or equivalent
Competency in Microsoft Office 365 (especially Excel) and electronic medical record (EMR) software
Ability to read, understand, and interpret explanation of benefits (EOB) documents
Ability to define challenges, analyze problems, and suggest solutions in a proactive and positive manner
Ability to effectively communicate with patients, insurance companies, and team members within organization using excellent both verbal and written communication skills
Ability to manage and prioritize multiple tasks through excellent time management and organizational skills
High attention to detail in fast paced and dynamic environment
Ability to adapt to change quickly and rebound well
Ability to handle repetitive tasks
Regular and reliable attendance is a core requirement of this position as it affects quality and organizational cash flow
BILLING SPECIALIST
ESSENTIAL FUNCTIONS
Create accurate billing by reviewing CPT, ICD-10 and Modifier guidelines by insurance
Audit patient demographics and insurance information prior to billing
Generate and send electronic claims
Review prior months to be sure all billing has been sent out
REQUIRED SKILLS AND ABILITIES
Proficient in HMO, PPO, and governmental insurances
Understanding of CMS-1500 forms, Clearinghouse claim submission, CPT, ICD-10, and HCPCS
Proficiency in healthcare terminology and medical procedure coding
EXPERIENCE
1 2 years' experience in medical insurance billing and / or collections.
PAYMENT POSTING SPECIALIST
ESSENTIAL FUNCTIONS
Reviewing Electronic Remittance Advice for proper payment
Daily cash reporting and posting using Excel and company software programs
Reconcile bank deposits to ERA & Credit card deposits received
Scanning EOB's into system
Applying patient credits / insurance denials / zero payers to patient accounts
Preparing Refund Requests
Posting Account adjustments
Daily Balancing
Month End reporting
Other duties as required
REQUIRED SKILLS AND ABILITIES
Ability to search within insurance websites such as Availity, TMHP, Optum
EDUCATION & EXPERIENCE
1-2 years insurance payment posting with multiple payers.
Must have experience in posting from Bank Lockbox
Experience in Microsoft Excel with sorting / filtering with large sets of data to optimize and streamline workflow
Experience working with eMDs / Epic / Centricity is a plus
COMPENSATION & BENEFITS
The base hourly pay rate range for these positions is $18 / hour to $24 / hour.
At Goodside Health , compensation is determined based on factors that may include geographic location, skills, education, and experience.
In addition to these factors, we believe in the importance of pay equity and consider the internal equity of our current team members as a part of any offer.
The salary range listed is just one component of Goodside Health's total compensation and rewards programs, which also include :
Competitive compensation & incomparable company culture
Certain revenue-generating positions may be eligible for incentive compensation
Medical, Dental, Vision
Basic Life, Voluntary Life, Short-Term and Long-Term Disability
Accident, Hospital Indemnity, Critical Illness, Legal and ID Theft Insurance
Pet Insurance
Employee Assistance Program
Corporate Discount Program
Team Member Recognition Program
Swag Store
401k Retirement Savings Plan
Paid Time Off (PTO) & Holidays
Free In-Clinic & Telemedicine Visits for Team Members & Dependents
EQUAL OPPORTUNITY STATEMENT
Goodside Health sincerely embraces diversity and equal opportunity. We are committed to building a team that represents a variety of backgrounds, perspectives, and skills.
We believe that diverse teams make the strongest teams, and we encourage people from all backgrounds to apply.
Requirements :
Compensation details : 18-24 Hourly Wage
PIcb256853832a-26289-34308336
Last updated : 2024-05-02
Salary : $18 - $24
