NextGen RCM Specialist

$30,118 - $50,794/Yr

Texas Health Care - Arlington, TX

Full-time

Onsite - Arlington, TX

Ambulatory Health Care Services

About the position

The NextGen RCM Specialist at Texas Health Care PLLC is responsible for supporting healthcare revenue cycle management by collaborating with various stakeholders, conducting account research, and ensuring compliance with billing regulations. This role requires a strong understanding of payer-specific billing rules and the ability to maintain confidentiality while resolving issues related to revenue cycle management.

Responsibilities

• Work collaboratively with peers, offshore vendors, and senior management to ensure business needs are met.
• Provide support to physicians and care center staff with RCM questions or escalations.
• Conduct account research and analysis.
• Understand payer nuances and help in creating payer-specific billing rules.
• Identify and execute necessary process initiatives related to billing, adjustments, etc.
• Prepare and maintain various reports.
• Interact with internal and external customers to resolve outstanding issues.
• Maintain confidentiality of all information; adhere to all HIPAA guidelines/regulations.
• Perform additional duties as assigned.

Requirements

• Minimum 3 years experience with NextGen EPM software - Preferred
• Minimum 3 years of progressive professional experience in healthcare revenue cycle management.
• Proficient in government and commercial insurance billing and experience with working on various Clearing houses (Waystar, Trizetto, etc)
• Proficient in the use of Excel, Word, and PowerPoint or equivalent Google software
• Knowledge and understanding of ICD-10, CPT, and HCPCS codes and payer-specific coding guidelines.
• Knowledge and understanding of medical terminology and procedures.
• Knowledge of coding, medical records, remittance codes, and reimbursement policies.
• High School diploma or general equivalency.
• Good verbal and written communication skills.
• Ability and willingness to work flexible hours to meet staffing needs.

Nice-to-haves

• Experience working on HL7 library - Not Mandatory