RCM Specialist - Accounts Receivable

Help At Home - Chicago, IL

Full-time - Entry Level

Chicago, IL

10,001+ employees

Administrative and Support Services

About the position

The RCM Specialist, AR plays a crucial role in the Revenue Cycle Management Department by handling accounts receivable functions, including data entry, bookkeeping, and claim submissions. This remote position requires a high level of attention to detail and the ability to analyze and resolve routine billing issues, ensuring that claims are processed efficiently and accurately to support the company's mission of enabling individuals to live independently at home.

Responsibilities

• Submits claims to payors in accordance with payor requirements and agency policy.
• Receives notices of claim rejections & denials and properly tracks and resolves issues to ensure claim payment.
• Maintains complete and accurate accounts receivable records.
• Performs troubleshooting for billing error codes.
• Works with the payer or branch operational team to identify and resolve issues.
• Maintains accurate billing analysis reports and communicates implications promptly to the appropriate parties.
• Analyzes daily reports from the state and matches the approved payments to the client.
• Alerts the Operations Team and Manager regarding late or missing documents required for billing.
• Assists with the collection of receivables by monitoring accounts receivables, resubmitting bills to overdue accounts, and alerting Manager regarding seriously overdue accounts.
• Produces reports as needed.
• Performs administrative duties such as sorting, scanning, filing, and emailing records.
• Performs other duties as assigned.

Requirements

• High School diploma or GED required.
• One (1) to two (2) years' experience of revenue cycle management or billing experience in the healthcare field.
• Knowledge of Medicaid/Managed Care Organization (MCO) billing practices.
• Experience with billing in an Electronic Data Interchange/3rd party clearinghouse environment.
• Intermediate to advanced computer skills, including the use of Microsoft Office applications.

Nice-to-haves

• Self-motivated and reliable.
• Strong attention to detail and maintains confidentiality.
• Excellent communication and customer service skills under duress at a fast pace.
• Ability to function as a positive team member.