Title: Revenue Cycle Management Associate
Mandate: To perform and complete all tasks at the highest level of professionalism* and competence* within the scope of authority and responsibility of the overall function.
Responsibilities
• AR Follow-up
• Administration
• Professional Development
Objectives (by Responsibility)
AR Follow-up
1. Denial Management
• Investigate and resolve claim denials by identifying the root causes and taking appropriate actions (resubmission of claims, appeals or corrections)
2. Follow-up
• Pursue outstanding accounts through phone calls, portals, emails, written communication to facilitate timely payment from payers.
• Assure all accounts are noted and updated accordingly to reflect action taken
• Adhere to established workflows to ensure follow-up efficiencies and meet KPI metrics for quality and productivity
3. Aging reports
• Work assigned reports
4. Escalate any trends or denial issues to manager
Administration
1. Attend and participate in all relevant team meetings as requested.
2. Ensure that effective interdepartmental communication is adhered to at all times.
3. Adhere to all relevant departmental, company, and compliance policies and procedures at all times.
4. Reconcile daily postings against client’s daily bank transactions. (Senior RCMA’s responsibility only)
*Professionalism is described as being consistently appropriate in all situations and at all times.
*Competence is defined as using “effectiveness and efficiency” in equal measure at all times.
Professional Development
1. To attend all relevant skill building workshops as requested.
2. To stay current with all relevant skills, subjects and materials as it applies to the overall function.
3. To drive your own Performance Appraisal process every 90 days as supported and formalized by your manager.
4. To ensure that appropriate Self-Management is exercised at all times as it applies to the overall function and specifically as it relates to:
• Overall Professionalism
• Judgment
• Poise and Etiquette
• Propriety
• Dress code (business casual)
• Confidentiality (at all times)
• Managing Emotions (Emotional Maturity and control in all situations)
• Taking Initiative (may involve personal discomfort)
• Being self-directed
• Accepting responsibility
• Being accountable
• Self-critiquing
• Accepting and growing with others’ critique
• Being objective (when relevant)
• Building and maintaining workable relationships (based on mutual trust and respect)
• Suspending judgment (when relevant)
• Not discriminating
• Being accepting rather than judgmental (when appropriate)
• Allowing others their feelings
• Extending common courtesies
• Behaving out of a sense of urgency (when appropriate)
• Striving for Balance
• Appropriately delegating
• Evolving self-awareness
• Problem Solving and Decision Making (within scope of the function)
• Overall versatility (knowledge of Neighborhood Specialties and Profile information and appropriate application of this knowledge)
About us:
Fellow Health Partners Inc. is a leading-edge medical business solutions company that helps healthcare professionals and institutions to improve their bottom line by applying innovative methods of streamlining and enhancing the medical billing process. Supported by an active advisory board of leading doctors, Fellow Health Partners acts as an extension to any medical practice or facility by providing billing expertise, office and workflow solutions, customer service assistance, Advisory services, and administrative support.
We thank all applicants for their interest, however, only those selected for interview will be contacted..
Ready to take the next step in your career? Apply now and join our dedicated team at Fellow Health Partners!
Apply Today!