These include web portal set up and maintenance, database maintenance, DDE Maintenance, liaison with vendor and working service now tickets.
Responsibilities:
Responsible for Revenue Cycle EDI setups. These include web portal set up and maintenance, database maintenance, DDE Maintenance, liaison with vendor and working service now tickets.
Serve as the company expert for all web portals used by Revenue cycle.
Maintain payor portal spreadsheet and users.
Responds to all service now tickets in a timely (within 24 hours) and accurate manner maintaining customer satisfaction; resolves all customer requests, inquiries, and concerns in an expedient and respectful manner.
Maintains accurate payor files for all commercial and governmental portals.
Establish and maintain a strong professional rapport with our web portal payers and work with employees of all levels to support accurate, proper data exchange and problem-solving techniques.
Maintain working knowledge of workflow, systems, and tools used in the department.
Maintain daily lock box spreadsheets.
Acts as the point person for incoming paper checks (Lock box) and credit card transactions.
Maintain all of Revenue cycle email distribution listings.
Set up and completes troubleshooting for all new Medicaid program for all states.
Performs maintenance on a weekly basis for Waystar and eSolutions products.
Identifies issues needing immediate attention that would hinder operations with claims, posting, remits, portals and communicate to your manager.
Participates as requested in special projects.
Problem solves independently before referring issues to the manager for resolution.
Complies with department best practices.
All other duties as assigned
Qualifications:
Education and Experience:
Formal Education: High School education or equivalent.
Knowledge of billing and payer claims requirements (commercial and government).
Understanding of the revenue cycle workflow.
Knowledge of governmental and commercial insurance billing requirements.
Ability to effectively manage competing priorities, and a sense of urgency.
Demonstrated ability to work independently, take initiative and be self-motivated.
Strong communication skills, both verbal and written
Solid Microsoft Office (Excel, Word, PowerPoint) skills.
Ability to work in fast paced, deadline driven environment
Possess excellent organizational and follow up skills, with a strong attention to detail.
Two years' relevant work experience or education in healthcare billing/coding a preferred, but not required.
