Job description

RCM Specialist

Performs designated revenue cycle (as required – billing, collections, accounts receivable, and payor engagement) activities for a single RCM client. Ensures receivables are reimbursed in an accurate and timely manner. Works directly with the payer and client towards efficient and effective revenue cycle results. Works independently and with minimal supervision.

Job Location: Remote

Anywhere in the United States. This role is eligible for work-from-home status. The majority of current Corridor staff work remotely, from their homes.

Essential Duties and Responsibilities: To perform this job successfully, an individual must be able to perform the following satisfactorily; other duties may be assigned.

• For a single client, acts as the primary point of contact/coordination for assigned revenue cycle activities.
• Ensures the coordination of collection activities for the client accounts, leading to the timely reimbursement of receivables using available client resources including internal/external databases, payer portals/websites, and telephone.
• Analyzes and clears payment variances. May prepare adjusted and corrected bills, adjust accounts receivable entries, or prepare refunds in accordance with existing operating procedures.
• Determines and initiates appropriate action to resolve denied/rejected invoices and prepares payer corrections and/or appeals in accordance with payer plan requirements using electronic and paper processes.
• Review EOPs/EOBs/RAs/EOMBs for accuracy of patient responsibility.
• Prepares special handling and/or reconciliation spreadsheets for payers and/or clients.

Qualifications

Education/Experience:

• High school diploma or general education degree (GED)
• 3+ years related experience and/or training; or equivalent combination of education and experience in healthcare revenue cycle management (RCM), emphasis on accounts receivable management, denial management and payment reconciliation
• Experience in home health and hospice a plus.

Computer Skills:

Microsoft Excel – intermediate skill required.

The above job description is not intended to be an all-inclusive list of duties and standards of the position. Incumbents will follow any other instructions, and perform any other related duties, as assigned by their supervisor.

Corridor provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. In addition to federal law requirements, Corridor complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Job Type: Full-time

Pay: $18.00 - $21.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance
• Work from home

Schedule:

• 8 hour shift
• Monday to Friday

Education:

• High school or equivalent (Required)

Experience:

• Healthcare Revenue Cycle Management: 3 years (Required)
• Accounts Receivable Management: 3 years (Required)
• Denial Management: 3 years (Required)
• Home Care Home Base EMR: 3 years (Preferred)
• Payment Reconciliation: 3 years (Preferred)
• Waystar Clearing House: 3 years (Preferred)
• eSolutions Clearing House: 2 years (Preferred)
• Hospice Billing & Collections: 2 years (Preferred)
• Home Health Billing & Collections: 3 years (Preferred)
• Delta Crescendo EMR: 2 years (Preferred)

Work Location: Remote

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