Senior RCM Specialist - Connexion Systems + Engineering
Billerica, MA 01730
About the Job
Title: Senior RCM Specialist, ED Billing
Hiring Organization: Connexion Systems & Engineering
Compensation, Benefits, and Employment Type
Description:
Process all denied and unpaid claims submitted to insurance carriers to ensure payments are received and provide oversight to internal team leads and billing specialists doing similar work. Training of new hires as well as working closely with implementation of new clients.
Duties and Responsibilities
To perform this job successfully, an individual must be able to perform each duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities perform the duties.
Education (Degrees, Certificates, Licenses, Etc.)
Computer Skills
Experience
Specific Job Knowledge, Skill and Ability
Work Environment
Hiring Organization: Connexion Systems & Engineering
Compensation, Benefits, and Employment Type
- Duration: Contract
- Pay rate: $ 23.00 /hour
- Job Location: Billerica, MA
Description:
Process all denied and unpaid claims submitted to insurance carriers to ensure payments are received and provide oversight to internal team leads and billing specialists doing similar work. Training of new hires as well as working closely with implementation of new clients.
Duties and Responsibilities
- Review all denials on an explanation of benefits (EOB) and work on issues/errors until resolved
- Conduct follow-up on outstanding and aged accounts
- Submit required appeals when needed
- Identify billing issues and effectively communicate and resolve these issues with the Manager and the contracts and collections teams
- Submit any required documentation to insurance companies as requested
- Review claims for accuracy to ensure it is processed in a timely manner
- Communicate with insurance companies, adjusters, and attorneys on a regular basis
- Correct any errors and resubmit all unprocessed or returned claims to insurance companies
- Enter new information into billing software to create HCFA bills
- Assist the Billing staff in resolving issues and answering their questions
- Forward issues to appropriate Account Manager
- Training and auditing of new employees and existing employees
- Develop an expert level understanding of billing system functionality
- Assist the team lead staff in any backlog of work or issues
- Adhere to the Code of Conduct and be familiar with all compliance policies and procedures relevant to this position
To perform this job successfully, an individual must be able to perform each duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities perform the duties.
Education (Degrees, Certificates, Licenses, Etc.)
- High School Diploma or equivalent combination of education and experience required.
Computer Skills
- Prior word processing, spreadsheet and internet software experience including proficiency with MS Excel and MS Word required.
Experience
- One to two years related billing experience preferred
- Previous Billing Specialist experience highly desired
Specific Job Knowledge, Skill and Ability
- Ability to add, to subtract, multiply and divide in all units of measure
- Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedural manuals
- Ability to write routine reports and correspondence
- Ability to communicate effectively verbally and in writing
- Ability to speak effectively before groups of customer or fellow employees
- Ability to apply common sense understanding to carry out instructions
- Specific vision abilities required by this job include close vision
- Ability to sit for prolonged periods of time, use hands, talk, hear and occasionally walk and reach with hands or arms
Work Environment
- This position is in a temperature-controlled environment when the work is performed onsite. The noise level in the onsite work environment is usually light to moderate.
- This job description is not intended to be an exhaustive list of the duties and responsibilities of this position. Additional duties not included on this job description may be assigned by management at any time, based upon the business needs of the Company. Employees must perform all such duties assigned to them as a condition of employment. Likewise, this job description does not alter the at-will nature of employment at the Company.
- The Company may review and update this job description from time to time, as deemed necessary or appropriate in its sole discretion.
Source : Connexion Systems + Engineering
