Full RCM Medical Billing/Coding Account Manager
Benefits:
401(k)
Dental insurance
Health insurance
Opportunity for advancement
Signing bonus
Training & development
Vision insurance
Wellness resources
Full RCM Account Manager Medical Billing
Human Resource
UR' Billing Solution LLC (URBS) BMWIT Mental Health and Wellness Group Prtactice
Portland, OR 97232
Website: https://www.urbillingandmedical.com/
This job mainly onsite You must live in Portland, OR and Vancouver Washington area
Contact email: urbillingsolutionllc@gmail.com
Contact person: Stephanie White
If you have any questions, please feel free to email us. At this time, we cannot respond to all inquiries by phone.
Job Requirements
Here’s how your profile aligns with the job description.
Skills
Customer service
Education
High school diploma or GED
Preferred
associate degree
Required
Certified Biller
Licensed coder
Description:
UR’ Billing Solution LLC Opportunity with BMWIT– Apply Today!
Our company is based in Portland, Oregon; however, our services are offered nationwide. URBS provides full revenue cycle management for outsourced medical billing services. We serve physicians, private practices, clinics, hospitals, and more. We bill for multiple types of services. In this role you work for Black Men & Women In Training LLC (BMWIT) Mental Health and Wellness Group Practice.
This position maintains a timely revenue cycle and ensures accurate payment for goods and services according to contracted rates and/or payor fee schedules. It is also responsible for maintaining patient confidentiality and functioning within the guidelines of HIPAA.
Job Duties:
Accounts Receivable
Collect accounts by sending bills or following up on bills with payers via phone, email, fax, mail, or websites.
Investigate and resolve customer inquiries regarding charges.
Monitor patient account details for non-payments, delayed payments, and other irregularities.
Communicate with customers regarding insurance, payments, and invoices.
Authorization and Confirmation:
Collaborates with internal & external customers to provide status updates & coordinate appeals on denied authorization.
Resolves pending revenue by reconciling approved authorizations and pending charges.
Ensure claims will be billed correctly to insurance.
Data Support:
Responsible for the daily claims submissions/printing for all eligible/ready status claims
Resolves all claim rejections promptly to guarantee submission within the timely filing requirements of the payers.
Unbilled Revenue:
Analyze documentation required for billing services and ensure compliance with payer requirements.
Resolve pending revenue by reconciling received documentation and pending charges.
Requests authorization from state Medicaid programs.
Maintains and updates physician databases to ensure accurate delivery of billing documentation and communications with physician offices.
Completes accurate documentation of authorization requests and follow-up activities on each account.
Patient Financial Services:
Identify trends and root causes of inaccurate private pay billing and report to the manager while resolving account errors.
Investigate escalated customer billing inquiries and take appropriate action to resolve the account.
Work in-house collection regarding patient balances owed on accounts.
Respond to the outside Collection agency regarding patient disputes of balances owed on accounts.
Case Management performed
All RCM Specialist responsibilities:
Educate patients, staff, and providers regarding authorization requirements, payer coverage, eligibility guidelines, documentation requirements, and insurance changes or trends.
Maintains extensive knowledge of different types of payer coverage, insurance policies, payer guidelines, and payer contracts to ensure accurate billing and timely payment is received.
Responsible for accurately entering data into the database, including, but not limited to, the payer, authorization requirements, coverage limitations, and status of any requalification.
Credentialing (when needed) or assigned.
Performs other related duties as assigned.
Competency, Skills, and Abilities:
Analytical and problem-solving skills with attention to detail.
Strong verbal and written communication.
Excellent customer service skills.
Proficient computer skills and knowledge of Microsoft Office.
Ability to prioritize and manage multiple tasks.
Solid ability to learn new technologies and technical aptitude to understand data flow through systems and system interaction.
Requirements:
Minimum Job Qualifications
High School Diploma or equivalent
One (3-5) years of work-related experience in healthcare administration, financial or insurance, customer services, claims, billing, call center, or management, regardless of industry.
Exact job experience is considered any of the above tasks in a Medicare-certified HME, Diabetic, Pharmacy, or home medical supplies environment that routinely bills insurance.
UR Billing Solution LLC and BMWIT are equal opportunity employers and do not unlawfully discriminate against employees or applicants for employment based on a UR Billing Solution LLC. And BMWIT we are an equal opportunity employers and do race, color, religion, creed, sex, national origin, age, disability, marital status, veteran status, sexual orientation, gender identity, genetic information, or any other status protected by applicable law. This policy applies to all terms, conditions, and privileges of employment, including recruitment, hiring, placement, compensation, promotion, discipline, and termination.
Benefits
After a full 90 days of employment
A complete medical plan includes vision and dental for individuals and families.
Long-term disability -Aflac
Accidental death policy -Aflac
Paid Time Off
PTO 11 days (at the beginning of employment)
(New Year's Eve off early)
New Year's Day
Martin Luther King Day
Memorial Day
Juneteenth 19th
Independence Day
Labor Day
Veterans Day
Thanksgiving Eve (off early)
Thanksgiving Day
The Day After Thanksgiving
Christmas Eve
Christmas
After Probationary Period
Sick days (5) 40 hours
Personal Time Off (3) a year
Mental Health Day (1) a year
In this position, one can make $65-70k a year.
Career Opportunities
No contract employment
This position will oversee Black Men & Women In Training LLC Group Practice (BMWIT)
So, are you ready to jump-start your career? We would like to hear from you.
How do you apply for this position?
Send your resume to urbillingsolutionllc@gmail.com as an attachment. If not attached, your resume will be looked over.
In the subject line: Full RCM
Flexible work from home options available.