RCM Billing Support Specialist
Specialists On Call, United States
Job Description
SOC Telemed (SOC) is the leading national provider of acute telemedicine technology and solutions to hospitals, health systems, post-acute providers, physician networks, and value-based care organizations since 2004. Built on proven and scalable infrastructure as an enterprise-wide solution, SOC’s technology platform, Telemed IQ, rapidly deploys and seamlessly optimizes telemedicine programs across the continuum of care. SOC provides a supportive and dedicated partner presence, virtually delivering patient care through teleNeurology, telePsychiatry, teleCritical Care, telePulmonology, teleCardiology, teleInfectious Disease, teleNephrology, teleMaternal Fetal Medicine and other service lines, enabling healthcare organizations to build sustainable telemedicine programs across clinical specialties. SOC enables organizations to enrich their care models and touch more lives by supplying healthcare teams with industry-leading solutions that drive improved clinical care, patient outcomes, and organizational health. The company was the first provider of acute clinical telemedicine services to earn The Joint Commission’s Gold Seal of Approval and has maintained that accreditation every year since inception.
Our Vision as an organization is to transform healthcare by enabling patients to have increased access to the highest quality care via a technology-enabled platform.
Our Mission statement follows simply and clearly from our vision. We partner with healthcare organizations to bring clinicians and patients together using innovative technologies to improve clinical care and patient outcomes in a measurable way.
Requirements
The RCM Support Specialist will play a vital role in the Revenue Cycle Management department working closely with RCM leadership to ensure the efficient timely flow of overall billing related operations to promote the department. The RCM Support Specialist will perform RCM related tasks pertinent to successful billing operations. In an effort to promote cooperative coordination across the organization, the RCM Support Specialist will collaborate with relevant SOC departments to ensure operational alignment and continuous data-driven quality improvement across the revenue cycle continuum. Enthusiasm and eagerness to learn will be integral to the success of this role and to the efficiency and efficacy of billing operations.
ADDITIONAL RESPONSIBILITIES
- Open, process, sort and distribute incoming RCM mail
- Process checks and prepare deposit cover sheet
- Scan EOBs and check copies to local folders and upload to appropriate billing system folders
- Record payment details via excel reports
- Verify accuracy of insurance payments received and posted to the billing system
- Analyze data to identify, diagnose, and resolve billing issues expeditiously
- Review necessary information in billing system in order to respond to management questions
- Researches accounts in the billing system as necessary to answer patient questions
- Obtain demographics and insurance information from client EMR systems
- Assist with data entry to the billing system
- Download medical records from SOC health maintenance system, label and upload to specified areas of the billing system
- Assists with AR monitoring to ensure the continuous effective flow and prompt reconciliation of accounts
- Assist in monitoring the patient AR process to ensure that Client specific patient management processes are being implemented and followed
- Assist in the preparation and review of reports from the billing system
- Researches accounts in the billing system as necessary to answer patient questions
- Refer complex accounts to management for further action
- Provide feedback and recommendations for improved billing functions such as coding, charge entry, insurance follow-up, and payment posting
- Strict adherence to regulatory, operational, and legal compliance protocols
- Responsibilities may include other revenue cycle billing related tasks as necessitated by the operational implementation plan
Skills
- Knowledge of medical billing protocols
- Understand and abide by billing compliance regulations
- Understanding of insurance plans and requirements
- Ability to meet minimum daily and monthly productivity and performance metrics
- Create and or maintain a practical filing system
- Knowledge of manual and digital filing and scanning
- Ability to prioritize when managing multiple projects concurrently
- Capability to work under pressure and manage workflow in effort to meet deadlines
- Ability to learn quickly and present ideas for improvement
- Ability to analyze data and apply critical thinking t