Medical Billing Manager - Remote

Bizmatics Inc - Little Rock, AR (29 days ago)

Full-timeEstimated: $45,000 - $60,000 a year

Skills

Client Manager - Revenue Cycle Management

Company: PrognoCIS EMR/PM system

Location: Tele-commute position

Description

Position Overview:

Client Manager – Revenue Cycle Management (CM-RCM) is a business a management position where the Individual is responsible for the revenue cycle process for various physician offices. CM-RCM is the primary contact between RCM team and the physician offices. CM-RCM will work very closely with the Implementation Specialists at PrognoCIS implementing the integrated EMR-PM-RCM solution.

Proactively analyze the client’s financial health on a monthly basis to identify reimbursement trends, patterns of denials and to develop an intimate understanding of the factors that are contributing to the clients’ financial performance.

Job Functions / Responsibilities:

As a client manager with the RCM team you will be responsible for:

  • Evaluating the clients billing needs.
  • Creating and educating clients on best practice workflow.
  • Responsible for data base set up content in the software to ensure best billing practices workflows.
  • Coordinating all practice billing activities with physician practice and RCM billing teams.
  • Work closely with the Implementation team assigned to ensure proper system build and billing setup.
  • Process clearing house enrollment and assist the physician practice to set up EFT as desired.
  • Responsible to set up the client’s system and train staff on using PrognoCIS software based on their workflow using best billing practices.
  • Daily tracking of operational elements of physician practice to include: encounters (open/closed), timely claims processing, timely and accurate payment posting, monitoring of un-posted payments, billing questions, clearinghouse reports, weekly go-live follow up.
  • Establish and maintain a working relationship with physician practice.
  • Proactively analyzes the client’s financial health on a monthly basis to identify reimbursement trends, patterns of denials and to develop an intimate understanding of the factors that are contributing to the clients’ financial performance.
  • Making workflow recommendations to both customer & internal RCM team to improve back office operation.
  • Creation of Month End Reporting and submission to provider practices
  • Research, document & train billing teams on specific insurance, coding and documentation requirements.
  • Research and share billing information pertinent to States and Insurances

Requirements:

  • Minimum 3-5 years medical billing experience
  • Knowledge of Medicare, Medicaid, commercial paper and electronic claims processing is a must
  • Knowledge of ICD, CPT, HCPC coding, ability to read EOBs, post payments, refunds is a must
  • Experience in eligibility verification, ERA, familiarity with HIPAA rules
  • Knowledge of billing workflow
  • CPC or any certification strongly preferred
  • PrognoCIS experience a plus

Other Skills/Abilities:

  • Team player attitude
  • Organized with attention to detail
  • Accurate data entry skills
  • Excellent telephone etiquette
  • Must be customer service oriented and take ownership
  • Strong verbal and written communication skills
  • Ability to work in a fast-paced work environment
  • Sound analytical and problem – solving skills
  • Ability to make decisions and work independently.
  • Basic computer skills and familiarity with Microsoft Office Tools

Job Type: Full-time

Experience:

  • Certified Coder: 1 year (Preferred)
  • medical office management: 3 years (Preferred)
  • medical billing: 3 years (Required)

Language:

  • Spanish (Preferred)