JOB SUMMARY

The Accounts Receivable Analyst for Value-Based RCM, Inc. (VBRCM) is responsible for resolving third-party payer insurance denials as well as identifying trends and payer requirements in an effort to prevent future denials.

MAJOR AREAS OF FOCUS

•  Denial Resolution
•  Payer Rules and Regulations

RESPONSIBILITIES

•  Use, protect, and disclose patient protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
•  Exhibit professional behavior and communication skills representative of VBRCM's commitment to superior customer service
•  Identify payment and denial trends and communicate to Supervisor and/or Team Lead
•  Handle payer and patient inquiries in a timely and detailed manner
•  Perform necessary follow-up to ensure timely resolution of appeals, obtain updated insurance information, identify and correct billing errors, etc.
•  Remain up to date on Medicare and Medicaid laws, HCFA requirements, contractual arrangements and other third-party payer requirements
•  Maintain current working knowledge of CPT and ICD-10 codes, required modifiers and encounter data
•  Apply knowledge of third-party payer guidelines in reviewing denied claims to ensure appropriate use of modifiers and CPT/ICD-10 codes
•  Enter detailed notes in the billing system
•  Utilize payer web sites and /or portals
•  Meet department productivity and quality standards
•  Perform other duties as assigned

KNOWLEDGE AND SKILLS

•  Working knowledge of CPT and ICD-10
•  Ability to work independently and as part of a team
•  Working knowledge of medical terminology preferred
•  Strong computer, typing and calculator skills 
•  Excellent problem solving and communication skills
•  Ability and desire to work in a remote environment
•  Strong organizational skills and attention to detail

EDUCATION/EXPERIENCE

•  High school diploma or GED
•  Previous medical billing experience required
•  Proficient in Microsoft office (Excel, Word, and PowerPoint)

PHYSICAL REQUIREMENTS

•  Prolonged periods sitting at a desk and working on a computer
•  Must be able to lift up to 15 pounds at times

JOB TYPE: Full-time

HOURLY RATE: $19 - $24 per hour

JOB LOCATION

•  Remote

BENEFITS:

•  Paid time off
•  Work from home
•  Company-sponsored medical, dental, and vision insurance 

SCHEDULE:

•  Monday to Friday