Accounts/Receivable Specialist RCM (NextGen) CPC - Texas Health Care PLLC

This role is responsible for supporting vendors and care centers with billing and accounts receivable obstacles. This position will support the Revenue Cycle Management team.

Essential Duties and Responsibilities:

• Work collaboratively with peers, offshore vendors and senior management to ensure business needs are met.
• Provide RCM support to physicians and care center staff.
• Conduct account research and analysis.
• Perform complex appeals.
• Identify and execute necessary process adjustments.
• Prepare and maintain various reports.
• Interact with internal and external customers to resolve outstanding issues.
• Maintain confidentiality of all information; adhere to all HIPAA guidelines/regulations.
• Additional duties to be assigned from time to time.

Required Experience and Skills:

• Minimum two years experience with NextGen Practice Management software - Required
• Minimum two years of progressive professional experience in healthcare revenue cycle management.
• Proficient in government and commercial insurance billing.
• Proficient in use of Excel, Word and PowerPoint or equivalent Google software
• Knowledge and understanding of ICD-10, CPT, and HCPCS codes.
• Knowledge and understanding of medical terminology and procedures.
• Knowledge of coding, medical records, remittance codes and reimbursement policies
• Experience working complex and high-dollar appeals
• High School diploma or general equivalency.
• Good verbal and written communication skills.
• Ability and willingness to work flexible hours to meet staffing needs.
• Certified Professional Coder