RCM Specialist 

Summary

 Our growing eye care organization has immediate needs for experienced RCM Specialist who are experienced in researching unpaid claims and following up on the insurance end.  The ideal candidate will be compassionate and naturally helpful, willing to work through a problem to its successful conclusion.

Responsibilities

  • Review unpaid claims and research reasons for delay
  • Initiate collection follow up of unpaid or denied claims with the appropriate payer
  • Research appeal and resolve claim rejections, underpayments and denials with payers
  • Process appeals by gathering information and resubmitting claims
  • Communicate payment or denial trending that impact revenue to leadership
  • Develop and maintain positive working relationships with team members and payer representatives
  • Regularly review all bulletins and correspondence from insurance carriers
  • Contact insurance companies to work out any discrepancies and get the claims paid
  • Review outstanding accounts and aging report
  • Process any adjustments as needed
  • Handle patient phone calls and resolve patient billing questions

Requirements: Education, Experience & Skills 
 

  • High school diploma or equivalent required
  • 1+ years’ experience with account follow up, preferably in a healthcare environment
  • Excellent verbal, written, and social skills
  • Ability to work overtime if/when needed
  • Strong knowledge of explanation of benefits (EOB’s)

Physical Requirements:

While performing the duties of this job, the employee is regularly required to talk and hear. The employee is occasionally required to stoop, kneel, crouch or crawl. The employee must frequently lift and/or move up to 10 pounds.

Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.

If you need assistance with this application, please contact (636) 227-2600

EyeCare Partners is an equal opportunity/affirmative action employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

 

Please do not contact the office directly – only resumes submitted through this website will be considered.

 

Apply for this Job

* Required