RCM Coordinator

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    "requisitionDescription": "<div><p data-pasted=\"true\"><strong>POSITION CRITERIA</strong>: &nbsp; Responsible for focusing on assigned TruBridge system accounts receivable requiring complex initial claims submission or resubmission. &nbsp;Responsible for reviewing RCM reports and accounts receivable aged trial balance to focus on accounts &gt; 30 days requiring claims resolutions. &nbsp;Assist with resolving claims on the held list as assigned. &nbsp;Assist with insurance appeals as needed. &nbsp;Review daily reports as assigned including 72-hour report and the late charge report. &nbsp;</p><p><strong>JOB FUNCTION:&nbsp;</strong><strong>&nbsp;</strong></p><ul><li>Responsible for reviewing accounts receivable in the TruBridge system requiring complex initial claims submission or resubmission. &nbsp;&nbsp;</li><li>Responsible for running accounts receivable aged trial balance reports, weekly queue held reports, and distributing to appropriate staff as assigned.</li><li>Responsible for reviewing accounts receivable &gt; 30 requiring a claim resolution.</li><li>Responsible for researching claims information in the RCM system on insurance portals.</li><li>Responsible for working follow-up claim queues in the electronic health record system.</li><li>Efficient in utilizing EHR system(s).</li><li>Follows AIDET communication with patients and coworkers.</li><li>Other duties as assigned.</li></ul><p><strong>JOB QUALIFICATIONS:&nbsp;</strong></p><p><strong>Education: &nbsp; &nbsp;</strong></p><ol><li>High school diploma required or equivalent required.</li><li>Experience in hospital and pro fee billing preferred.</li><li>Keeps abreast of hospital billing and professional fee billing guidelines.</li><li>Attends educational sessions and courses related to hospital and professional fee billing.&nbsp;</li></ol><p><strong>&nbsp;</strong></p><p><strong>Job Knowledge/Experience: &nbsp;&nbsp;</strong></p><ol start=\"2\"><li>Prior experience in hospital billing and physician professional fee billing required.</li><li>Prior experience with TruBridge A/R system and Trubridge RCM systems preferred.</li><li>Understands ICD-10 and CPT coding.</li><li>Knowledge of medical terminology</li><li>Knowledge of office programs: Microsoft Word and Excel<strong>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;</strong></li></ol><p><strong>Skills: &nbsp;</strong>&nbsp;</p><ol start=\"3\"><li>Strong communication skills.&nbsp;</li><li>Calm, professional demeanor&nbsp;</li><li>Ability to work productively under stress.&nbsp;</li><li>Able to judge situations and seek appropriate assistance if it is beyond the scope of practice.</li><li><strong>Physical Demands: &nbsp;</strong>&nbsp;</li><li>Must be able to sit and concentrate for long periods of time. Light lifting, bending, and reaching may be required.&nbsp;</li><li>Must be able to communicate effectively orally and in writing with other departments and employees.</li><li>Minimal lifting required.<strong>&nbsp; &nbsp; &nbsp;&nbsp;</strong></li></ol><p><strong>Confidentiality: &nbsp;</strong></p><ol start=\"5\"><li>Must be trained and abide by HIPAA regulations.<strong>&nbsp;</strong></li></ol><p><strong>Internal/External Contacts:&nbsp;</strong></p><p><strong>Internal:&nbsp;</strong> CFO, Controller, HIM Director, Revenue Cycle Management Coordinator, and Registration Supervisor.</p><p><strong>External:&nbsp;</strong>Patients, Representatives from the electronic health record system, insurance&nbsp;</p><p>representatives</p></div>\n",
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