Job description

JOB DESCRIPTION

Title
Revenue Cycle Specialist

Responsible to: Revenue Cycle Management Director

Member of SBD Medical Solutions

Location
SBD Medical Solutions
2050 Warm Springs Road, Columbus, GA
Working hours: Monday- Thursday; 7:30 a.m. - 5:30 p.m. or 8 a.m. - 6 p.m.

About Southeastern Cardiology
Southeastern Cardiology Associates and Southeastern Gastroenterology strive to deliver the best care possible through a team approach. From check-in to check-out, each employee participates in delivering the highest quality of care and attention in the Southeast. Our commitment to you, our patient, is that we will treat you like family.

We are compassionate and considerate. We are passionate about advancements in technology and patient care. We are educators and good listeners. We believe that qualified cardiology care is not hard to find. However, we think that embedding a world class group of cardiologists within a team that is committed to treating the patient and their loved ones is what truly sets us apart. Our job is not done when the condition is diagnosed and treated appropriately. We consider the mission accomplished when we have treated the problem and our team has communicated effectively with the patient and their loved ones. Above all, we are here to serve you and your family. Our team of specialized physicians, mid-levels, nurses, technicians, and staff are committed to providing the highest level of service – this team approach truly sets us apart.

Responsibilities

• Monitors unpaid claims to determine necessary actions to assure timely resolution
• Works payer correspondence and resolves requests
• Monitors denied claims, in collaboration with coding team, to facilitate timely resolution
• Monitors EOBs for accuracy
• Obtains and submits necessary documentation required for submitted claims resolution
• Reviews patient bills for accuracy and completeness of insurance payment and contractual adjustments
• Performs tasks associated with secondary insurance claim submission, including copying, preparing, and attaching EOB from primary payer as necessary
• Anticipates potential billing/reimbursement problems and takes measures to prevent them
• Answers billing related questions from patients and insurance companies
• Assists the RCM director in a variety of other daily tasks, as necessary

Education and Qualifications:

• High school graduate or GED equivalent
• Insurance billing and/or coding experience required
• Certified professional biller preferred or ability to obtain through the AAPC within 2 years
• Maintains knowledge of current regulations and policies for the federal, state and private payers
• Maintains knowledge of CPT and HCPCS codes

Job Skills:

• Demonstrates the ability to achieve accuracy and consistency
• Applies knowledge to produce “clean claims”
• Monitors unbilled accounts and/or uncoded encounters to reduce any billing delays
• Applies knowledge of regulatory mandates and reporting requirements

SEC Corporate Culture Expectations
Demonstrates the SEC Corporate Culture at all times with colleagues, providers, outside offices/vendors, patients and their family members. Consistently portrays a positive attitude; excels in individual role while creating a culture of teamwork and cooperation; puts the patient/family first and regularly seek opportunities for self-improvement as well as operational improvement.

Core Competencies
Approachability, Compassion, Customer Focus, Dealing with Ambiguity, Decision Quality, Ethics & Values, Integrity & Trust, Motivating Others, Peer Relationships, Drive for Results

Name Signature Date

Job Type: Full-time

Pay: $15.00 - $19.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Supplemental pay types:

• Bonus pay

Experience:

• Medical billing: 5 years (Preferred)

Work Location: One location

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