Virtual Teammate
Key Responsibilities
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Manage and oversee daily revenue cycle operations, including:
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Medical billing
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Claims submission
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Payment posting
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Accounts Receivable (AR) follow-up
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Denial management
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Insurance verification
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Ensure timely and accurate claims submission
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Analyze denied/rejected claims and implement corrective actions
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Track and monitor KPIs such as:
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Clean claim rate
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Days in AR
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Denial rates
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Collection rates
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Ensure compliance with HIPAA, payer guidelines, and healthcare regulations
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Collaborate with providers, operations, and finance teams
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Train, mentor, and support RCM staff
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Conduct audits to identify process gaps and revenue leakage
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Drive process improvements to maximize collections
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Communicate with insurance companies for claims resolution
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Prepare reports and present performance updates to leadership
Nice-to-Have Skills
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High attention to detail and accuracy
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Ability to manage multiple priorities
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Strong leadership and coaching skills
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Process improvement mindset
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Excellent customer service and stakeholder management
Tools: eClinicalWorks
Originally posted on Himalayas
To apply for this job please visit himalayas.app.
Working in United States
The United States of America (USA), also known as the United States (U.S.) or America, is a country primarily located in North America. It is a federal republic consisting of 50 states and a federal capital district, Washington, D.C. The 48 contiguous states border Canada to the north and Mexico to the south, with the semi-exclave of Alaska in the northwest and the archipelago of Hawaii in the Pacific Ocean. The United States also asserts sovereignty over five major island territories and various uninhabited islands in Oceania and the Caribbean. It is a megadiverse country, with the world's th
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