RCM Representative

SENTA ENT and Allergy Physicians; Atlanta (GA); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Health benefits

HSA

FSA

Disability insurance

PTO & holidays

EAP

401K match

Job summary

SENTA Partners in Atlanta, GA seeks a Revenue Cycle Representative to manage the financial health of our healthcare organization by processing claims, following up on denials, posting payments, and handling patient billing inquiries. You will monitor AR, generate KPI reports, and ensure compliance with payer requirements.

Strong communication and analytical skills are essential for success in this role. The position offers comprehensive health benefits, a 401(k) plan, and a supportive work

Qualifications

• High School Diploma.
• 2 years’ experience preferred.
• Excellent verbal and written communication skills.
• Excellent organizational skills and attention to detail.
• Maintains professional friendly attitude.
• Excellent knowledge of payor policies and guidelines.
• Familiarity with coding guidelines.

Responsibilities

• Claims Processing: Prepare and submit accurate claims to insurance carriers, ensuring compliance with payer guidelines and coding standards.
• Accounts Receivable Management: Monitor and manage accounts receivable balances, including following up on unpaid or denied claims.
• Denial Management: Research and resolve claim denials and rejections by analyzing reasons for denial, identifying corrective actions, and resubmitting claims when appropriate.
• Payment Posting: Accurately post payments received from insurance companies and patients, including electronic and manual payments.
• Patient Account Management: Assist with patient billing inquiries, resolve payment discrepancies, and facilitate payment arrangements.
• Revenue Cycle Reporting: Generate and analyze revenue cycle reports to monitor KPIs such as days in AR, denial rates, and collection ratios.
• Compliance: Ensure all billing activities are compliant with state and federal regulations, payer requirements, and organizational policies.
• Collaboration: Work closely with the clinical staff, billing team, and revenue cycle management to address issues impacting revenue cycle performance and provide feedback for process improvement.

Skills

Verbal communication

Written communication

Organizational skills

Attention to detail

Payor policies

Coding guidelines

Analytical skills

Education

High School Diploma

Job description

Brief Description

SENTA Partners is a leading Management Services Organization (MSO) specializing in providing comprehensive support to ENT and Allergy private practices. Our mission is to help people Breathe better, Hear better, Live better. At SENTA, we focus on the operational efficiencies and financial performance of our partner practices, allowing physicians to focus on delivering exceptional patient care. We are committed to fostering a collaborative and supportive work environment where our employees can thrive and grow.

Position Summary

The Revenue Cycle Representative at SENTA Partners plays a key role in managing the financial health of our healthcare organization. This position is responsible for processing claims, managing accounts receivable, following up on denied or outstanding claims, and ensuring timely and accurate billing. The ideal candidate is detail-oriented, proactive, and has strong communication and analytical skills.

Key Responsibilities

• Claims Processing: Prepare and submit accurate claims to insurance carriers, ensuring compliance with payer guidelines and coding standards.
• Accounts Receivable Management: Monitor and manage accounts receivable balances, including following up on unpaid or denied claims.
• Denial Management: Research and resolve claim denials and rejections by analyzing reasons for denial, identifying corrective actions, and resubmitting claims when appropriate.
• Payment Posting: Accurately post payments received from insurance companies and patients, including electronic and manual payments.
• Patient Account Management: Assist with patient billing inquiries, resolve payment discrepancies, and facilitate payment arrangements.
• Revenue Cycle Reporting: Generate and analyze revenue cycle reports to monitor key performance indicators (KPIs) such as days in AR, denial rates, and collection ratios.
• Compliance: Ensure all billing activities are compliant with state and federal regulations, payer requirements, and organizational policies.
• Collaboration: Work closely with the clinical staff, billing team, and revenue cycle management to address issues impacting revenue cycle performance and provide feedback for process improvement.

What We Offer

• Comprehensive Health Benefits (Medical, Dental, and Vision)
• Health Savings Account (HSA)
• Flexible Spending Account (FSA)
• Short & Long Term Disability
• Holidays & Paid Time Off (PTO)
• Employee Assistance Program (EAP)
• Retirement Contribution Program - 401(K) Match

Requirements

Qualifications

• High School Diploma.
• 2 years’ experience preferred.
• Excellent verbal and written communication skills.
• Excellent organizational skills and attention to detail.
• Maintains professional friendly attitude.
• Excellent knowledge of payor policies and guidelines.
• Familiarity with coding guidelines.

Summary

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• Certain US jurisdictions require SENTA Partners to provide new employees with a reasonable estimate of the salary for this role at the location in which the job may be performed. The posted salary range reflects our best estimate at the time of posting, though it's important to remember that actual salaries may vary. Factors that determine the final salary offer include office location, experience, skills, and current organizational needs.
• SENTA Partners is an equal opportunity employer and considers all qualified applicants for employment without regard to race, color, religion, sex, national origin, disability, veteran status, sexual orientation, gender identity, or any other protected status.