RCM Specialist

ADP, Inc.; Greensboro (GA); Remote; USD 42,000 - 62,000; Full time

Job summary

ADP, Inc. is seeking a RCM Specialist for a fully remote role based in Greensboro, GA.

The position requires analyzing data, managing billing software, appealing denied claims, and tracking late payments while ensuring accuracy of patient information and compliance with insurance policies. The ideal candidate has at least 3 years of medical billing experience, strong written and verbal communication skills, and the ability to multitask in a remote environment.

Qualifications

• Minimum 3 years of experience as a medical biller or in a similar role.
• Solid understanding of billing software and electronic medical records.
• Experience with rheumatology, oncology, or infusion billing is helpful but not required.
• NextGen system knowledge is a plus and eClinicalWorks experience is a plus.

Responsibilities

• Preparing and submitting billing data and medical claims to insurance companies
• Ensuring patient medical information is accurate and up to date
• Preparing bills and invoices and documenting amounts due for medical procedures and services
• Collecting and reviewing referrals and pre-authorizations
• Monitoring and recording late payments
• Following up on missed payments and resolving financial discrepancies
• Examining patient bills for accuracy and requesting missing information as needed
• Investigating and appealing denied claims
• Assisting patients with setting up payment plans
• Maintaining billing software by updating rate changes, cash spreadsheets, and current collection reports

Skills

Medical billing

Billing software

Communication skills

Time management

Problem solving

Education

Bachelor's degree not required; business/healthcare admin a plus

Tools

NextGen

eClinicalWorks

EMR

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

RCM Specialist

Full Time Greensboro, GA, US

30+ days ago Requisition ID: 1001

Salary Range: $42,000.00 To $62,000.00 Annually

Our office is looking for a skilled and committed medical biller to join our team. As the medical biller, you will be responsible for analyzing data, evaluating information, and making sound decisions. Your daily tasks will include managing billing software, appealing denied claims, and tracking late payments. To excel in this role, it is essential to have a thorough understanding of billing software and medical insurance policies.

Additionally, strong written and verbal communication skills are required, as communicating with patients and insurance representatives will be a significant aspect of the role. This is a full-time remote position offering competitive compensation and a comprehensive benefits package.

Medical Biller Responsibilities:

• Preparing and submitting billing data and medical claims to insurance companies
• Ensuring patient medical information is accurate and up to date
• Preparing bills and invoices and documenting amounts due for medical procedures and services
• Collecting and reviewing referrals and pre-authorizations
• Monitoring and recording late payments
• Following up on missed payments and resolving financial discrepancies
• Examining patient bills for accuracy and requesting missing information as needed
• Investigating and appealing denied claims
• Assisting patients with setting up payment plans
• Maintaining billing software by updating rate changes, cash spreadsheets, and current collection reports

Medical Biller Requirements:

• Bachelor’s degree is not required (a degree in business, healthcare administration, accounting, or a related field is a plus)
• Minimum of 3 years of experience as a medical biller or in a similar role
• Solid understanding of billing software and electronic medical records
• Rheumatology, oncology, or infusion billing experience is helpful but not required
• NextGen system knowledge is a plus
• eClinicalWorks experience is a plus.
• Ability to multitask and manage time effectively in a remote environment
• Excellent written and verbal communication skills
• Strong problem-solving and organizational abilities