Revenue Cycle Associate - On Site

Steward Health Care; Dallas (TX); On-site; USD 80,000 - 100,000; Full time

Job summary

Join a transformative health care company dedicated to revolutionizing wellness. As a Revenue Cycle Associate, you'll play a crucial role in resolving claims and ensuring compliance with industry regulations. This position offers the opportunity to work within a dynamic team, focusing on timely and effective claim resolution while maintaining high standards of confidentiality. With a commitment to proactive care and community wellness, this role is ideal for those passionate about making a difference in health care. Experience a fulfilling career in a supportive environment that values your contributions and fosters professional growth.

Qualifications

• Knowledge of medical coding and third-party insurance practices is a plus.
• Detail-oriented with strong organizational skills.

Responsibilities

• Resolve outstanding claims based on processing rules.
• Perform collection activities to ensure reimbursement.
• Collaborate with departments to resolve accounts.

Skills

Medical Coding

Third-party Insurance Knowledge

Detail-oriented

Communication Skills

Revenue Cycle Knowledge

Job description

This position is responsible for the resolution of outstanding and/or denied claims based on third party claim processing rules within established timelines. The Revenue Cycle Associate reports to the central business office supervisor or manager.

Responsibilities:

• Meets goals and objectives in assigned area;
• Complies daily with departmental policies and procedures;
• Performs collection activity to ensure proper resolution and reimbursement on claims;
• Provides thorough, courteous, and professional assistance to coworkers and patients;
• Ensures that all claims are billed and collected and meet all government mandated policies for Integrity and Compliance;
• Collaborates with hospital departments in the resolution of accounts;
• Resolves claims processing issues with third party payers and provides all required information timely; involves patients and family members (where necessary) to ensure timely resolution of claims with insurance companies;
• Resubmits clean and accurate claims to insurance companies in a timely and compliant manner;
• Researches, prepares, and submits appeals to insurance companies;
• Details all actions taken on account with clear and concise notes;
• Monitors and recognizes denials and/or issues that may be trends and escalates to supervisor as needed;
• Maintains strict confidentiality and adheres to all HIPAA guidelines/regulations.

Qualifications:

• Knowledge of basic medical coding/terminology and third-party insurance operating procedures and practices a plus;
• Understands payer guidelines related to effective claim resolution;
• Knowledgeable and proficient with payer websites and other useful resources;
• Knowledge of revenue cycle and/or business office procedures;
• Highly detail oriented and organized;
• Ability to read, understand, and follow oral and written instructions;
• Ability to establish and maintain effective working relationships and communicate clearly with customers and insurance companies both within and outside of Steward.

About Steward Health Care

Over a decade ago, Steward Health Care System emerged as a different kind of health care company designed to usher in a new era of wellness. One that provides our patients better, more proactive care at a sustainable cost, our providers unrivaled coordination of care, and our communities greater prosperity and stability. As the country's largest physician-led, minority-owned, integrated health care system, our doctors can be certain that we share their interests and those of their patients. Together we are on a mission to revolutionize the way health care is delivered - creating healthier lives, thriving communities and a better world.

Based in Dallas, Steward currently operates more than 30 hospitals across Arizona, Arkansas, Florida, Louisiana, Massachusetts, Ohio, Pennsylvania, and Texas.

For more information, visit steward.org