Revenue Cycle Specialist I, RCM

teamselecthh; Phoenix (AZ); On-site; USD 23,000 - 34,000; Full time

Benefits offered by this job

Medical and dental benefits

401(k)

Paid time off

Job summary

Team Select Home Care in Phoenix, AZ is seeking a Revenue Cycle Specialist I to calculate and post receipts, verify transaction details, and manage billing and collections within the EMR system. You will report to the Accounts Receivable Manager, RCM, and collaborate with internal teams to resolve billing issues.

The role requires attention to detail, excellent communication, and the ability to handle multiple tasks, including preparing appeals and following up on outstanding balances with

Qualifications

• High school diploma or GED required.
• 1 year of office experience preferred.
• Strong communication and problem-solving skills.

Responsibilities

• Monitor held billing and coordinate resolution of related issues to ensure timely claim submission.
• Review, research, and correct claims that fail payer edits in the EMR system.
• Follow up on outstanding accounts receivable to minimize aging.
• Process denied claims promptly and accurately.
• Assist in preparing appeals and reconsiderations to payers.
• Collaborate with billing, authorizations, clinical teams to resolve issues.
• Communicate with payers to obtain claim status and resolve balances.
• Maintain documentation of collection activities and provide updates/reports.

Skills

Verbal communication

Written communication

EMR systems

Billing software

Attention to detail

Education

High school diploma or GED

Tools

EMR system

Job description

The Revenue Cycle Specialist I is a position that calculates and posts receipts to appropriate accounts, verifies details of transactions; performs billing, posting and collection of claims related to specific payers. In this role, you'll report to the Accounts Receivable Manager, RCM.

Duties/Responsibilities:

• Monitor held billing and coordinate resolution of related issues to ensure timely claim submission
• Review, research, and correct claims that fail payer edits; update payer information and resubmit claims within the EMR system as needed
• Understand and actively follow up on outstanding accounts receivable to minimize aging
• Work all assigned and denied claims promptly and accurately
• Assist in preparing and submitting appeals and reconsiderations to payers
• Collaborate with internal teams (billing, authorizations, clinical, etc.) to resolve billing and collections issues
• Communicate with payers to obtain claim status and resolve outstanding balances
• Maintain accurate documentation of collection activities and provide updates and reports on collection efforts as requested
• Assist with special projects, audits, or process improvement initiatives as assigned
• Perform other duties as assigned

Required Skills/Abilities/Knowledge:

• Excellent verbal, written and computer communication skills
• Able to communicate across all levels of field level leadership within company
• Excellent organization, attention to detail, and problem solving
• Able to multi-task throughout the course of work, while maintaining accuracy
• Able to effectively deal with change
• Able to complete tasks within specific timetables
• Able to successfully interact with people in face-to-face situations as well as by telephone in a professional and effective manner, excellent customer service to internal and external customers
• Satisfactory background screens as required by State, Federal and Company policy free of any OIG sanctions

Education/Experience/Licenses/Certifications:

• Graduate of accredited high school or GED required
• Minimum of one year of experience in an office setting

Physical Requirements:

“You are not required to disclose information about physical or mental limitations that you believe will not interfere with your ability to do the job. However, you should disclose any physical or mental impairment for which special arrangements or accommodations are needed to enable you to perform the essential functions of the job. Your description of any impairment and suggestions for reasonable accommodations will be considered in providing reasonable accommodations.”

• Requires the ability to write, dictate or use a keyboard to communicate directives
• Utilizes proper body mechanics in multiple environments
• Requires the ability to function in multiple environments

FLSA Status: Non-Exempt

EEO Status: Administrative Support Workers

Benefits + Perks of Joining the Team Select Family

• Medical, Dental, and Vision Insurance
• Paid Time Off and Paid Sick Time
• 401(k)
• Referral Program

Pay Range: $17.00 - $25.00 / hour

Team Select Home Care reserves the right to change the above job description and qualifications without notice. Team Select Home Care will not discriminate against you on the basis of race, color, religion, national origin, sex, sexual preference, disability, political belief, veteran status, age, or any other status protected by law. Team Select Home Care is an employment-at-will employer.