Facilities Revenue Cycle Specialist

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $17 - $19 / hour

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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EMS Management & Consultants, Inc.

WebsiteLinkedInAll Job Openings

501 - 1000 employees

💼 Consulting

🏥 Healthcare

⚕️ Healthcare Insurance

Consulting • Healthcare • Healthcare Insurance

EMS Management & Consultants, Inc. (EMS|MC) is a company that specializes in providing comprehensive operational solutions for over 1,500 emergency medical services (EMS) providers across the United States, including hospital systems, municipalities, and private companies. Founded by professionals within the EMS industry, EMS|MC offers services designed to optimize reimbursement, resources, and regulatory compliance. With more than 25 years of experience, the company leverages technologies like EMsmart, a SaaS-driven billing solution, to enhance revenue performance for EMS agencies. EMS|MC also works closely with the PWW Advisory Group to ensure compliance with the ever-changing regulatory landscape, providing tools and educational resources to EMS providers.

📋 Description

• Review and process facility claims through various stages of the revenue cycle in a timely and compliant manner • Monitor and analyze outstanding facility accounts receivable for assigned clients and suggest solutions to maximize client performance • Communicate proactively with facility payers to identify deficiencies and provide feedback to operational staff • Prepare, review, and send invoices to facility payers monthly or at specified intervals • Document and complete special invoice processes as required by facilities • Maintain facility contact lists to support open communication and responsiveness • Define problems, identify causes, and initiate and complete timely resolutions independently • Meet and communicate with Claims Management Supervisors and Revenue Cycle Managers to prioritize work and maximize reimbursement • Apply big-picture analysis, critical and lean thinking, innovation, curiosity, and tenacity to client performance • Stay current with industry changes and regulations • Build and maintain internal and external relationships through strong customer service • Present client performance analysis as directed • Serve as backup to other team members • Perform other assigned tasks • Maintain or exceed client performance standards, including service level agreements, account review aging, incoming facility payment monitoring, and facility payer education regarding consolidated billing

🎯 Requirements

• High School Diploma • At least 1-2 years of experience processing health insurance claims and/or denials or other healthcare accounts receivable experience, or knowledge of facility billing and consolidated billing guidelines • Ability to organize, prioritize and multi-task • Ability to learn, understand, and work within specific compliance, client, and facility payer requirements • Approach all tasks, duties, and interactions with an attitude of continuous improvement • Demonstrated understanding of applicable HIPAA regulations, Medicare, Medicaid, insurance, liability and facility payment methods • Willing and able to adapt to changes in work environment, procedures, priorities, and job duties • Ability to function well within a cross-functional team setting and independently • Detail-oriented • Resourceful • Self-starter • Must possess critical thinking/analytical skills • Proficient in Microsoft Office programs • Applicants must be authorized to work in the United States now and in the future; this role does not offer current or future visa sponsorship

🏖️ Benefits

• Discretionary bonus plan • Comprehensive benefit package • Retirement plan • Health coverage • Paid time off • Reasonable accommodations for qualified individuals with disabilities