Accounts Receivable T2

🔥 55 minutes ago

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Sage Clinical RCM, LLC

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2024

🏥 Healthcare

☁️ SaaS

🤝 B2B

Healthcare • SaaS • B2B

Sage Clinical RCM is a healthcare revenue cycle management company that combines proprietary technology with clinical and financial expertise to provide end-to-end RCM solutions—from patient access through financial close. The firm offers advisory services, revenue cycle management operations, technology adoption (including clinical documentation improvement and autonomous coding), workforce augmentation (coding, documentation, RCM, physician advisory), and analytics-driven platforms (Sage IQ: Validity and VERO) that use automation and AI to unify coding, documentation, vendor performance, compliance, and financial reporting for healthcare organizations.

📋 Description

• This position is responsible for Billing, Re-Billing, Post-payment, and Account Follow-up and/or grievance preparation of assigned Client EMR Accounts Receivable. • Reviews and/or scrubs final billed initial claims for accuracy and completeness prior to submitting to payer. • Calculates Tier, Outlier, DRG and/or other Fee Schedule based reimbursement. • Submits electronic and/or hardcopy claims with any attachments as per the contract timely filing criteria. • Contacts health plan to determine status of claim within appropriate time frames. • Research and validates the paid or partially paid claim status. • Reviews any denied claims and determines accuracy based on contract language. • Resolves any technical issues when warranted with payer.

🎯 Requirements

• High School diploma or equivalent • 2+ years previous experience in healthcare revenue cycle management • Ability to work independently and within a team atmosphere • Advanced proficiency of CPT and ICD-10, and full-scope revenue cycle management framework • Self-motivated and passionate about our mission and values of quality work • Must have professional level skills in MS products such as Excel, Word, Power Point • Proficient application of business/office standard processes and technical applications

🏖️ Benefits

• Health insurance • Retirement plans • Paid time off • Flexible work arrangements