Rcm Audit and Support Specialist - Spring, United States - Visualutions, Inc.

Mark Lane

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Mark Lane

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Description
The RCM Audit and Support Specialist is responsible for assisting with audits in assigned databases. The individual will support audits and trends and assist with database month end process.

Additionally, the position supports the company's overall operations and client services by effectively and efficiently driving the Revenue Cycle Management process and delivering successful outcomes.


Reports to:
Director of Revenue Cycle Management


Responsibilities:


  • Customer specific database audits for all status
  • Communicates progress and results of audits, and appropriately reports trends and resolutions in the results.
  • Responsible for end of month prescrub, which includes database approvals, access approvals, flags
  • Performs audits for contractual guidelines
  • Exhibits good problemsolving abilities and selfmotivation and demonstrates the ability to work well under deadline driven environments.
  • Communicates effectively, both verbally and in writing, with individuals internally and externally
  • Completes monthly and quarterly reporting as assigned by management.
  • Perform special projects as assigned by management.

Qualifications:


  • 3 years of billing, collection, and/ or posting experience in a healthcare environment is required
  • Collaborates effectively with supervisor and/or upper management, as well as other groups and teams throughout the organization.
  • Must be able to work independently and research issues to find a solution with mínimal supervision.
  • Plans and organizes effectively to achieve productivity goals.
  • Must exhibit excellent time management, organizational skills, and be computer literate.
  • Ability to work independently and adapt to a fastchanging environment
  • Knowledge of Medicare, Medicaid, MCO's, and commercial insurance.

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