Associate, Revenue Cycle

Company: Oak Street Health Title: Associate, Revenue Cycle Location: Remote Role Description: The Revenue Cycle Associate will be involved in the company’s day-to-day revenue cycle management and accounts receivable operations to ensure timely and appropriate submission of health care claims and subsequent payment for services rendered.
Core Responsibilities: Ensure payments are collected timely and in full from payers, and perform appropriate accounts receivable follow-up for denied claims Make use of all available tools (websites, electronic medical records, and payer systems) to efficiently identify reasons for non-payments, and follow the necessary steps for the insurance company to adjudicate the claims Work with billing vendor and insurance companies to follow up on denials of claims, make necessary corrections, and refile the claim to payer for reimbursement Process and upload checks/electronic payments to billing vendor’s portal for cash posting Review/approve patient statements prior to billing vendor mailing Analyze data from billing vendor to identify trends and create reports for management Interact and collaborate with administrative staff within our clinics and our billing vendor to resolve billing questions Proficiency reading proper insurance plan and policy# from insurance ID cards Experience using Multi-payer web portals Ability to extract details from medical records to substantiate billing coding changes Communicate effectively using helpdesk ticketing system to reply to clinic inquiries regarding patient statements Contact payers to obtain clarification and/or details regarding incorrect payment/denials Effectively work edits within claim scrubbing software Accurately complete assignments in a timely manner Maintain working knowledge of company policies for collections, adjustments and write offs Possess strong critical thinking and problem solving skills to work through payers issues such as denials, underpayments and/or missing payment Adaptable to changing procedures and a growing environment Other duties as assigned What are we looking for? The ideal candidate must have experience in health care accounts receivable follow-up, exceptional customer service skills, and a good understanding of the claims revenue cycle Must know how to read and interpret insurance Explanation of Benefits (EOB) statements At least 2 years of working on coding denials, and understanding of NCCI edits is preferred Solid understanding of insurance guidelines and principles including; COB, HIPAA, CPT, ICD-10, medical terminology, and managed care plans Time management skills, and the ability to meet deadlines is imperative education minimum of Associates degree, Bachelors preferred excel/google sheets experienced preferred CPB and /or CPC credentials are a plus US work authorization Someone who embodies being “Oaky” What does being “Oaky” look like? Radiating positive energy Assuming good intentions Creating an unmatched patient experience Driving clinical excellence Taking ownership and delivering results Being relentlessly determined Why Oak Street Health? Oak Street Health is on a mission to “Rebuild healthcare as it should be'', providing personalized primary care for older adults on Medicare, with the goal of keeping patients healthy and living life to the fullest.
Our innovative care model is centered right in our patient’s communities, and focused on the quality of care over volume of services.
We’re an organization on the move! With over 150 locations and an ambitious growth trajectory, Oak Street Health is attracting and cultivating team members who embody “Oaky” values and passion for our mission.
Oak Street Health Benefits: Mission-focused career impacting change and measurably improving health outcomes for medicare patients Paid vacation, sick time, and investment/retirement 401K match options Health insurance, vision, and dental benefits Opportunities for leadership development and continuing education stipends New centers and flexible work environments Opportunities for high levels of responsibility and rapid advancement Oak Street Health is an equal opportunity employer.
We embrace diversity and encourage all interested readers to apply.
Learn more at www.
oakstreethealth.
com/diversity-equity-and-inclusion-at-oak-street-health