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RCM Contract Analyst

Remote: 
Full Remote
Contract: 
Experience: 
Junior (1-2 years)
Work from: 

Offer summary

Qualifications:

1-2 years of insurance payment posting experience, Knowledge of insurance contract rates and medical revenue cycle.

Key responsabilities:

  • Process insurance payments manually and electronically, update account adjustments
  • Review payer contracts weekly, alert AR Representative and assist with appeals
  • Ensure timely posting of all payments and run reconciliation reports
  • Assist in billing patients and insurance verification, perform other assigned duties
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Synapticure Inc. Startup https://synapticure.com/
11 - 50 Employees
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Job description

The Insurance Payment Poster is to oversee payment intake and post payments reconciliation processes. In this role, you will manually and electronically process and post insurance payments and billing statements while updating account adjustments and keeping records of account standings. The ideal candidate has post-secondary education and at least one year of experience working in accounts receivable, with remittance processing, or in a similar medical billing or customer service role.

Job Summary
  • Electronic Remittance Advice (ERA) Posting via Electronic Medical Record (EMR), experience with Candid Health is a plus
  • Manual payment posting
  • Private pay posting
  • Ensuring appropriate adjustments to payments posted
  • Processing paper checks
  • End of month posting
  • Making the Revenue Cycle Manager aware of any potential or ongoing payment issues
  • Keeping current on fee schedules and charges
  • Contract Analyst -  weekly reviewing payer contracts to ensure correct reimbursement from payers
  • Alert Account Receivable Representative of issues with payments and assist with appeals as needed
  • Ensure all payments are posted in a timely manner
  • Run reconciliation reports
  • Assist Patient Financial Coordinator with billing patients and reconciling payments in Stripe
  • Insurance verification
  • Other duties as assigned

  • Job Requirements
  • 1-2 years of experience in insurance payment posting and remittance review
  • Knowledge of insurance company contract rates
  • Understanding of medical office revenue cycle
  • General computer skills, typing skills, and working knowledge of Medicare, Commercial Payer, and HIPAA Compliance
  • Requires understanding of accounts receivable in a healthcare setting
  • Requires the ability to prioritize multiple tasks simultaneously in an occasionally stressful environment
  • Ability to work both independently and as part of a team
  • MAC O/S experience preferred 
  • Required profile

    Experience

    Level of experience: Junior (1-2 years)
    Spoken language(s):
    English
    Check out the description to know which languages are mandatory.

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