RCM | Revenue Resolution Lead | Remote id-7482

Come Join our team!!

The Revenue Resolution Lead provides administrative support to the collections operations within the assigned function(s). Through ongoing database maintenance, the Revenue Resolution Lead ensures the timely resolution of revenue concerns inclusive of refunds, enrollments, unpostables and credits. In this capacity, the Revenue Resolution Lead provides outstanding customer service to internal and external customers through effective and timely communication.

Responsibilities include:

• Monitor and identify trends that may be specific to a payer, service or provider, and communicate such trends to RCM Leadership.
• Work tasks for refund requests, credits, enrollments and unpostables.

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• Under general supervision, identify and resolve routine outstanding worklist items.
• Generate and analyze diverse reports and work lists in the identification and resolution of general account issues.
• Assist in the resolution of outstanding refund requests from past due correspondence.
• Perform all responsibilities in compliance with company policies and procedures; ensuring timely and complete documentation of activities performed.
• May serve as a point of contact for internal and external vendors in response to inquiries and unresolved issues.
• May mentor other staff as applicable.
• Assist with various projects as assigned by direct supervisor. Additional responsibilities may include focus on one or more departments or locations.
• Quality/Compliance- committed to delivering consistent service and outcomes to the highest standard possible every time. Effective communication across the organization to ensure we are meeting all commitments and goals aligned with the company’s core values and competencies. Demonstrates professionalism in attitude, demeanor and personal appearance.
• Action/Result Oriented- takes on new opportunities and challenges with a sense of urgency, high energy and enthusiasm. Consistently achieves results under tough circumstances. Follows through on commitments with honesty, integrity and authenticity. Achieving and maintaining all productivity standards.
• Honesty/Integrity- Gains the confidence and trust of others by exceeding our company and patient expectations. Builds partnerships and works collaboratively with others to meet shared objectives. . Exceptional service to internal and external customers. Demonstrates high reliability through consistent punctuality and attendance.
• Resilience- Rebounds from setbacks and adversity when facing difficult situations. Is confident under pressure and can push through for results. Adapts to change with a positive attitude.
• Plan/Align- Prioritizes work to meet commitments aligned with department, personal and company goals. Making good timely decisions within the employees area of responsibility that further the goals of the organization. Coordinates with other team members, including other departments, to resolve any issues that may lead to open or aging items- which may include RCM leadership when trends are identified or when an issue may need attention/escalation.
• Perform other duties and responsibilities as required, assigned, or requested.

Qualifications:

• High School diploma or GED.
• 1 year experience working in an office setting, preferably in Finance, Accounting or related field.
• Requires attention to detail and accurate data entry.
• Knowledge of accounts receivable practices and medical business office procedures.
• Knowledge of insurance reimbursement procedures and practices.
• Skill in using computer and calculator.
• Ability to examine documents for accuracy and completeness.
• Ability to prepare records in accordance with detailed instructions.
• Ability to work effectively with co-workers as a team member.
• Ability to communicate clearly.
• Detail oriented with good analytical and organizational skills.
• Good interpersonal skills with the ability to work cohesively within a team environment.
• Possess a positive, enthusiastic and energetic attitude.
• HR Risk Rating Designation (Low, Medium, High or Extreme) - Low.

The Company is committed to the principles of equal employment. We are committed to complying with all federal, state, and local laws providing equal employment opportunities, and all other employment laws and regulations. It is our intent to maintain a work environment which is free of harassment, discrimination, or retaliation because of age, race, color, national origin, ancestry, religion, sex, pregnancy (including childbirth, lactation and related medical conditions), physical or mental disability, genetic information (including testing and characteristics), veteran status, uniformed servicemember status, or any other status protected by federal, state, or local laws. The company is dedicated to the fulfillment of this policy in regard to all aspects of employment, including but not limited to recruiting, hiring, placement, transfer, training, promotion, rates of pay, and other compensation, termination, and all other terms, conditions, and privileges of employment