CCS Medical

Sr. Revenue Cycle Specialist

Job Location US-FL-Clearwater
ID
2020-2549
Category
Administrative/Clerical
Position Status
Regular Full-Time
Position Schedule
Monday-Friday
Shift
9-6

Overview

More than a career - a chance to make a difference in people's lives!

When you have the power to make a difference in the health and well-being of others, every day is extraordinary.

 

 

Are you customer driven, returning to the working force or is this your first career?

You will thrive in a fast-paced and dynamic environment where it’s all about multi-tasking to get the job done. If you are positive and professional with a focus on solving problems and doing whatever it takes to make a difference to every customer every time you are a match for CCS Medical!  If you relate well to all kinds of people, explain things easily in ways that our patients can understand and listen attentively, and can hone in on the most important issues then.…….. this is the career for you!

Responsibilities

As a SR. Revenue Cycle Specialist, you’ll be at the heart of our customer service operations as you deliver first-class customer service in every interaction in our call center. You will be responsible for claim submission and claim resolution for CCS Medical patients regarding governmental, commercial insurance companies and patient accounts.  You’ll be the one of our subject matter experts that will help us solve our patient’s challenges-and deliver on our promise of superior customer service.

 

What you’ll be doing...

  • Works individual portfolio of accounts from CCS Medical billing/collection system
  • Assesses insurance reimbursement for individual supplies to ensure maximum reimbursement
  • Verifies that all appropriate supporting documentation are obtained prior to shipment and/or prior to billing
  • Audits configuration of supplies based on supporting documentation, formulary requirements and manufacturer compatibility
  • Researches and follows up on all correspondence associated with assigned accounts, including EOB’s and documentation letters, and generate correspondence requesting required information, when necessary
  • Initiates appeals and ensure all required documentation is submitted in the appeals process. Research all denials and follow up as necessary.
  • Receives inbound and places outbound calls to/from insurance companies and patients to collect outstanding funds
  • Reduces delinquent accounts and achieves maximum collections from all sources
  • Produces reports identifying trends or problem carriers, and identify areas of concern and present ideas to correct or prevent future issues
  • Analyzes and corrects accounts receivable problems
  • Posting payments and/or adjustments to individual accounts
  • Resolving credit balance accounts as needed
  • Documents all activities as completely as possible
  • Achieves productivity goals based on accounts touched, dollars collected, and aging period
  • Provides guidance to team regarding questions related to daily work and escalates issues to Department Manager
  • Assists Department Manager with employee coaching, training and development initiatives
  • Montors progress of newly trained staff and reports progress to Department Manager
  • Leads by example to promote professionalism in all areas
  • Maintains a high degree of confidentiality at all times due to access to sensitive information
  • Maintains regular, predictable, consistent attendance and is flexible to meet the needs of the department
  • Follows all Medicare, Medicaid, HIPAA, and Private Insurance regulations and requirements
  • Abides by all regulations, policies, procedures and standards

What WE Bring to the Table:

We offer a wide variety of insurance benefits after 60 days of employment (medical, dental, vision, short and long-term disability and life) with a large portion of premiums paid by the company, as well as paid time off within the first year. We also offer a 401(k) plan with a generous company match and vesting schedule, financial planning, competitive salary, and an EAP-Employee Assistance Plan. 

Qualifications

What YOU Bring to the Table:

  • High school diploma or GED equivalent.
  • Minimum of two years of medical billing/collections experience necessary.  Must be knowledgeable of reimbursement processes and procedures.
  • Ability to work with other employees and provide assistance as needed
  • Proficient in Microsoft Outlook, Word, Excel, PowerPoint and computer literacy
  • Organized work habits, accuracy, and proven attention to detail, with strong analytical skills 
  • Ability to work within a team setting and as an individual contributor

CCS Medical is an Equal Opportunity Employer /Veterans/Disabled

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