Revenue Cycle Associate

The Organization:

Lowell Community Health Center (Lowell CHC) is a community-based health care organization. Our programs have been recognized as national models. With a career at Lowell Community Health Center, you will be joining a dynamic team of passionate and talented people.

The Position:

The Revenue Cycle Associate is a multi-tasking position that encompasses all core functions of the Revenue Cycle. The staff will possess the ability to work independently to resolve complex issues. This position is expected to consistently maintain productivity Quality and accuracy of work performed is expected to demonstrate thorough working knowledge of Revenue Cycle Department.

Essential Functions:

Revenue Cycle Associate duties may include but are not limited to Core Functions: Payer Contracts and credentialing, Schedules, Panel Management, Pre-verification, Prior-Authorization, Charge Capture, Insurance Follow-Up, Denial Management, Payment Posting, refunds, lockbox management, Account Correction and Adjustment, Response to Patient Account Inquiries.

Other duties:

• Complies with Revenue Cycle policies and procedures.
• Works assigned task lists in a timely manner
• Performs reconciliation activities to ensure proper resolution and compliance with projects
• Researches status of any third party payers through use of appropriate systems.
• Maintains up-to-date knowledge of third party payer reimbursements and managed care contracts.
• Assist in Identifies gaps during the RCM and develop new projects
• Accurately complete and tracks the completing of assignments.
• Run relevant financial reports to extract key financial data
• Report on key metrics within the revenue cycle
• Assist on the coordination with insurance companies to resolve payment problems and reimbursement issues.
• Insurance verification via phone and/or clearinghouse
• Collect and post patient and insurance payments
• Charge entry and payment processing
• Response to inquiries concerning account balance, third party payments, from patients, lawyers, and/or third party payers in a timely manner.
• Keeps up to date statuses and regulations that could affect the collection
• Effectively navigate insurance portal and EMR system
• Brings any unusual occurrence to the attention of the RCM Leaders
• Perform any other duties as may be assigned

Other Elements:

On-site/Remote Work Flexible work and remote-friendly 40 hour’s position. The employee may be expected to work on site-part of the week. Daily interaction with other members of the organization and immediate supervisor is expected to included but not limited to phone, video, virtual meetings and training.

Knowledge Reimbursement and third party payer procedures and collection techniques Ability to accurately enter and review data. Ability to multitask. Knowledge of Microsoft and Outlook.

Experience Billing and collections in a health system or Medical billing certificate is preferred. Must have good computer skills.

Judgment Demonstrates good judgment in reasoning when investigating and solving problems. Respect the confidentiality of patient information in compliance with the HIPAA and other applicable regulations.

Action The ability to prioritize the assignments.

Accountability Ability to meet deadline and work product. Ability to perform assigned duties with minimal direction and supervision in a timely manner. Ability and flexibility to work in-office or remotely.

Interrelationships Effective interaction with external and internal representative impacting the medical billing and patient revenue activity. Must communicate clearly in consistent manner and work towards resolution of problems with immediate staff and other managers.

Environment The work environment are general business office working conditions.

Physical Effort The physical demands described here are representative of those that must be met by an

Employee to successfully perform the essential functions of this job. Requires minimal physical efforts and constant use of computer, telephone and fine printed information. While performing the duties of this job, the employee is frequently required to stand, walk, sit, and use hands to finger, handle or feel. The employee is occasionally required to reach with hands and arms, climb or balance, and talk or hear. The employee must frequently lift and/or move up to 25 pounds.

Occupational Risks Regular volume of work and deadlines impose stress on routine basis. Frequent interruptions. The noise level in work environment is usually low to moderate.