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Revenue Cycle Manager
at AHS Family Health Center
Chicago, IL

Revenue Cycle Manager
at AHS Family Health Center
Chicago, IL

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Description

Job Description

Department Function: Provides accurate billing and collection of all medical and dental procedures. Receive payments for all procedures and resolve billing/coding errors in a timely manner.

Summary of position: Under the supervision of the CFO, submit claims to collect payments for all procedures performed. Responsible for billing and collecting Medicare & Medicaid reimbursements, resolving discrepancies, adjusting claims, preparing reports; office and customer coordination. Act as the patient billing expert for front-office personnel. Manage and oversee billing and coding staff.

Essential Functions:

• Review, Edit and Process Medical and Dental claims, as assigned in timely manner.
• Review, Edit and Process claims on hold.
• Review and correct rejections and denials.
• Review, correct and print dental patient statements for mailing.
• Reconcile patient account posting
• Answer communications (phone, mail and email) regarding any billing or claims-related concerns.
• Assist in implementing the day-to-day functions of the Billing department, standardizing the methods in which work will be accomplished.
• Prepare reports for and participate in Revenue Cycle Management (RCM) weekly meetings.
• Orient the staff and patients to billing policies and procedures.
• Reviewing front office billing or coding errors with front office supervisor.
• Follow AHS Family Health Center policies in handling cash.
• Maintain appropriate documentation and up-to-date records.
• Attend staff and educational meetings regarding billing, planning and implementation.
• Acts as lead in resolving patient billing issues, questions and concerns.
• Post and review payments received to appropriate patient's account.
• Assist in balancing accounts receivable, reconciling statements as needed.
• Assist with the implementation of a new billing system (if/when needed).
• Assist in preparing financial and statistical reports as directed
• Develop and utilize computer reports and output.
• Monitor and collect accounts receivables.
• Data entry for all patient charges and refunds.
• Responsible for computer billing, mailing, recording and collection.
• Data entry on all Medicare Part A&B billing charges and supplies.
• Maintain billing and payment log and complete all crossover billing as necessary or directed.
• Responsible for completing all Medicare billing forms and back-up information required.
• Keeping in contact with the responsible parties involved as to payments due and the status of their accounts.
• Perform additional duties, as assigned.


Qualifications:
• Billing experience required; Coding certification preferred
• Some college experience. Bachelor’s degree preferred.
• Experience with FQHC billing, a plus
• Bilingual, a plus
• Highly organized, self-starter
• Attention to details, data entry, knowledge of EOB, and documentation skills
• Patience to perform daily functions
• Customer service skills
• good work ethic - team player


Physical Requirements and Working Environment:
• Frequently work in a seated position at a desk, frequent walking.
• Respond and react immediately to verbal instructions/requests and to auditory signals from equipment and personnel.
• Physically close and distance visual activities involving objects, persons, and paperwork, as well as discriminate depth and color perception.
• Perform mathematical calculations for billing transactions and administration.
• Communicate effectively, both orally and in writing, using appropriate grammar, vocabulary, word usage, and interpersonal skills.
• Typing and computer skills needed to process and submit claims online, and to communicate with personnel.


Knowledge:
• Knowledge of medical terminology
• Knowledge of billing and coding terminology
• Experience with general office software (Microsoft Word, Excel, Adobe Acrobat)
• Experience with EHR software (Athena and Dentrix Ascend preferred)


Skills and Abilities:
• Maintain Good Work Habits:
o Function within the scope of billing and coding practices
o Regular and punctual attendance
o Show initiative and responsibility
o Exercise efficient time management
o Organize and multi task


• Patient relationships
o Approach patients in a professional manner
o Adapt communications to individual’s ability to understand
o Maintain confidentiality (HIPAA guidelines)
• Staff relationships
o Work as a team member
o Show leadership
o Follow established policies and procedures
• Communicate effectively verbally and in writing
• Use medical terminology appropriately
• Provide services in courteous and pleasant manner

Company Description

AHS Family Health Clinic is a Federally Qualified Health Center (FQHC) and is a federally funded medical and dental clinic in Chicago serving immigrant families and under-served individuals on the northwest side of Chicago. Locations in Niles and Skokie too.

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