RCM Specialist

Accountability: Demonstrates an understanding of the link between one's own job responsibilities and overall organizational goals and needs.

Analytical Thinking: Demonstrates the ability to deconstruct information into smaller categories to draw conclusions.

Result Oriented: Demonstrates knowledge in partnering with your supervisor for setting and achieving challenging goals.

2+ years of full-time professional experience in a healthcare setting.

Minimum 2 years of direct experience in revenue cycle management.

Verify insurance eligibility and benefits prior to admission. Including deductible, co-insurance, copay, treatment restrictions, premium paid through dates, coordination of benefits completion, and in or out of network status.

Financial Counseling

Walk through insurance benefits with patients prior to admission. Go over and have them complete all applicable financial forms. Collect patient cost share.

Utilization Review Follow Up

Run a daily report on pending authorizations, call the insurance care managers to obtain the authorization details and input into KIPU EMR for visibility to RCM and clinical team members. Coordinate with therapists on any auth issues or other information needed by the insurance company.

Front End Billing / Charge Entry / Claim Data Integrity