Revenue Cycle Director jobs in Appleton, WI

About Us

Here at Encompass Health Solutions, we’re experts in the business of healthcare. As a revenue cycle specialist, you will be part of a supportive, professional team that provides the highest quality of care to our customers.

Full-Time Revenue Cycle Specialist (40 hours/ week)

*This is a hybrid position, some in-office work may need to be performed on site in our Appleton, WI office.

The Revenue Cycle Specialist’s responsibilities are to maintain knowledge of payor specific billing and collection guidelines, research denial types, and elevating process issues. This involves a process to document, track appeal denials and partial payments with an emphasis on recovery of denied revenue.

Duties and Responsibilities
Research, resolve, and resubmit denied claims; taking timely and routine action to collect unpaid claims; and interpreting various forms of explanations of benefits (EOBs) from insurance carriers.

· Provide quality assistance to patients to resolve billing-related questions; and ensuring proper demographic and insurance information for those patients served.

· Enter patient and insurance payments, contractual allowances, denials, correspondence, and other adjustments into the medical group’s practice management system; balancing and reconciling posting batches; and participating in month-end close.

· Research and resolve unpaid accounts receivable and make any corrections in medical group’s practice management system necessary to ensure maximum reimbursement for all services rendered.

· Resubmit claim forms as appropriate.

· Professionally respond to all billing-related inquiries from patients, staff, and payers in a timely manner.

· Utilize available resources to identify reasons for payment discrepancies.

· Keep management informed of changes in billing requirements and rejection or denial codes as they pertain to claim processing and coding.

· Accurately documents patient accounts of all actions taken.

· Effectively post insurance/patient payments, remittances, and correspondence to respective patient invoices, and when appropriate, transfers remaining balances to the next responsible parties.

· Maintain working knowledge of Payor Specific Billing & Collection Guidelines as well as Reimbursement levels.

· Comply with EHS policies and procedures, adhere to EHS Code of Conduct, complete required compliance training modules, and report any observations of non-compliance.

Knowledge, Skills and Abilities:

· Knowledge of Medicare, Medicaid, managed care, and commercial insurances.

· Use of Electronic Health Record and Practice Management system

Requirements
High School diploma, college degree, or coding technical certificate preferred.

*This position must be performed on site in our Appleton, WI office.

• 3 years of medical billing experience required, or equivalent
• Knowledge of commercial paper and electronic claims processing
• Knowledge of ICD, CPT, HCPC coding, ability to read EOBs, post payments and refunds
• Experience in eligibility verification, ERA, familiarity with HIPAA rules.
• Epic experience Highly preferred.
• Neurology, Urology, Anesthesia, or Pain Management experience is a plus
• Organized with attention to detail.
• Strong verbal and written communication skills.
• Ability to work in a fast-paced work environment.
• Sound analytical and problem–solving skills.
• Ability to make decisions and work independently.
• Constant customer service focus.

Experience:

• Medical billing: 2 years (Preferred)
• Neurology, Urology, Anesthesia, or Pain Management knowledge

Note: This job description is not intended to be all-inclusive. Employee may perform other related duties as assigned to meet the ongoing needs of the organization.

Job Type: Full-time

Pay: $19.00 - $23.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible schedule
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Work setting:

• Hybrid work
• Office

Ability to Relocate:

• Appleton, WI 54911: Relocate before starting work (Required)

Work Location: Hybrid remote in Appleton, WI 54911