Revenue Cycle Associate - REMOTE

Steward Health Care is proud to be a minority, physician owned organization. Diversity, equity, inclusion and belonging are at the foundation of the care we provide, the community services we support and all our employment practices. We do not discriminate on the grounds of race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, and or expression or any other non-job-related characteristic.This is a specialist position for someone with experience handling NICU claims. This will require someone with experience in reviewing a hospital census and making sure there are no areas of potential revenue loss. This position is responsible for the resolution of outstanding and/or denied claims based on third party claim processing rules within established timelines. The Revenue Cycle Associate reports to the central business office supervisor or

manager.• Meets goals and objectives in assigned area.• Complies daily with departmental policies and procedures.• Performs collection activity to ensure proper resolution and reimbursement on claims.• Reviews Hospital census daily to confirm NICU accounts that newborns have been added to parents policy, any auto coverage has been documented, working with front end staff to make sure all safeguards have been completed to preserve payment on high dollar NICU accounts.• Provides thorough, courteous, and professional assistance to coworkers and patients.• Ensures that all claims are billed and collected and meet all government mandated policies for Integrity and Compliance.• Collaborates with hospital departments in the resolution of accounts.• Resolves claims processing issues with third party payers and provide all required information timely; involves patients and family members (where necessary) to ensure timely resolution of claims with insurance companies.• Resubmits clean and accurate claims to insurance companies in a timely and compliant manner.• Researches, prepares, and submits appeals to insurance companies.• Details all actions taken on account with clear and concise notes.• Monitors and recognizes denials and/or issues that may be trends and escalate to supervisor as needed; and• Maintain strict confidentiality and adhere to all HIPAA guidelines/regulations• Demonstrate excellent communication skills, both written and verbal.• Knowledge of basic medical coding/terminology and third-party insurance operating procedures and practices a plus.• Understands payer guidelines related to effective claim resolution.• Knowledgeable and proficient with payer websites and other useful resources.• Knowledge of revenue cycle and/or business office procedures.• Highly detail oriented and organized.• Ability to read, understand, and follow oral and written instructions; and• Ability to establish and maintain effective working relationships and communicate clearly with customers and insurance companies both within and outside of Steward.

EDUCATION/EXPERIENCE/LICENSURE/TECHNICAL/OTHER:• Education: High School Diploma or GED.• Experience (Type & Length): At least 2 years' experience in hospital billing with specific payor(s) subject matter expertise. NICU experience preferred• Certification/Licensure:• Software/Hardware: Meditech and MS Office required; XClaims preferred.• Other: