A R Caller - PRO RCM

Description

Why work at nimble?

This is a great opportunity to join a well-established and market-leading brand serving a high-growth end market while gaining valuable experience working closely with Executive leadership. As an organization, we are in high-growth mode through acquisition with a laser focus on positive culture building!

Who we are!

nimble solutions is a leading provider of revenue cycle management solutions for ambulatory surgery centers (ASCs), surgical clinics, surgical hospitals, and anesthesia groups. Our tech-enabled solutions allow surgical organizations to streamline their revenue cycle processes, reduce administrative burden, and improve financial outcomes. Join more than 1,100 surgical organizations that trust nimble solutions and its advisors to bring deep insights and actionable intelligence to maximize their revenue cycle.

Roles and Responsibilities

• Reviewing system notes.
• Reviewing the claims in depth to understand the current state
• Use the payment calculator to obtain the expected reimbursement
• Take necessary steps like re-billing, taking adjustments, moving to the patient responsibility bucket, sending medical records to payers, or dropping claims to paper
• After analysis, if an account needs a calling effort, then a clear note is to be placed in Excel or the work assignment tool with a proper action code for the AR calling team to work
• Providing information to expedite claim processing
• Attaching appropriate documentation (i.e., OP note, invoice, etc.)
• Reviewing claims to ensure fields are complete and accurate
• Maintaining daily record of activities
• Using AR assignment through Excel or System to manage the daily accounts to be worked
• Prioritizing accounts based on high dollar amount and days in AR (some time based on escalation specified accounts would be given to work)

Requirements

• A minimum of two years of AR experience 
• Graduation is required
• Knowledge of commonly used medical coding and billing terms and concepts.
• Detail oriented, strategic thinking, investigative skills
• Ability to work in a team-oriented environment