NextGen RCM Specialist
On-site · Fort Worth, Texas, United States
Job Summary
NextGen RCM Specialist needed to work with peers, offshore vendors, and management to ensure business needs are met; provide RCM support to physicians and care-center staff; conduct account research and analysis; understand payer nuances and help create payer-specific billing rules; identify and execute process initiatives related to billing and adjustments; prepare and maintain various reports; interact with internal/external customers to resolve issues; maintain HIPAA confidentiality; flexible hours to meet staffing needs; prior experience with NextGen EPM and healthcare revenue cycle management is required.
Required Qualifications
- Minimum 3 years experience with NextGen EPM software
- Minimum 3 years of progressive professional experience in healthcare revenue cycle management
- Proficient in government and commercial insurance billing and experience with working on various Clearing houses (Waystar, Trizetto, etc)
- Proficient in the use of Excel, Word, and PowerPoint or equivalent Google software
- Knowledge and understanding of ICD-10, CPT, and HCPCS codes and payer-specific coding guidelines
- Knowledge and understanding of medical terminology and procedures
- Knowledge of coding, medical records, remittance codes, and reimbursement policies
- High School diploma or general equivalency
- Good verbal and written communication skills
- Ability and willingness to work flexible hours to meet staffing needs
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