Job Description
Job Description
Job Description
At PracticeTek, we believe healthcare should be easy for providers, accessible for patients, and simple for everyone involved.
PracticeTek was established by healthcare professionals and entrepreneurs who share a common goal: deliver seamless, high-quality, on-demand healthcare, free of the confusing limitations of traditional technological platforms.
PracticeTek is a collection of innovative software companies working together to make healthcare easier, and more accessible, for everyone. We deliver robust software solutions that support practitioners, and foster exceptional patient experiences, contributing to the growth of healthcare clinics specializing in chiropractic, dental, orthodontics, optometry, and multi-discipline therapy.
RCM Department Overview: The Revenue Cycle Management (RCM) department helps doctors get paid for their services. From clearinghouse enrollments to patient accounts, to insurance claims, our RCM team members help practices grow and succeed financially.
Your Career Opportunity: As a Full-Service RCM Specialist, you will play a crucial role in managing the entire revenue cycle process for our clients. You will be responsible for ensuring the accurate and efficient handling of patient billing, claims processing, payment posting, and revenue optimization. The ideal candidate will have a deep understanding of RCM practices, excellent analytical skills, and a passion for improving financial performance in the healthcare industry.
Areas of Accountability:
- Manage end-to-end revenue cycle processes, including patient registration, insurance verification, billing, coding, claims submission, payment posting, and collections.
- Analyze and resolve billing and claims issues to minimize denials and maximize reimbursement.
- Conduct regular audits to ensure accuracy and compliance with regulatory standards and payer requirements.
- Collaborate with healthcare providers and staff to streamline workflows and enhance revenue cycle efficiency.
- Monitor key performance indicators (KPIs) and generate reports to track financial performance and identify areas for improvement.
- Stay up-to-date with industry trends, regulations, and best practices to ensure optimal revenue cycle management.
- Provide training and support to clients and internal teams on RCM processes and software.
Competencies for Success :
- 2+ years prior experience in Revenue Cycle Management or customer service environment; hospital patient account billing with experience or knowledge of 3rd party reimbursements from insurance companies and government payers is a plus.
- Exceptional ability to communicate and foster positive business relationships.
- Accountability and personal organization are essential.
- Excellent ability to manage time.
- Proven experience in revenue cycle management, account management, or client success roles within the healthcare industry.
- Exceptional problem-solving skills and the ability to handle and resolve client issues effectively.
- Excellent communication and interpersonal skills, with the ability to build relationships.
- Excellent client-facing and presentation skills.
- Extensive knowledge of medical billing/coding, front-office, physician practice management and healthcare business processes.
- Analytical mindset, with the ability to analyze data, identify trends, and develop strategic recommendations.
- Strong understanding of various insurance carriers, including Medicare, private HMOs, and PPOs.
- Professional demeanor required.
At PracticeTek, we carefully consider a wide range of compensation factors to determine our offers of employment. This includes internal and external market factors as well as your individual experience and skills. These considerations can cause compensation to vary but we reasonably expect to pay between
$33050-$68650for this position.
PracticeTek and its family of companies is an Equal Opportunity Employer that values employees with a broad cross-cultural perspective. We strive to create an inclusive environment, empower employees, and embrace diversity. We encourage everyone to respond. All applicants will receive fair and impartial treatment without regard to race, color, religion, sex, national origin, ancestry, citizenship status, age, legally protected physical or mental disability, protected veteran status, status in the U.S. uniformed services, sexual orientation, gender identity or expression, marital status, genetic information or on any other basis which is protected under applicable federal, state, or local law.
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