RCM Primary Care Follow Up | UMC Physicians | ON-SITE

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Title : RCM Primary Care Follow Up

Department : Central Business Office

We are seeking a full-time team member with a passion for others to work at UMC Physicians. The RCM Primary Care Follow Up position is responsible for ensuring accurate and timely submission of insurance claims, obtaining missing information, researching denials and documentation, following up on claims, and maintaining compliance with department standards, HIPAA, and governing agency policies and procedures.

Preferred Characteristics :

• Goal oriented
• Professional demeanor and appearance
• Punctual and dependable
• Problem solving and critical thinking abilities
• Teamwork
• Organization and time management, ability to multi-task and meet deadlines

Availability Requirements :

Our Mission : To improve the quality of life for our community by providing the best patient experience for every patient.

Our Vision : To be the best place to work and the best place to receive healthcare.

Benefits : UMC Physicians offers a comprehensive benefits package to eligible full-time employees. Benefits include :

Note : Some benefits require an employee contribution to participate.

Job Description :

The RCM Primary Care Follow Up position ensures all initial third party and federal / state government claims are billed and all unpaid, rejected or denied claims receive appropriate follow up or an appeal to over-turn the denial as required. Accurate and timely preparation and submittal of corrected claims to payers via electronic (837) or paper is also required. The RCM Primary Care Follow Up position must take action required to resolve rejected, underpaid and denied claims by submitting corrected claims and appeals on a timely basis upon review of unpaid encounters. They must also identify and resolve complex claims issues adversely impacting the revenue cycle and achieve resolution through coordination with clinical departments and the payer. This position works closely with the Central Billing Office Administration, clinical practice managers, billers, and coders.

Essential Functions :

Additional Responsibilities :

Skills and Abilities :

Minimum Qualifications :

Environmental Conditions :

Works in well-lighted, heated and ventilated building. Exposure to blood borne pathogens are of low risk. Hours of duty may be irregular.

Physical Requirements :

Requires prolonged sitting, some bending, lifting, stooping, and stretching. Hand-eye coordination and manual dexterity sufficient to operate a keyboard, copier, telephone, adding machine, fax machine, printers and other minor office equipment is a must. Requires normal range of hearing and eyesight to record, prepare and communicate appropriate reports. Must also be able to communicate in person, via voicemail, via email and on the telephone.

Limitations and disclaimer : The above job description is meant to describe the general nature of work being performed; it is not intended to be construed as an exhaustive list of all responsibilities, duties and skills required for the position. This position is security sensitive.

UMC Health System provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment on the basis of race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. Request for accommodations in the hire process should be directed to UMC Human Resources.