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As the RCM Specialist, you will partner with ATI Physical Therapy business leaders to improve and deliver positive change throughout the revenue cycle. You will work to improve the accuracy and effectiveness of revenue cycle processes through account audits, data analysis, assisting in training sessions, and participating in team/vendor meetings, to name a few. This position will assist with updating ATI’s policies and procedures as it relates to their focused area within the revenue cycle. The RCM Specialist will need understanding of all revenue cycle processes but will be assigned to one of the following focused areas: Financial Clearance, Central Business Office, Commercial/Gov’t/SP AR Follow-up, or WC/API AR Follow-up. This role will be focused on A/R Follow up managing AR inventory with a third-party vendor, review/investigate insurance claims, and perform claim audits to ensure seamless financial health and compliance. This is a remote position for U.S. based employees.
Job Responsibility
Employ continuous improvement efforts to improve key performance metrics for the focused area within the revenue cycle
Provide ongoing monitoring of standards by conducting audits of all revenue cycle processes, vendors, and technology. Performs timely reviews of patient accounts, vendor work products, and remittances for denials to determine root cause of issue and appropriateness of actions taken, and assists in corrective action plan development
Must have excellent analytical and problem-solving skills with proficient computer skills, including Microsoft Office applications
Participate in vendor and department meetings as needed
Assist in identifying changes to policies, procedures, and technology to improve efficiencies
analyze department needs and suggest ways to improve workflow
Must have excellent organizational skills and ability to prioritize and coordinate workload with high degree of proficiency and accuracy
Maintain open, consistent, and positive communication with other Revenue Cycle departments, clinics, and vendor partners
Other projects as assigned
Requirements
High School Diploma, GED, or suitable equivalent
3 years of healthcare experience in clinical or office setting
1 year of healthcare revenue cycle experience
Claim, Denial, and/or process auditing experience
Proficient in Microsoft Office applications
Strong attention to detail to ensure the accuracy of data with the patient account
Ability to prioritize and manage multiple tasks simultaneously
Excellent interpersonal and communication skills, both oral and written
Nice to have
Associate / bachelor’s degree
Previous experience with offshore revenue cycle vendors
2+ years of healthcare revenue cycle experience
Denial reduction project experience
What we offer
Paid Time Off: Generous PTO, holiday pay, CEU, and 'Be Well Days' to recharge, prioritize mental and physical health
Medical, Dental & Vision Coverage: Flexible plan options