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Job Opportunities
We’re looking for outstanding talent and growing fast.
Check out our open positions and help us make healthcare simpler.
Current Jobs openings
RCM Specialist
Roles and Responsibilities:
- Perform charge and demo entries.
- Review bills for accuracy and completeness and obtain any missing information.
- Knowledge of insurance guidelines especially Medicare and state Medicaid.
- Follow up on unpaid claims within the standard billing cycle timeframe.
- Check each insurance payment for accuracy and compliance with the contract.
- Handle Claim Rejections.
- Manage Claim Denials.
- Understands the medical billing process, insurance rules and regulations, and can enforce/abide by policies and procedures.
- Document all actions taken in the company or Client host system.
- Adhere to HIPAA, patient confidentiality, and compliance requirements at all times.
- Research payor rules and regulations to maintain current payor knowledge.
Requirements:
- Attention to detail and high level of accuracy.
- Team Player.
- Proficient in MS Office; particularly Excel and Outlook.
- Should have good communication skills, both verbal and written.
- Know about Demo and Charge Entry, Eligibility, Rejection handling, and denial management.
AR Executive - RCM
Roles and Responsibilities:
- Working on eligibility Verification.
- Working on Charge entry.
- Working on Billing.
- AR denial follow-up and identifying global issues.
- Payment posting and reconciliation.
Requirements:
- Minimum 1 year work experience as an AR Caller in Revenue Cycle Management Process in US Medical Billing.
- Sound knowledge in Healthcare concept.
- Must possess good communication skill.
- Must be flexible and should have a positive attitude towards work.
- Excellent Knowledge on Denial management.
- Should be proficient in calling the insurance companies.
- Ensure targeted collections are met on a daily / monthly basis Meet the productivity targets of clients within the stipulated time.
- Ensure accurate and timely follow up on pending claims wherein required.
- Should have good knowledge and hands on experience in MS office especially MS excel.
- Ability to multi-task.
Medical Billing Specialist
Roles and Responsibilities:
- Obtaining referrals and pre-authorizations as required for procedures.
- Checking eligibility and benefits verification for treatments, hospitalizations, and procedures.
- Reviewing patient bills for accuracy and completeness, and obtaining any missing information.
- Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.
- Following up on unpaid claims within standard billing cycle timeframe.
- Checking each insurance payment for accuracy and compliance with contract discount.
- Calling insurance companies regarding any discrepancy in payments if necessary.
- Identifying and billing secondary or tertiary insurances.
- Reviewing accounts for insurance of patient follow-up.
- Researching and appealing denied claims.
- Answering all insurance telephone inquiries pertaining to assigned accounts.
- Updating cash spreadsheets, and running.
Requirements:
- Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
- Familiarity with CPT and ICD-10 Coding.
- Effective communication abilities for phone contacts with insurance payers to resolve issues.
- Ability to work well in a team environment. Being able to triage priorities, delegate tasks if needed, and handle conflict in a reasonable fashion.
- Problem-solving skills to research and resolve discrepancies, denials, appeals, collections.
- A calm manner and patience working with either patients or insurers during this process.
- Knowledge of accounting and bookkeeping procedures.
- Knowledge of medical terminology likely to be encountered in medical claims.
- Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
- Ability to multitask.
RCM Virtual Assistant
Roles and Responsibilities:
- Receiving patients calls i.e. Appointment Scheduling, re-scheduling or cancellation and any other concerns.
- Follow-up with Insurance Company to check status of outstanding claims.
- Handle Inbound and Outbound calls.
- Handle out-bound call to resolves patient billing issues.
- Strong knowledge in Patient calling.
- Ensure deliverable adhere to quality standards.
- Work cohesively in a team setting, Assist team members to achieve shared goals.
- Communication / Issue escalation to seniors if there is any in a timely manner.
Requirements:
- Understand requirements from the Team Manager and Clients and provide effective solutions.
- Excellent understanding of Medical Terminology, Anatomy, Physiology, Procedures and Treatment.
- Must have excellent communication skills (Written & Verbal).
- A bright, problem-solving mindset + attention to detail
- Personability (enjoy talking to people, and talking to patients in particular [note that this role involves primarily phone-based and virtual patient encounters])
Authorization Specialist/ Process Associate
Roles and Responsibilities:
- Employed in medical billing domain, insurance authorizers are articulate professionals who communicate with insurance companies and other payers with regards to preauthorization patient services, medications and surgeries.
- Completes initial and renewal applications for non-Medicare payor sources.
- Communicates required information with Insurance Representatives to secure prior authorization of radiological studies, medications, and surgeries. Communicates prior authorizations to clinical case managers in a timely manner to allow timeliness of patient scheduling.
- Reviews documentation which has been requested by the insurance company prior to submission of the information to the insurance carrier.
- Follow up with insurance companies to understand status of claims.
- Avoid patient care delays, claim denials and appeals! Accurate verification of co-pays, deductibles, payable benefits and more.
Requirements:
- Graduate, preferably in life sciences.
- Prior experience in working with insurance companies preferred.
- Prior experience in related Medical Billing domains like AR, Denial Management, Medical Coding, Payment Posting, with knowledge in US Healthcare RCM.
Team Lead
Roles and Responsibilities:
- Coordinates with various RCM Delivery teams, including Reimbursement Analysts, Transaction Specialists, Claims Submission Specialists, Patient Access Liaisons, Patient Billing Specialists, and others, to determine what claims / payers / facilities / providers / patients / others require calling.
- Assigns workflows to team, oversees workflow activities.
- Maintains strong knowledge of payer-implemented billing procedures, shares changes with AR associates and makes necessary changes to processes.
- Ensures team delivers quality service, in accordance with each client’s Service Level Agreement (SLA).
- Call’s payers to obtain claim statuses, coordinates with appropriate team to make corrections and resubmit claim within timely filing deadlines.
- Places calls to facilities/providers/payers to obtain chart notes / documentation / prior-authorization information/ eligibility verification information, etc.
- Encourages smooth daily operations, and maintains daily operations reports, as necessary.
- Monitors team productivity and provides guidance and motivation.
- Delivers feedback on processes, workflows, and team productivity to AR Calling Supervisor
- Escalates operational process/workflow issues, as necessary.
- Consistently exhibits behavior and communication skills that demonstrate Harris Computers core values and commitment to quality and customer service.
- Fulfills all compliance responsibilities related to the position, handles all protected health information in a manner consistent with Health Insurance Portability and Accountability Act (HIPAA) regulations.
Requirements:
- 5+ yrs of AR Calling exp, with 2+ yrs exp as Team Leader AR in papers
- Proficient in MS Excel and creating Excel macros
- Strong ability to analyze data with Effective Communication Skills
Assistant Manager - RCM
Roles and Responsibilities:
Team Leadership:
Supervise and lead a team of medical billing account receivables specialists, fostering a collaborative and performance-driven work environment. Conduct regular team meetings, provide guidance on complex cases, and ensure adherence to best practices and company policies.
Medical Billing Accounts Receivable Management:
Oversee the end-to-end accounts receivable process for medical billing, including claim submission, payment posting, and denial management. Analyze aged accounts and implement effective strategies to reduce outstanding balances and enhance cash flow. Review and resolve escalated billing issues, ensuring accurate and timely resolution.
Process Improvement:
Continuously evaluate the efficiency of the medical billing accounts receivable process and identify opportunities for improvement. Implement streamlined procedures and technologies to enhance productivity and reduce billing cycle time.
Client Relations:
Serve as a primary point of contact for key clients, building strong relationships and addressing their inquiries or concerns related to accounts receivable. Collaborate with the client services team to ensure exceptional customer satisfaction and retention.
Compliance and Quality Assurance:
Ensure compliance with relevant medical billing regulations, coding guidelines, and billing standards. Conduct periodic audits to maintain the accuracy and integrity of accounts receivable data and processes.
Continuously evaluate the efficiency of the medical billing accounts receivable process and identify opportunities for improvement. Implement streamlined procedures and technologies to enhance productivity and reduce billing cycle time.
Reports and Analysis:
Generate and analyze regular reports on key performance indicators (KPIs) related to accounts receivable. Provide insights and recommendations to management for improving revenue collection and financial performance.
Requirements:
- 7+ years of experience in medical billing revenue cycle management.
- Comprehensive knowledge of medical billing practices, CPT/HCPCS codes, ICD-10, and payer guidelines.
- Strong leadership and team management skills with a passion for fostering employee growth and development.
- Excellent communication and interpersonal skills to effectively collaborate with clients and internal stakeholders.
- Proficiency in using medical billing software and data analytics tools.
Manager/Sr. Manager - RCM
Roles and Responsibilities:
- Team Leadership: Lead and mentor a team of RCM professionals, providing guidance, coaching, and fostering a positive work environment.
- Operational Excellence: Oversee and streamline RCM processes to maximize revenue collection, minimize denials, and improve cash flow.
- Compliance: Ensure that the RCM team adheres to all relevant regulations and compliance standards, including HIPAA and other industry-specific guidelines.
- Performance Analysis: Monitor key performance indicators (KPIs) and implement strategies to continuously improve departmental performance.
- Client Relations: Build and maintain strong client relationships, addressing concerns and collaborating to meet their unique needs.
- Reporting: Generate and analyze reports to provide insights into departmental performance and make data-driven decisions.
- Budget Management: Collaborate with finance to establish and manage the RCM department’s budget, optimizing resource allocation.
- Process Enhancement: Identify opportunities for process improvement, automation, and innovation to increase efficiency and reduce costs.
Requirements:
- Bachelor’s degree in Healthcare Administration, Business Administration, or a related field. Master’s degree is a plus.
- Proven experience in healthcare revenue cycle management, with a minimum of 10+ years in a leadership role.
- Strong understanding of healthcare billing, coding, and reimbursement practices.
- In-depth knowledge of industry regulations and compliance requirements.
- Excellent leadership and team management skills.
- Exceptional problem-solving abilities and a strategic mindset.
- Effective communication and interpersonal skills.
- Proficiency in using RCM software and data analysis tools.
- Certifications such as CRCR, CHFP, or HFMA are advantageous.
Get In Touch With Us
We’re excited to discuss how TrellisTract can transform your healthcare revenue cycle. Whether you have questions, need a consultation, or are ready to take the next steps, our team is here to help.
