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Medical Biller

Recognized as one of the fastest growing companies in Tampa Bay nine years in a row and on the Inc. 5000 list of top privately held companies in the country for the last seven years, DAS Health is seeking full-time RCM (Revenue Cycle Management) Specialist.

The Revenue Cycle Management Specialist is responsible for managing the claims resolution process for assigned client accounts. The RCM Specialist applies thorough knowledge of the claim billing and AR life-cycle, including the prompt and accurate follow-up of all unpaid claims, reviewing assigned accounts to determine appropriate actions needed with regards to claim resolution, managing appeals and resubmissions, and maximizing reimbursement and boosting collections for their assigned accounts.

Specific job duties include:

  • Prepare and submit clean claims to insurance companies either electronically or by paper
  • Review superbill reports and work claim rejections
  • Assess insurance reimbursement for individual accounts to ensure maximum reimbursement from payers
  • Take appropriate follow-up actions on accounts to resolve claims and ensure payment on the first follow-up call or appeal
  • Perform collection activities, such as insurance status calls to ensure timely reimbursement, appeals, and account reviews
  • Task provider staff when additional information is required for claims submissions
  • Request and prepare adjustments and refund requests based on contracts, applicable modifiers, or appeal denials

Requirements: 

  • High School Diploma or GED equivalent
  • 1-3 years in physician medical billing and collections
  • Knowledge of medical terminology, ​ICD-10/CPT/HCPCS coding and CCI edits
  • Extensive knowledge of the RCM process, rejection codes, interpreting 837 and 835 submissions, and the demonstrated ability to identify areas of opportunity to reduce denials and increase payment
  • Excellent verbal and written communication skills
  • Detail oriented
  • Good time management skills
  • Ability to work independently

Strongly Preferred:

  • Experience working with Aprima, eClinical Works, or Medisoft applications

About DAS:

DAS Health is a leading provider of Health IT and management solutions and a trusted consultant to many physician groups, hospitals and healthcare systems across North America. For more than a decade, DAS Health has been bridging the gap between regulatory compliance, business goals and personal service, empowering our customers to deliver more patient-centric care, protect their earnings and increase profitability.

We offer base salary plus discretionary bonus, paid holidays and vacation, healthcare and many other benefits, including a 3-week paid sabbatical for employees when they reach their 5-year anniversary!  Advancement opportunities for those who demonstrate strong results and leadership qualities.  Other positions currently available.  DAS is a smoke-free environment.  If you think you fit our culture and can contribute to our client’s success, we want to hear from you!

 

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