Job Purpose: The Sr. Remittance Specialist role will oversee the processing of all complex or discretionary remitted insurance and patient payments into the Practice Management Remittance application. The ideal candidate will utilize payment-posting expertise to post NON-standard transactions, validate offshore-posted transactions and provide quality control monitoring across the accounts served by the Practice Management System.

 

 

 

Essential Job Responsibilities:

 

Ensure the timely turnaround of saved batches from internal and external posting sources.  Obtain missing information from partially posted batches as needed.  Review and resolve all transactions reported as errors.  Manage error data collection and aggregation for performance feedback.  Check for accuracy in reported batches by the payment posting staff on the Remittance Request Form.  Clearly communicate roles and responsibilities, establish individual goals, monitor productivity, oversee quarterly performance reviews, and provide guidance, as necessary. Deliver results against a defined scope of work that includes measurable KPIs and provide consistent reporting to management Hold regular meetings with the internal department managers to share information, identify areas for improvement and communicate on company issues, as needed Provide training to offshore staff Maintain knowledge of trends, best practices, regulatory changes in health care revenue cycle management Strong mentoring and relationship building skills with the ability to effectively manage and develop team members Model the Core Values of the company (see appendix for definitions of the Core Values)

 

Education:

Preferred bachelor’s degree

 

 

Experience:

Five years of experience in an RCM environment 2 + years of vendor management/oversight experience Ability to focus on achieving business results while balancing employee engagement and retention of talent Must have excellent interpersonal, communication, and motivational skills Superior written and oral communication skills, with the ability to persuasively present and communicate Clinical Lab billing experience preferred Telcor Practice Management system experience preferred Experience and understanding of Artificial Intelligence automation and analysis preferred