PRIMARY FUNCTION

Functions to be performed in all databases (i.e., East, Central, West).

 

ESSENTIAL DUTIES AND RESPONSIBILITIES

This list may not include all the duties that may be assigned.

Daily Processes – All Databases:

Auto Claim Creation Job Verification Claim Batch Reconciliation to Clearinghouse Unlock Requests via Patient Actions New Insurance Added with ECW System Change Request ticket resolution General RCM support for ECW issues

Weekly Processes – All Databases:

Clearinghouse Name Matching Remove Paper Collection Status for claims Remove C1 Collection Status for claims Run Report Console Utility- Post Patient Payments to CPT Level Incorrect Liability claims Pat/Ins Analyze ECW ebo reports Claim Prefix 43.06 Practice Providers 43.01 Facilities 46.05 Claims not in queue 46.04 Queue claim details

Monthly Processes – All Databases:

Analyze ECW ebo Report- All reports in RCM>System Admin>Month End Reports Move patient claims to Collection Status C2 Small Balance Write Off’s <4.99 and >-4.99 End of Month Support for payment reconciliation

 

 

 

 

                                 

QUALIFICATIONS

EDUCATION:

High school diploma or equivalent. Experience may commensurate education.

 EXPERIENCE:

Minimum 3 years’ experience in PM system administration.

 

KNOWLEDGE, SKILLS, AND ABILITIES

Knowledge of PM system maintenance and administration. Ability to analyze and troubleshoot issues. Communicate effectively and clearly.

 

TYPICAL WORKING CONDITIONS

Non-patient facing May be either full time remote/telework or rotate working in the office and remote/telework. This job must be U.S. based.

 

OTHER PHYSICAL REQUIREMENTS

Vision Sense of sound Sense of touch