| Job ID |
Specialty |
Geographic Location |
City |
State |
Recruiter |
| 2563435 |
Hospital/Clinic – Revenue Cycling |
|
Atlanta |
GA |
FlexDox |
Company Name: FlexDox
Recruiter Name: Maryellen Gatewood
Contact Phone: 815-861-3472
Job Title: Revenue Cycle Management
In HouseID:
(Only QUALIFIED Healthcare Professionals accepted) Hospital/Clinic – Revenue Cycling - A Personal Injury (PI) Revenue Cycle Management (RCM) specialist manages the entire financial lifecycle of accident-related medical claims, from initial treatment to final settlement, ensuring payment via insurance, attorney liens, or letters of protection (LOPs). Key duties include specialized billing, lien verification, and high-level negotiations with third parties to reduce accounts receivable (A|R) aged balances.
Key Responsibilities and Functions
Case Lifecycle Management: Overseeing the financial timeline from the accident date until the final settlement is paid.
Specialized Billing & Coding: Accurately billing, tracking, and managing services for personal injury patients (PIPs), often involving complex insurance sources.
Lien & LOP Management: Managing medical liens and Letters of Protection (LOPs) to ensure providers are paid directly from the patient’s settlement.
Third-Party Negotiations: Communicating with insurance adjusters and legal representatives to settle accounts and reduce A|R.
Denial Management: Identifying reasons for claim denials, filing appeals, and resubmitting corrections to recover lost revenue.
Required Skills and Competencies
Expert Knowledge: Understanding of personal injury law, insurance, and medical billing.
Communication: Strong interpersonal skills for negotiating with attorneys and insurance companies.
Attention to Detail: Precision in documentation, coding, and verifying coverage to avoid billing issues.
These specialists act as a bridge between healthcare providers and the legal system to ensure consistent cash flow in complex PI cases.
Referrer: nchcr.com