Lifeline Connections

Customer Support

• providing exceptional service to patients with commercial insurance coverage and self-pay accounts.
• verifying insurance eligibility and benefits, assisting with payment arrangements, resolving account issues.
• serving as a primary point of contact for patient billing inquiries.
• contacts patients regarding outstanding balances, denied claims, payment requests, and overdue accounts.
• establishing and monitoring payment arrangements as appropriate.
• processing and submitting patient refund requests in accordance with established policies and procedures.
• maintaining daily account follow-up worklists and assigned account inventories while meeting established productivity and quality standards.
• auditing patient accounts to ensure accuracy and completeness of billing and payment information.
• providing outstanding customer service to patients, staff, providers, and external stakeholders.
• ensuring the integrity and completeness of account records and compliance with HIPAA requirements.

Patient Customer Service Specialist

Medical Billing and Coding

• The RCM Medical Billing Operations Supervisor position works under the supervision of the RCM Manager.
• Oversees the front end of the medical billing cycle, namely timely and accurate claim submission processes.
• Supervises the Coding and Claim Review Specialists and Medical Billing Assistant.
• Ensures acceptable resolution of failed claims in the EHR to promote timely submission of claims.
• Monitors unbilled claims and upfront rejections.
• Responsible for coding and mapping in the EHR, maintaining payer information, billing configurations, fee matrices, and rules for the claim engine.
• Performs RCM Billing Audits and may assist in running regular reports to track department goals and progress.
• Provides direct supervision to the Coding and Claim Review Specialists and Medical Billing Assistant, meeting regularly to provide guidance, direction, support, and resources necessary for efficient job performance.
• Conducts quarterly and annual performance evaluations and assists staff in establishing and achieving individual goals aligned with departmental objectives.
• Troubleshoots, investigates, and resolves failed claims within the claim management system daily to ensure timely claim submission and reimbursement.
• Configures, maintains, and monitors payer billing settings, procedure code, bill-next, and adjustment reason code mappings within billing systems.
• Applies proactive problem-solving, analytical thinking, and attention to detail to identify, research, and resolve billing, coding, and claim processing issues.