Direct Contract Revenue Cycle Specialist

Atlanta, GA | Billing

Position Summary:

GoHealth Urgent Care partners with Health Systems at the forefront of care and delivery innovation. Our network includes partnerships with seven major Health Systems across the country. GoHealth Urgent Care will continue to partner with market-leading health systems across the nation in additional metro markets into 2020 and beyond.

The Revenue Contract Specialist is responsible for scoping and providing EMR build requirements, QA monitoring, and reporting for direct contracts. This person will monitor quality of registration, processing, and tracking for contracts. Additionally, he or she will participate in resolving all invoicing problems for client accounts.

Job Requirements

Education

  • High School diploma or GED required
  • Associates or bachelor’s degree in related field preferred
Work Experience
  • 2 years of related experience and/or training required
Additional Knowledge, Skills and Abilities Required
  • Knowledge of AP systems and processes
  • Understanding of general accounting
  • Attention to detail to ensure accuracy
  • Strong organizational skills
  • Action-oriented and a sense of urgency
  • Epic or eClinical Works
Additional Knowledge, Skills, and Abilities Preferred
  • Experience with Microsoft Word, Excel, and PowerPoint
Essential Functions
  • Coordination / completion of Epic and eCW direct contracts build (guarantor and OccHealth build)
  • Regular reporting and rev cycle process tracing to assure quality/adherence to back end processes.
  • Maintain client’s aging at their current terms through pro-active collection activities.
  • Custom billing, reporting, special handling, and packaging of all client invoicing needs
  • Assist customers with invoice questions, special invoicing, reporting, corrections, and write offs as needed. If an action is required, backup should be compiled and graduated for review and processing.
  • Work with the appropriate team members to resolve any customer service issues discovered during the invoicing and collection process. If an action is required, backup should be compiled and graduated for review and processing.
  • Update customer maintenance with current client contact information for invoice remittance and follow-up.
  • Maintain client billing cycles, to assure the timeliness of invoicing.
  • Keep current the AR tracking database with relevant client information, collection, and billing processes.
  • Perform additional duties and assignments as directed.
Required knowledge, skills and ability:

Customer service skills:
  • Ability to represent the Department in a professional manner when interacting with patients, guests,
  • physicians and their staff
  • Ability to handle service issues professionally
  • Ability to follow through with customers
Communication Skills:
  • Ability to communicate effectively to patients about their medical conditions and the financial aspects of their care.
  • Ability to communicate effectively to patients, centers, and staff regarding departmental policy
Keyboard skills:
  • Ability to type proficiently
Teamwork:
  • Ability to function effectively as extension of the Center
  • Be flexible and open-minded in thought processes
  • Maintain focus under pressure
  • Share relevant information with other team members
Medical Terminology & Insurance
  • Ability to understand basic medical terminology
  • Ability to calculate deductible and co-insurance correctly
  • Abilty to read and understand carrier Explanation of Benefits
UPDATE: COVID Vaccine Announcement: GoHealth Urgent Care is requiring all new hires to disclose their COVID-19 vaccination status in all markets. In certain markets, it will be required that new hires receive the first dose of the COVID-19 vaccine series (of either the Moderna or Pfizer vaccine or the single dose Johnson & Johnson Janssen vaccine) prior to their first day of employment. New hires must receive the second dose (of either the Moderna or Pfizer vaccine) within 30 days of their first day of employment. This is a condition of employment, unless a faith-based or medical exemption is approved.

All qualified persons are granted an equal opportunity for employment without regard to race, color, religion, sex, sexual orientation and gender identity or expression, age, national origin, citizenship status, disability, genetic information, medical condition, family care leave status, pregnancy or pregnancy-related condition, otherwise qualified disabled or veteran status. The company will comply with all fair employment laws in each of the jurisdictions where we conduct business.


Keywords:
Job, emergency, healthcare, licensure, medical, clinical, wellness, career, employment, opening, staff, benefits, health care, clinic, primary care, urgent care


Why GoHealth?

GoHealth Urgent Care has outstanding career opportunities in Connecticut, Delaware, Missouri, New York City, North Carolina, Northwest Arkansas, Oklahoma City, San Francisco and the Portland-Vancouver area. And all of these positions have one thing in common: flexibility to practice urgent care medicine the way it was meant to be, without the stress and bureaucracy of hierarchical organizations. With reasonable work hours that don’t emotionally exhaust them or burn them out, our team can balance and prioritize their professional and personal lives.

The lifestyle you can lead.

Atlanta is Georgia’s state capital and home to approximately half a million residents. Well known for its arts, theater, galleries and museums, cultural attractions, and institutions of higher education, Atlanta offers many things to do. Visit Georgia Aquarium, the largest public aquarium in the Western Hemisphere. Shop and enjoy great entertainment in Underground Atlanta. See wildlife shows at Zoo Atlanta. Catch a pro football, basketball or baseball game. Foodies will delight in local favorites, such as crab fritters, chicken biscuits, pulled pork sandwiches and salted caramel ice cream. Choose from many welcoming neighborhoods to live in, from downtown and midtown to Chastain Park, and from Buckhead to Cabbagetown, Kirkwood and Morningside. There’s also a good selection of public and private schools and nearby colleges and universities. Public transportation is excellent, and Atlanta is also served by Amtrak and Hartsfield-Jackson Atlanta International Airport.