RCM Payment Analyst - Greenville, SC

Since 2005, Crossroads has been at the forefront of treating patients with opioid use disorder. Crossroads is a family of professionals dedicated to providing the most accessible, highest quality, evidence-based medication assisted treatment (MAT) options to combat the growing opioid epidemic and helping people with opioid use disorder start their path to recovery. This comprehensive approach to treatment, the gold standard in care for opioid use disorder, has been shown to prevent more deaths from overdose and lead to long-term recovery. We are committed to bringing critical services to communities across the U.S. to improve access to treatment for over 26,500 patients. Our clinics are all outpatient and office-based, with clinics in Georgia, Kentucky, New Jersey, North and South Carolina, Pennsylvania, Tennessee, Texas, and Virginia. As an equal opportunity employer, we celebrate diversity and are committed to an inclusive environment for all employees and patients.

• Responsible for the timely and accurate processing of remittances in EMR systems.

• 80% Posts payments to practice management system (live checks, credit card, EFT deposits).

• 15% Balances batches and runs transaction reports.

• 5% Records batch totals with date and initials on payment receipt spreadsheet.

• Proper communication and documentation of payment denials in the practice management system and to the appropriate AR follow-up representative in a timely manner.

• Identify improper payments (not paid at the allowed/contracted amount) or takebacks and communicate to the appropriate AR follow-up representative and/or supervisor in a timely manner.

• Balance payment postings on a daily, weekly, and monthly basis and communicate with the accounting team to ensure balancing with deposit history.

• Understands and adheres to state and federal regulations and system policies regarding compliance, HIPAA, integrity, and ethical billing practices.

• Responsible for daily reporting of key performance indicators through various reporting tools.

• Assist with providing training and guidance to other team members.

• Assist with a variety of projects and perform other duties as assigned.

• Productivity to be monitored based on time spent performing transactions.

• Analysts will be responsible for self-reporting at the end of each business day, including start and stop times for each activity completed

• Verification of productivity using Batch Payments Summary (OTP) and Transaction Report (OBOT)

• High school diploma or equivalent.

• Preferred 2 years medical payment posting – ERAs/835s and manual posting of EOBs in a hospital or physician office setting.

• General knowledge of HCPCS and CPT coding.

• Working knowledge of practice management software.

• Working knowledge with allowable/contractual amounts, payment terminology, adjustments, identifying patient responsibility.

• Have a daily impact on many lives.

• Excellent training if you are new to this field.

• Community events that promote belonging and education. Includes but not limited to community cook outs, various fairs related to addiction treatment and outreach, parades, addiction awareness for schools, and holiday events.

• Opportunity to save lives everyday!

• Medical, Dental, and Vision Insurance

• PTO

• Variety of 401K options including a match program with no vesture period

• Annual Continuing Education Allowance (in related field)

• Life Insurance

• Short/Long Term Disability

• Paid maternity/paternity leave

• Mental Health day

• Calm subscription for all employees