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Revenue Recovery Accounts Technician

3151 S. 17Th Street
Wilmington, NC
Job ID: 2278
Date Posted: Mar 23, 2021

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Job Description

Description

About NHRMC

NHRMC, established in 1967 in Wilmington, NC, is recognized as a preeminent healthcare organization focused on leading our community to outstanding health. We have an 855 bed network of hospitals and multi-specialty physician group practices with more than 200 physicians. With a network of primary, specialty, neighborhood clinics and regional medical centers; you will find our culture is the very definition of best in practice. Join us and find out how many ways NHRMC offers you the chance to focus on what really matters - our patients and community.

About the Job

Location: NHRMC Business Center A

Department: Revenue Recovery

Full Time Equivalent: FTE: 1.000000

Work Type: 64 to 80 Hours Pay Period

Work Schedule: STD HRS - Standard-Exe or Office w flex

Exempt from Overtime: Exempt: No

What You'll Do

Summary:

The RAC Account Technician will perform a variety of work activities associated with the Recovery Audit Contractor. The RAC Account Technician is responsible for monitoring and reconciling patient account specific RAC data, review of payments, recoupments, and appeals movement. The RAC Accounts Technician is responsible for tracking and reporting data. Ensures efficient delivery of timely, organized department services, ability to organize work and adaptability to changing conditions and job details. Communicates effectively using discretion and independent judgment with internal and external customers. 


Responsibilities:

1.Enters information for medical records requests into racking software. Enters and maintains the ongoing status of each stage to include determinations, appeals, and financial status into tracking software.

2.Prepare medical records for delivery to all Recovery Auditors, following policy and procedure. To include quality reviews and documents to ensure all documents are accounted for and sent to the Recovery Auditor.

3.Responsible for communicating and notifying Recovery Audit appropriate team members of the requests, denials, approaching deadlines, financial statuses, and milestone dates/ deadlines. Track handoffs between departments/ responsible staff/ management to ensure timeliness.

4.Enter, monitor, and manage all financial data into working file. Maintain designated databases and spreadsheets.

5.Consistently and timely check Recovery audit, Payor (Palmetto GBA), and other resourceful websites for updated information and share with Recovery Audit Manager and team

6.Monitor EOB postings and FISS related to RAC accounts. Monitor and reconcile financial data to include RA, N432/ N469, UB, and other triggers.

7.Report all transactions and financial statuses to manager and Steering Committee. Responsible to ensure all requests are timely and deadlines are met.

8.Performs a variety of duties and responsibilities within RAC to include, but not limited to, billing, reconciliation, and accurate payment posting to RAC patient accounts.

9.Function independently in a high volume, multi-task setting. Must function in a highly computerized/technical environment, maintaining competency and knowledge of multiple internal/external software systems.

10.Maintain courteous and cooperative working relationships with peers, customers and other medical center team members.

11.Organizes and performs work effectively and efficiently.

12.Record minutes for all meetings to include but not limited to: RAC Steering Committee, RAC Operations, HIM Departmental, and RAC Monitor

Position Requirements

Credentials:

Education:
Essential:
* High School Diploma

Other information:

1. Education: High school diploma or equivalent required. 

2. Licensure / Certifications: Certified Patient Account Technician (CPAT) preferred. 

3. Experience: Two – three years of patient accounting experience. Two - three years HIM Analysis experience. Experience with denials and reimbursement and CMS guidelines preferred. 

"Demonstrates standards of performance (ownership, teamwork, communication, compassion) that support patient satisfaction and principles of service excellence. 

Performs other duties as assigned. 

Individual will possess commensurate combination of education, experience and qualifications. 

Other Information

This position description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications which may be required of the employee assigned to the position. Depending on the location of the job, duties may vary. Receipt of the job description does not imply nor create a promise of employment, nor an employment contract of any kind; my employment with the Company is at will.

  • Member Top 100 Hospitals – In 2016 NHRMC was recognized as a Top 100 Hospital demonstrating significant investment and financial sustainability for the communities we serve. 
  • Newsweek's 2020 list of Best Maternity Care Hospitals - NHRMC Betty H. Cameron Women's & Children's Hospital was named as a Best Maternity Care Hospital by Newsweek. 
  • Forbes America’s Best Large Employers 2018 and 2019Link 
  • Becker’s 150 Top Places to Work in HealthcareLink 
  • Healthgrades Outstanding Patient Experience

Consider a career at NHRMC and become part of this award winning team!

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