Inland RCM

Role Description In the team that delivers a Healthier Bottom Line, the Hospital Biller I is a Full Time, Regular position working in several hospital client EMRs such as Epic, Cerner, and Meditech Expanse. This position is remote Monday-Friday day shift 8am-5pm PST. - Responsible for all phases of billing to government and commercial insurers, including initial billing of clean claims electronically or on paper. - Subsequent follow-up on unpaid claims to the point of payment or resolution of the claim, and resolving credit balances. - Prioritizes assigned worklist of aged accounts appropriately and works on aging accounts to their resolution. - Reviews and processes electronic claims, claim edits, and deletions appropriately and compliantly. - Interprets billing regulations accurately and within federal, state, and third-party billing regulations and policies. - Utilizes various client host systems in order to research and rebill claims. - Other special projects and duties as assigned. Qualifications - Education: High School Diploma/GED required; Two-year medical billing course successful completion is desired. - Experience: At least one year of experience in billing medical claims to either government or commercial insurers; at least one-year prior experience in Epic billing software; preferably has experience in hospital billing. - Working knowledge of government hospital payment methodologies including OPPS, Critical Access Hospital method II, or both preferred. - CPT, HCPCs, and ICD-10 coding experience preferred. - Experience with electronic claims scrubbing and clearinghouse systems preferred. - Computer Skills: Experience with Epic software required; Microsoft Office products (Outlook, Word, Excel), Internet, Intranet, Meditech or other hospital or physician EHR/accounting system. - Remote Work Capability: Ability to work from a remote (home) based environment if requested. Requirements - Must be able to pass a background check required by RCW 43.43.830-840 to work with children under the age of 16, developmentally disabled persons, or vulnerable adults. - Must be able to pass a post-offer, pre-employment drug test. Benefits - Attendance is a requirement for this position. - Rotates to other shifts and locations as needed.

Role Description Join the team that delivers a Healthier Bottom Line. Our purpose at InlandRCM is to strengthen rural hospitals by providing dependable, all-American revenue cycle expertise that sustains access to quality healthcare in rural communities. SIGNIFICANT GROWTH OPPORTUNITIES AVAILABLE!! ONLY CONSIDERING APPLICANTS IN OUR SERVICE AREAS OF WA, ID, MT. HOURS ARE 8AM-5PM PST WITH LUNCH 12-1PM. The Self-Pay Representative addresses large volumes of patient-responsible balances through education, engagement, and resolution. - Manages patient-responsible accounts from initial patient billing through final account resolution. - Responsibilities include: - Patient outreach - Inbound and outbound phone call communication - Balance explanation - Payment processing - Payment arrangements - Financial assistance screening - Documentation - Statement review - Accurate account resolution - Job requires both phone and administrative tasks. Qualifications - Education: High School Diploma/GED required. - Minimum of 1–2 years’ experience in healthcare self-pay, patient financial services, billing office, or healthcare call center environment preferred. - Experience communicating with patients regarding balances, insurance outcomes, payment options, or financial assistance. - Experience working in a hospital or clinic EMR system such as Epic, Cerner, or Meditech Expanse preferred. - Strong customer service, communication, and de-escalation skills. - Ability to explain financial information clearly and compassionately to patients. - Basic understanding of insurance processing and patient responsibility preferred. - Ability to meet productivity, quality, and compliance expectations in a fast-paced environment. Requirements - Ability to maintain strict confidentiality within the InlandRCM customers. - Follows all Health and Safety policies and guidelines of Inland Imaging. - Follows all company policies including those regarding harassment, non-retaliation, discrimination, respectful workplace, and related policies. - Follows all policies regarding HIPAA, non-disclosure of confidential information and company security. - Honest, pleasant manner and good personal hygiene. - Free of alcohol and drug abuse. - Excellent communication and interpersonal skills. - Detail oriented; ability to multi-task; organized and able to work in a fast-paced environment. - Ability to consider individual needs in communication with and assessment and treatment of patients of all ages. - Adheres to departmental standards and personnel policies by demonstrating professional demeanor in conduct and appearance. - Follows company departmental standards and personnel policies by using good teamwork and communication skills to help identify concerns and solutions, assisting where needed to ensure a smoothly functioning department. - Attendance is a requirement for this position. - Performs other special projects and duties as assigned. Benefits - Remote Work Capability: Ability to work from a remote (home) based environment if requested. Need to have a dedicated workspace with desk, desk chair, and access to cable internet. - Drug Test: Eligible employees must be able to pass a post-offer, pre-employment drug test.

Role Description The Hospital Cash Applications Specialist (Cash Poster) I is a Full Time, Regular position working remote Monday-Friday day shift. - 1-2 YEARS MEDITECH EXPANSE EXPERIENCE REQUIRED The Hospital Cash Applications Specialist I is responsible for timely processing of payments, refunds, and adjustments. - Ensures that all insurance and patient self-pay payments, adjustments, and denials are posted to facilitate timely, accurate management of accounts receivable. - Organizational, communication (written, verbal and personal), problem solving, prioritizing and decision-making skills are routinely used in everyday activities. - Minimum supervision required; appropriate initiative must be taken to complete projects by the deadlines given. Qualifications - High School Diploma/GED required. - Two years of billing / Healthcare accounts receivable experience is desired. - Good judgment and memory to ensure appropriate actions on accounts. - Knowledge of cashiering principles and insurance payment methods including recognizing appropriate adjustment and discount amounts. - Ability to use a 10 key. - Good time management skills. - Good accounts receivable skills. - Speed and attention to detail. - Experience in hospital or physician medical payment processing. - Knowledge of medical terminology and procedures. Requirements - Experience with Microsoft Office products (Outlook, Word, Excel); Internet, Intranet, and hospital or physician accounting system. - Must be able to pass a background check required by RCW 43.43.830-840 to work with children under the age of 16, developmentally disabled persons or vulnerable adults. - All new employees will be checked against the LIST OF EXCLUDED INDIVIDUALS provided by the Department of Health & Human Services, Office of the Inspector General (OIG). - Eligible employees must be able to pass a post-offer, pre-employment drug test. Benefits - Ability to work remotely from a home-based environment with desk, desk chair, computer, adequate lighting, and access to cable internet. - Flexibility with scheduled work hours the final week of the month/year to ensure all available dollars are posted to client A/R system by close of business.

Role Description Join the team that delivers a Healthier Bottom Line. Our purpose at InlandRCM is to strengthen rural hospitals by providing dependable, all-American revenue cycle expertise that sustains access to quality healthcare in rural communities. Hours are 8am-5pm PST Monday-Friday. THIS IS A REMOTE POSITION. We are seeking a skilled Provider & Facility Enrollment Specialist to join our growing team and play a key role in supporting new client partnerships and the expansion of essential revenue cycle services for rural healthcare organizations. - Responsible for managing the full lifecycle of provider and facility enrollment with commercial, government, and managed care insurance payers. - Ensures that all practitioners and facilities are properly credentialed and enrolled to receive reimbursement for rendered services. - Performs primary source verification (PSV) functions to support the credentialing process in accordance with regulatory standards, accreditation requirements, and organizational policies. - Plays a critical role within the revenue cycle workflow, directly impacting the organization's ability to bill and collect for services in a timely and compliant manner. Qualifications - High School Diploma/GED required. - Two-year medical billing course is desired. - Minimum 2-3 years of experience in provider enrollment, credentialing or a related healthcare revenue cycle role required. - Experience working with Medicare (PECOS), Medicaid, and commercial payer enrollment processes required. - Experience performing primary source verification in a credentialing or managed care environment preferred. - Experience with a multi-specialty or multi-facility provider environment preferred. - Certifications: - Certified Provider Credentialing Specialist (CPCS) - National Association Medical Staff Services (NAMSS) - Certified Professional in Medical Staff Management (CPMSM) - NAMSS - Certified Revenue Cycle Representative (CRCR) - HFMA - Experience with Microsoft Office products (Outlook, Word, Excel); Workday, Internet, Intranet, Meditech, Heathland, Techtime, EMDs, Epic or other hospital or physician accounting system is highly desired. Requirements - Initiates, completes, and submits enrollment applications for individual providers and facilities with Medicare, Medicaid, and commercial insurance payers via paper and electronic methods (PECOS, CAQH, payer portals). - Manages the re-enrollment, revalidation, and maintenance of existing provider records to ensure continuous billing privileges. - Coordinates with providers, practice administrators, and facility leadership to obtain required documentation, signatures, and information necessary to complete enrollment applications. - Tracks and monitors enrollment application status through completion, resolving payer inquiries and deficiencies in a timely manner. - Maintains accurate and up-to-date records of all enrollment activity within the enrollment tracking system. - Processes provider demographic changes with all applicable payers. - Collaborates with billing, contracting, and credentialing teams to ensure alignment of enrollment data and prevent billing denials. - Researches and resolves enrollment-related claim denials and payment delays in coordination with the billing department. - Maintains knowledge of Medicare, Medicaid, and commercial payer enrollment regulations, policies, and procedures. - Conducts primary source verification of provider credentials in compliance with accreditation standards. - Documents all PSV activities within the credentialing database or provider credentialing file. - Flags and escalates discrepancies, sanctions, exclusions, or adverse findings identified during the verification process. - Monitors expirable credentials and initiates re-verification processes in advance of expiration dates. - Ensures PSV processes comply with organizational policies and regulatory requirements. - Maintains organized and audit-ready enrollment and credentialing files for all providers and facilities. - Participates in payer audits, internal audits, and accreditation surveys as required. - Generates and distributes enrollment status reports and metrics to management on a regular basis. - Stays current on changes to payer enrollment requirements, CMS regulations, and credentialing standards through ongoing education and training. - Assists with onboarding new provider clients, including education on enrollment timelines and requirements. - Performs other duties as assigned by management in support of revenue cycle operations. Benefits - Ability to work from a remote location (home). - Required to have a dedicated area to perform the job, that is private and has a desk, chair, appropriate lighting, and access to internet.