Revenue Cycle Specialist - Full Time - Days

Department: FISCAL SERVICES

Job Details

Req Id    87816
Department    FISCAL SERVICES
Shift Days
Shift Hours Worked    8.00
FTE    1.066667
Work Schedule    SALARIED GENERAL
Employee Status    A1 - Full-Time
Union Non-Union

Job Summary

Reporting directly to the Manager of Revenue Cycle, the Revenue Cycle Specialist position is responsible to maintain the technical functions between the mainframe billing system and the claim scrubbing system to ensure billing is accurate, timely and in compliance with regulatory requirements. Assists in denial management and root cause analysis to prevent lost reimbursement. Key involvement in the monitoring, auditing of revenue cycle staff to ensure the efficient work flow and maximize cash collections.

Core Job Responsibilities

Report Writing and Analysis

The Revenue Cycle Specialist (RCS) produces, distributes and analyzes all Revenue Cycle reports to drive Revenue Integrity and the prevention of loss reimbursement. Detailed analysis of the Revenue Cycle reports are to be summarized and distributed to drive process improvement.

Technical Skills

The Revenue Cycle Specialist (RCS) monitors and analyzes Revenue Cycle System reports to ensure billing is accurate, timely and in accordance with regulatory billing requirements. The attention to detail of system upgrades/changes and testing prior to implementation. Assists the Revenue Integrity Coordinator (RIC) with updates to the charge master when required.

Problem Solving

The Revenue Cycle Specialist (RCS) investigates, analyzes and solves issues spanning across the revenue cycle for the purposes of improving efficiency, quality and timeliness.

Support

The Revenue Cycle Specialist (RCS) supports all departments of the revenue cycle by providing ad hoc reporting, research and analysis. RCSs are responsible for implementing and monitoring processes throughout the Revenue Cycle.

Education/Experience Requirements

Required:

Associates in Business Discipline, Health Administration or Related Field

Preferred:

4-year college degree in Business Discipline, Health Administration or Related Field
Minimum three (3) years experience in billing, insurance, and office procedures in hospital or other related setting
Knowledge of CMS coding/billing regulations.

Licensure/Certification Requirements

EOE AA M/F/Vet/Disability

Qualified applicants will receive consideration for employment without regard to their age, race, religion, national origin, ethnicity, age, gender (including pregnancy, childbirth, et al), sexual orientation, gender identity or expression, protected veteran status, or disability.

Successful candidates might be required to undergo a background verification with an external vendor.