Revenue Cycle Specialist - Hiring Now

The Revenue Cycle Specialist is primarily responsible for patient revenue management support throughout the revenue cycle, to include but not limited to: Claims Management, Accounts Receivable, Cash Posting and Denials Management.  

Essential Duties:  

May be required to do one or all of the following dependent on the RCM needs (including but not limited to): 

• Claim Scrubbing/Submission 

• Assists with third party billing process through the scrubbing, preparation and submission of accurate and complete claims in a timely manner. 

• ERA Processing/Cash Posting 

• Preparation and posting of daily cash receipts, Completion of daily transaction logs. Scanning, verifying and posting of remittances. Identification of unposted cash. Printing of posting reports for balancing. 

• Accounts Receivable 

• Resolve outstanding payer balances for assigned financial class by monitoring Accounts Receivable reports 
• Follow-up on outstanding claims and submit appropriate documents for payment when necessary 

• Denial Analysis/Management 

• Identifies, analyzes, and researches frequent root causes of denials and develops corrective action plans for resolution of denials working directly with the payers and/or clinics. Follow through on claim denials and rejections on timely basis 

Skills and Qualifications: 

• Possesses the ability to work in a constantly changing environment, good judgment skills, and capable of making decisions with attention to detail.  
•  Must have excellent organizational skills and ability to prioritize and coordinate workload with high degree of proficiency and accuracy.  
• Must have excellent analytical and problem-solving skills.   
• Ability to work easily and cooperatively with other departments.  

• Ability to work independently and follow through on tasks without direct supervision.  
• Ability to work well under pressure in a flexible, diplomatic and expeditious manner.  
• Maintains strict confidentiality of patients’ medical records and adherence to all HIPAA policies and regulations.  

Knowledge Required: 

• Minimum 2 years Revenue Cycle experience in a healthcare setting 
• Must have excellent computer knowledge of Patient Accounting systems 
• High School Diploma or equivalent required. Associates or Certification(s) a plus.