Revenue Cycle Data and Systems Specialist

Bancroft•Cherry Hill, NJ

4d•Onsite

About The Position

The Revenue Cycle Data and Systems Specialist plays a key role in ensuring the integrity, accuracy, and performance of revenue cycle data and technology systems. This role focuses on optimizing system configuration, managing clearinghouse functions, and supporting key processes that directly impact reimbursement accuracy and operational efficiency.

Requirements

Bachelor’s degree required, preferably in business, health care administration or a related field.
A minimum of 3 years’ in healthcare, systems management or data reporting, all with an emphasis on revenue cycle is preferred.
Strong proficiency in Excel
Understanding of RCM metrics such as AR days, denial rates, collections, and net revenue performance.
Strong negotiation, verbal and written communication skills.
Excellent oral and written communication.
Experience using computer and Microsoft tools.
Valid driver’s license required in incumbent’s legal name and current address with no provisional restrictions required.
Minimum 18 years of age required.
ability to communicate analytical insights effectively to both technical and non-technical audiences, as well as effective interpersonal, organization, and time management skills.
ability to operate independently, work with confidential and sensitive information, handle stress, and prioritize own workload required.
working knowledge of research and investigative procedures and the ability to effectively interface with a wide range of constituencies.
operative knowledge of MS Office software and Google programs required.
in-depth knowledge of payer contracting and negotiation leadership in the core values of the organization; clear, effective communication skill a mature approach to problem-solving for all types of issues; skills in using computers and computer application; negotiating skills, detail orientation knowledge of healthcare and payer industry and leading practice standards

Responsibilities

Serves as a subject matter expert for revenue cycle EHR systems, clearinghouse, and contracting platforms.
Maintains and builds payor code rules, group plan processes, fee schedule alignments, and payer rate structures to ensure accurate charge capture and compliance with payer contracts.
Collaborates with IT, Finance, and Operations to align data definitions, ensure consistent reporting, and maintain system security.
Assists with system user training, trouble shooting, software testing and implementation, to improve system adoption and accuracy across the revenue cycle team.
Identify opportunities for process improvement.
Supports implementation and integration projects for new technologies or system enhancements.
Assists with Special Projects to support process automation, data validation, and technology optimization initiatives.
Completes system maintenance processes such as automation manager, batch service maintenance, duplicates, and voids.
Maintains overall knowledge of State and Payer Regulations and Contract Terms.
Partner with RCM leadership and cross-functional teams.
Monitors and adheres to all compliance standards.
Abides by the Bancroft Code of Ethics, Mission Statement, and Vision Statement in promoting ethical behavior, establishing relationships and providing guidance in decision-making situations.
Performs other duties as assigned or as necessary. Remain flexible and adaptable in work schedules and work assignments as defined by departmental needs. Remains current with required training certifications, meet state- regulated licensing and regulatory accreditations, and adhere to mandatory requirements.
Maintains effective verbal and written communications with colleagues, those served, and their family members and/or guardians when applicable.
Maintains a safe and respectful environment, free of abuse, neglect, or exploitation; and does not allow weapons, threats, bullying, or intimidation.
Reports any violations to the appropriate individual as soon as the incident occurs.
Demonstrates Bancroft’s Core Values (Accountable, Results-Driven, Respectful, Innovative) in the performance of position responsibilities.