0537 - Revenue Cycle Specialist  II

Southeast Health • Dothan, AL

4d

About The Position

The Revenue Cycle Specialist II interviews patients and obtains information needed for registration or admission, including signatures for treatment and reimbursement, billing details, pre-authorizations, and other reimbursement requirements. The role also discharges patients after treatment, assists with posting and verifying charges, and maintains medical records. All duties must be performed in compliance with department and hospital policies, with efficient and professional conduct.

The specialist serves as a first point of contact for patients and clients by phone or in person, providing support, answering questions, troubleshooting issues, scheduling or enrolling patients for services, and directing people to appropriate resources. The role enters and updates patient and financial information, verifies payer coverage, collects self-pay balances, provides estimates, processes basic order transcription, obtains authorizations and signatures, coordinates self-pay workflows, and assists patients with Southeast Health financial assistance programs. The position is regular, full-time, and on the day shift.

Requirements

• High school diploma.
• Working knowledge of computers.
• Medical terminology; this may be completed through Southeast Health training and development electronic education during the orientation period.
• Excellent written, verbal, and interpersonal skills.
• Ability to interact with customers in hospital and clinic environments.
• Basic keyboard and typing skills.
• Basic computer skills.
• Calculator skills.
• Ability to remain calm while interacting with clients by phone or in person.
• Ability to adapt to a changing, fast-paced environment and multitask effectively.
• Flexibility to respond to business needs with a can-do approach.

Nice To Haves

• One year of hospital or clinic revenue cycle experience preferred.

Responsibilities

• Interview patients and obtain information needed for registration or admission.
• Obtain signatures for permission to treat and reimbursement for services.
• Obtain billing information and ensure pre-authorizations and other reimbursement requirements are met.
• Discharge patients after completion of treatment.
• Assist with posting and verifying charges and maintaining medical records.
• Work as part of a multidisciplinary team to answer inquiries, troubleshoot problems, and provide information.
• Handle interventions or referrals professionally and respectfully by phone or in person.
• Provide day-to-day support services in a healthcare environment and serve as a first point of contact for clients.
• Schedule or enroll patients for services and schedule planned clinical services.
• Enter and update demographic, financial and billing, caregiver contact, and other information needed to complete patient records.
• Verify third-party payer coverage and collect self-pay balances.
• Refer customers to appropriate resources.
• Provide estimates for clinical services and calculate estimates for surgical procedures and inpatient admissions.
• Transcribe basic orders in the software system for patient account processing.
• Obtain or initiate authorizations for clinical services and obtain required pre-certifications and authorizations.
• Obtain required signatures for billing and clinical treatment.
• Coordinate assistance and initiate self-pay workflows.
• Assist patients with Southeast Health financial assistance programs.
• Perform other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED