Revenue Cycle Specialist - Self Pay (REMOTE)

Community Health Systems Professional Services Corporation • Franklin, TN

1d • Remote

About The Position

The Revenue Cycle Specialist - Self Pay (REMOTE) supports various aspects of the revenue cycle process, including claims submission, billing, coding, payment posting, and accounts receivable management. This position ensures timely and accurate reimbursement by identifying and resolving claim issues, following up with payers, and adhering to payer and regulatory guidelines. The Revenue Cycle Specialist plays a key role in optimizing revenue cycle workflows and ensuring compliance with organizational policies.

The Shared Services Center - Nashville provides business office support functions like billing, insurance follow-up, call center customer service, data entry and more for hospitals and healthcare providers. But we're not only about work. We know employing a skilled and engaged team of professionals is vitally important to our success, so we make sure to offer competitive benefits, recognition programs, professional development opportunities and a fun and engaging team environment.

Community Health Systems is one of the nation's leading healthcare providers. With healthcare delivery systems in 36 distinct markets across 14 states, CHS operates 69 affiliated hospitals with more than 10,000 beds and approximately 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, imaging centers, cancer centers, and ambulatory surgery centers.

Requirements

• H.S. Diploma or GED required
• 1-3 years of experience in healthcare revenue cycle operations, including claims processing or accounts receivable management required
• Knowledge of revenue cycle processes, including claims submission, payment posting, and AR management.
• Basic understanding of healthcare billing and coding, including CPT, ICD-10, and HCPCS codes.
• Attention to detail and problem-solving skills for resolving claim and payment issues.
• Organizational skills to manage tasks, prioritize workload, and meet deadlines.
• Strong verbal and written communication skills for collaborating with team members and payers.
• Knowledge of HIPAA and other regulatory requirements impacting the revenue cycle.
• Proficiency with revenue cycle software, EHR systems, and Microsoft Office applications.

Nice To Haves

• Associate Degree in Healthcare Administration, Business, or a related field preferred
• Experience with claim denials and payer reimbursement processes preferred
• Familiarity with electronic health record (EHR) systems and revenue cycle software preferred

Responsibilities

• Reviews and submits claims to payers, ensuring accuracy and adherence to payer and regulatory guidelines.
• Identifies and resolves claim denials and rejections by researching root causes, correcting errors, and resubmitting claims as needed.
• Assists with payment posting and reconciliation to ensure accuracy and resolve payment discrepancies.
• Performs follow-up on outstanding accounts receivable (AR) balances, working with payers to expedite payments and resolve issues.
• Reviews coding and billing for accuracy, collaborating with team members to address discrepancies and ensure proper use of CPT, ICD-10, and HCPCS codes.
• Monitors payer requirements and updates processes to ensure compliance with changes in policies and regulations.
• Maintains accurate documentation of revenue cycle activities, including claim follow-up, denial resolution, and payment posting.
• Performs other duties as assigned.
• Maintains regular and reliable attendance.
• Complies with all policies and standards.

Benefits

• Comprehensive Health Coverage – Medical, dental, and vision plans to keep you and your family healthy.
• Future Security: 401(k) with matching
• Student Loan Support – Up to $10,000 repayment assistance, because we invest in your future.
• Educational Tuition Assistance
• Competitive Pay & Full Benefits – A salary and package designed to reward your expertise and dedication.

What This Job Offers

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