Revenue Cycle Specialist

SOLARA SURGICAL PARTNERS LLC•Oklahoma City, OK

13h•Onsite

About The Position

General – Coordinate and participate in activities involved in the review, adjustment and collection of patient accounts in the Billing and Collections Department. Specific – Responsible for the billing and processing of claims. Responsible for the review, adjustment and collection of delinquent accounts to include preparing patient refunds and write-offs including proper documentation for bad debts. Prepare financial and collection effort data. Answer a variety of correspondence from patients and their representatives, insurance companies, attorneys and administrators of estates regarding billing, insurance and payments; interview or telephone concerned parties regarding delinquent accounts or unusual collection problems. Maintain liaison with hospital and clinic supervisory personnel to coordinate collection efforts and to resolve problems. Assists in the preparation of reports and analyses for month end close. Quality - Participates in performance improvement activities that ensures important processes and activities are measured, assessed and improved systematically. Safety/Risk/Compliance/OSHA - Maintains and supports a safe and compliant environment. Complies with all state and federal laws, Medicare/Medicaid guidelines, JCAHO standards, ASC and hospital policies, procedures and rules. IT – Maintains all security passwords given to him/her. Keeps current on the knowledge of all accounting and IT Applications used in ASC’s and hospitals. HITECH HIPAA - Keeps staff and patient information within the HITECH HIPAA privacy laws.

Requirements

High school diploma or the equivalent
Experience which requires the performance of calculations involving basic arithmetic skills, an acceptable degree of verbal skills, and the ability to follow oral or written instructions
Experience in a healthcare organization which involves financial transaction processing including responsibility for posting of information to records, as well as preparing, completing, reviewing, checking, sorting and filing of financial transaction and billing statements, records, forms, reports and other related material
Knowledge of FISS system, Medicare, and managed care billing guidelines
Experience with MS Office products including Word, Excel and Outlook

Nice To Haves

Some accredited college or business school coursework including analyzing, recording and summarizing fiscal transactions and the preparation of financial statements is preferred

Responsibilities

Coordinate and participate in activities involved in the review, adjustment and collection of patient accounts
Billing and processing of claims
Review, adjustment and collection of delinquent accounts to include preparing patient refunds and write-offs including proper documentation for bad debts
Prepare financial and collection effort data
Answer a variety of correspondence from patients and their representatives, insurance companies, attorneys and administrators of estates regarding billing, insurance and payments
Interview or telephone concerned parties regarding delinquent accounts or unusual collection problems
Maintain liaison with hospital and clinic supervisory personnel to coordinate collection efforts and to resolve problems
Assist in the preparation of reports and analyses for month end close
Participate in performance improvement activities
Maintain and supports a safe and compliant environment
Maintain all security passwords
Keep current on the knowledge of all accounting and IT Applications used in ASC’s and hospitals
Keep staff and patient information within the HITECH HIPAA privacy laws