Revenue Cycle Specialist

Cleveland Area Hospital•Cleveland, OK

just now

About The Position

POSITION SUMMARY: Under the direction of the Revenue Cycle Manager, the employee in this position is responsible for employee adjustments, private pay collections, customer service, posting charges, answering phones, billing and appeals. · Are you passionate about patient care? · Would you enjoy being an integral part of a team on the verge of new hospital construction? · Are you motivated by ongoing improvement and an opportunity to make a measurable impact on rural healthcare in Oklahoma? CLEVELAND AREA HOSPITAL is an independent, self-managed Critical Access Hospital, half an hour west of Tulsa, Oklahoma. As the only hospital in Pawnee County, we are constantly striving to provide the highest level of care by continuously growing and updating our services and equipment. Our facilities include a Level IV Trauma Center/ER, Skilled Nursing/Swing Bed program, Respiratory Therapy, CT, 3D Mammography, a fully equipped Outpatient Rehabilitation Center, 24/7 Lab, and a Primary Care Clinic. The organization is a Regional Healthcare Provider in its 10th year of consistent leadership. Continuing the spirit of growth, healing, and service-driven healthcare established when the hospital first opened in 1963, Cleveland Area Hospital is on track to build a new facility, expand our services, and better serve our patients and communities.

Requirements

High school diploma required.
Prefer experience in billing, excel and business environments.
The employee in this position must possess excellent communication and organizational skills to interact with patients and staff.
Two to five years’ experience in a Healthcare business office, billing, and collections, either in a hospital or a physician’s office.
This position may have access to patient confidential records and must comply with HIPAA regulations and Hospital Compliance Policies.
This position has no supervisory responsibilities.
Primarily sitting, sometimes standing. Utilizes good hearing, vocal, and visual skills. Occasionally requires walking about, bending, and stretching. Equipment, boxes, materials, or supplies that are lightweight (under 50 lbs) may require infrequent lifting, pushing, or pulling. The incumbent works under good conditions in a clean environment.

Responsibilities

Adhere to all policies of the organization, including (but not limited to) job description, certification/licensure requirements, mission statement, HIPAA, confidentiality standards, and patients’ rights.
Actively engage and stay up to date with the organization’s communications and directives.
Daily review of private pay accounts
Review statements prior to release
Ensures the patient receives three statements
Reviews daily posting for accuracy
Updates job knowledge by participating in educational opportunities, reading professional publications, and keeping current on Medicaid billing and reimbursement procedures.
Serves and protects the hospital community by adhering to professional standards, hospital policies and procedures, federal, state, and local requirements
Accomplishes the billing department and hospital mission by completing related tasks as needed
Appeals claims as needed
Bills assigned claims in Athena and or Cerner.
Reviews claims within Rev-Manager for appropriateness of claim.
Answers phone in a professional manner
Maintains quality results by following standards.
Enhances the billing department and hospital reputation by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments.
Utilizes collection agencies and small claims court to collect accounts by evaluating and selecting collection agencies; determining appropriateness of pursuing legal remedies; and testifying for the hospital in court cases.
Collects delinquent accounts by establishing payment arrangements with patients, monitoring payments, and following up with patients when payment lapses occur.
Maintain professional attire.
Maintain patient confidentiality at all times.
Wear an identification badge while on duty.
Create detailed notes in the system to reflect all actions performed on the account.
Performs a variety of tasks as assigned by the supervisor.
Assist with Daily deposit as needed.
Assist with the payment floor as needed.
Set up payment arrangements.
Scans EOB’s to Cerner as needed.
Works unpostables in Athena as needed.
Assists with the Medicare bad debt report as needed.
Other duties as assigned.