REVENUE CYCLE SPECIALIST

UHS•Denison, TX

7d•Onsite

About The Position

The Revenue Cycle Specialist plays a pivotal role in working with IPM Market Leadership to drive consistency in - and business processes that will help the Market maximize revenue along with enhanced patient satisfaction. The Revenue Cycle Specialist is an extension of the IPM Central Billing Office (CBO) but is embedded in the IPM Market to assist with specific tasks that will enhance the overall revenue cycle continuum. The Revenue Cycle Specialist strives to improve and accelerate revenue cycle processes to achieve higher productivity, faster payments, decreased rework, and improved patient service by working with leadership and staff to promote best practices throughout IPM. Specific workflows will be trained and enforced along with daily/weekly/monthly metrics to help determine the overall health of the [front end] revenue cycle. Metrics such as eligibility verification, registration accuracy, encounters without charges, charge lag, denials, and TOS/NTOS collections will be captured, shared, and trended. The Revenue Cycle Specialist is a visible presence in each IPM Market, and they work closely with each other as well as the IPM CBO to ensure consistency in process and best practice across all of IPM.

Requirements

Associates Degree or approved equivalent combination of coursework and related experience or extensive related experience is required.
Experience (3-5 years minimum) working in a healthcare (professional) billing, health insurance or equivalent operations work environment.
Work experience in a client facing position, project management experience and/or customer service highly desirable.
Healthcare (professional) billing, broad knowledge of CPT/ICD-10 coding, claim submission requirements and other related industry terminology and practical use.
Knowledge of registration data requirements and health plan payors
Thorough understanding of the revenue cycle and how the various components work together.
Strong orientation to customer service.
Excellent verbal/written communication skills.
Strong presentation skills.
Project Management.
Strong interpersonal and organization skills.
Strong computer literacy skills.
Ability to work well under pressure.
Results oriented with a proven track record of accomplishing tasks, multi-tasking, deadline oriented and being responsive.