Revenue Cycle Specialist I, II
About The Position
The Southcentral Foundation (SCF) Revenue Cycle Specialist is responsible for managing the most complex day to day issues within revenue cycle. These tasks include revenue recovery, quality assurance, and appeals. The Revenue Cycle Specialist is considered a subject matter expert in denial management and appeals, payment processes, coordination of benefits, prioritization and sequencing of payers, contracts, and exclusions based on payer contracts. The Revenue Cycle Specialist can be relied upon to provide training and mentorship to others within the department. The Revenue Cycle Specialist can solve complex account issues, which require a high degree of technical knowledge and critical thinking. This position has two (2) levels designed to provide progressively more responsible and independent work experiences. Progression between job levels is based on the demonstrated ability to successfully handle more progressively responsible assignments.
Requirements
- Bachelor degree in accounting, health care administration, finance, business, OR Certified Professional in Revenue Cycle Management, Certified Professional Coding Certification or Nationally Certified Insurance & Coding Specialists (NCICS) Certification, or HFMA Certified Revenue Cycle Representative (CRCR) or related field, OR equivalent combination of experience and education; OR demonstrated proficiency working as a Revenue Cycle Technician at Southcentral Foundation.
- Thorough understanding of the cultures and needs of the Alaska Native population affiliated with Cook Inlet Region, Inc. (CIRI) and Alaska Native and American Indian people within SCF’s geographical service area.
- Compliance with Employee Health procedure, including agreement to comply with all job-related employee health screening and immunizations prior to the first day of employment.
- For Health Care Personnel (HCP) positions: Documentation of completed immunizations (MMR, Varicella, Hepatitis B, Influenza, and T-dap) prior to the first day of employment.
Nice To Haves
- Two (2) additional years of revenue cycle experience for Revenue Cycle Specialist II.
- Demonstrated proficiency working as a Revenue Cycle Specialist I at Southcentral Foundation for Revenue Cycle Specialist II.
Responsibilities
- Manage complex day-to-day issues within revenue cycle.
- Perform revenue recovery, quality assurance, and appeals.
- Act as a subject matter expert in denial management and appeals, payment processes, coordination of benefits, prioritization and sequencing of payers, contracts, and exclusions based on payer contracts.
- Provide training and mentorship to others within the department.
- Solve complex account issues requiring a high degree of technical knowledge and critical thinking.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Number of Employees
501-1,000 employees
