Revenue Cycle Specialist

Cleveland Area Hospital Holdings•Cleveland, OK

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.

Requirements

High school diploma required.
The employee in this position must possess excellent communication skills and organization skills to communicate with patients and staff.
Two to five years’ experience in Healthcare business office, billing and collections either hospital or Physician’s office.
This position could have access to patient confidential records and must comply with HIPAA regulations as well as Hospital Compliance Policies.

Nice To Haves

Prefer experience in billing, excel and business environments.

Responsibilities

Adhere to all policies of the organization, including (but not limited to) job description, certification/licensure requirements, mission statement, HIPAA, confidentiality standards and patient’s rights.
Actively engage and stay up to date with organization’s communications and directives.
Daily review of private pay accounts
Review statements prior to release
Ensures patient receives three statements
Reviews daily posting for accuracy
Updates job knowledge by participating in educational opportunities; reading professional publications; 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 billing department and hospital mission by completing related results 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 professional manner
Maintains quality results by following standards.
Enhances 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; testifying for the hospital in court cases.
Collects delinquent accounts by establishing payment arrangements with patients; monitoring payments; following up with patients when payment lapses occur.
Maintain professional attire.
Maintain patient confidentiality at all times.
Wear identification badge while on duty.
Create detailed notes in the system to reflect all actions performed on account.
Preforms assorted task as assigned by supervisor.
Assist with Daily deposit as needed.
Assist with Payment floor as needed.
Set up payment arrangements.
Scans EOB’s to Cerner as needed.
Works unpostables in Athena as needed.
Assists with Medicare bad debt report as needed.
Other duties as assigned.