Revenue Cycle Specialist

Community Health System • Fresno, CA

6d • Onsite

About The Position

The Revenue Cycle Specialist is responsible for all facets of patient revenue management support to include, but limited to, professional billing, claims management and accounts receivable. Performs claims processing, insurance and charge verification, payment posting, account resolution, customer service and follow up. Educates staff and physicians on CPT/HCPCS/ICD-10 codes and appropriate documentation requirements to reduce errors and remain compliant. Works directly with staff when needed for insurance authorization assistance, IPA guidance and insurance optimization.

Requirements

• High School Diploma, High School Equivalency (HSE) or Completion of a CHS Approved Individualized Education Plan (IEP) Certificate required
• 3 years of revenue cycle, professional billing, claims management, payment posting and/or collections experience required

Nice To Haves

• CCS - Certified Coding Specialist preferred

Responsibilities

• professional billing
• claims management
• accounts receivable
• claims processing
• insurance and charge verification
• payment posting
• account resolution
• customer service
• follow up
• Educates staff and physicians on CPT/HCPCS/ICD-10 codes and appropriate documentation requirements to reduce errors and remain compliant
• insurance authorization assistance
• IPA guidance
• insurance optimization

Benefits

• Tuition reimbursement, education programs, and scholarships
• Vacation time starts building on Day 1, and builds with your seniority
• 403(b) retirement plan with up to 8% matching contributions
• Commitment to diversity and inclusion is a cornerstone of our culture at Community.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees