Revenue Operations Support Specialist II

SCP Health•Lafayette, LA

3d•$15 - $21•Hybrid

About The Position

At SCP Health, what you do matters. As part of the SCP Health team, you have an opportunity to make a difference. At our core, we work to bring hospitals and healers together in the pursuit of clinical effectiveness. With a portfolio of over 8 million patients, 7500 providers, 30 states, and 400 healthcare facilities, SCP Health is a leader in clinical practice management spanning the entire continuum of care, including emergency medicine, hospital medicine, wellness, telemedicine, intensive care, and ambulatory care.

Requirements

Detail oriented and organized
Self-motivated; capable of compiling/tracking data to meet deadlines and goals
Excellent interpersonal skills
Ability to work equally well individually and in a team environment and adhere to our CORE values of Agility, Courage, Collaboration and Respect
Professional attitude and demeanor
Written and oral communication skills
Proficient computer knowledge of Word, Excel, Windows and Outlook
Quick learner with an aptitude for custom computer systems
Previous success and comfort with entering data for extended time periods and limited interruptions
High school diploma or equivalent required
One year experience in medical billing preferred
One year experience in a fast-paced production environment
Experience in Microsoft Excel, Word & Outlook
Detail oriented, organized, self-motivated
Capable of compiling/tracking data to meet deadlines and goals
Excellent interpersonal skills
Quick learner with an aptitude for custom computer systems
Previous success and comfort with entering data for extended time periods and limited interruptions
Daily contact with Department Leadership
Frequent contact with offshore partners written and oral
Frequent contact with insurance carriers and facilities via phone calls
Continuous oral & written communication and listening skills
High level of integrity, accuracy, honesty, loyalty, and trust
Job requires a high level of mental awareness and concentration ability
High level of independence; will usually work in solitude and will assume the responsibilities of prioritizing, and determining workload
Ability to be flexible with duties and responsibilities

Nice To Haves

Business or healthcare related field

Responsibilities

Responsible for tracking, reporting and trending chart and edit volume to ensure timely processing and workflow integrity
Evaluate and ensure proper chart flow ensuring deadlines are met
Monitor departmental inventory by process and report to management daily
Communicate and follow up on volume not processed as deadlines approach
Research complex edits escalated to the department and implementing resolutions that result in denial prevention and an increase in billing quality and revenue
Outbound calls to insurance carriers for additional data gathering
Examine KAV reports on a monthly basis
Determine top denials
Initiate resolution
Report out for MOR
Follow up and resolution to complex edit issues
Frequent communication with offshore partners regarding deadlines and edit resolution
Assist in meeting deadlines and target inventories by processing edits when needed
Maintain a comprehensive knowledge of the departmental policies and procedures