Revenue Performance Improvement Specialist

Community Hospital • Grand Junction, CO

7d • $29 - $33

About The Position

The Revenue Performance Improvement Specialist manages multiple revenue improvement initiatives and is responsible for the performance and overall management of the denials and appeals process. This role interprets and implements complex rules and regulations governing insurance, appeals, and revenue trends to drive process improvements. The Specialist evaluates existing processes to ensure efficiency and develops, manages, and implements new processes to meet organizational needs.

Requirements

• Associate’s Degree in Finance, Business, or a related field, and at least two (2) years of billing experience OR an equivalent combination of education and experience.
• Strong analytical and problem-solving skills with the ability to interpret complex rules and regulations.
• Excellent communication and collaboration skills for working with cross-functional teams.
• Demonstrated ability to develop and implement process improvements.

Nice To Haves

• healthcare experience
• past coding experience

Responsibilities

• Implementing short- and long-term action plans to improve revenue processes and manage payor denial trends.
• Collaborating with insurance companies to identify reasons for denied payments.
• Partnering with patient registration, coding, billing, HIMS, quality, and case management teams to identify, correct, and reduce denial trends within respective departments.
• Working with department directors and staff to develop and implement process improvements, including planning, prioritization, systematic performance assessment, and sustaining achieved improvements.
• Monitoring and reporting on revenue performance metrics, identifying opportunities for continuous improvement.

What This Job Offers

• Job Type: Full-time
• Education Level: Associate degree