Senior Revenue Cycle Specialist (Hybrid), Day Shift, Ambulatory Revenue Cycle
About The Position
Adventist HealthCare seeks to hire an experienced Senior Revenue Cycle Specialist for our Ambulatory department who will embrace our mission to extend God’s care through the ministry of physical, mental, and spiritual healing. As a Senior Revenue Cycle Specialist, you will: • Verifies and corrects insurance information, charges, and coding issues for electronic claims and manual corporate billing. • Ensures that all billing guidelines are followed per the payer billing requirements. • Contact insurance companies regarding the status of appeals. • Daily reconciliation and elimination of billing backlogs. • Follow up on payment errors, low reimbursement, denials, etc. • Review EOBs and initiate appeals as necessary. • Demonstrates working knowledge of coding (CPT, HCPCS, ICD-10, etc) as it relates to billing. • Responsible for taking and resolving patient billing calls and inquiries. • Demonstrates an ability to troubleshoot, report to management, and/or initiate resolution of all issues that occur with regard to billing operations. • Performs analysis, identifies trends, presents opportunity areas, and prioritizes initiatives for performance improvement in a variety of areas, including but not limited to: coding, claim submission, insurance and self-pay collections, refunds, and write-off approvals. • Routine Reporting of Key metrics includes: AR days, cash collections, denials, avoidable write-offs, refunds, charge lag, bad debt, etc. • Coordinates with accounting to ensure accurate and timely month-end financial reports
Requirements
- Ability to effectively problem-solve and manage processes
- Ability to work independently and handle a multi-task environment.
- Ability to actively participate on a team, supporting other team members and offering assistance to others as needed.
- Strong customer service skills, both on the telephone and face-to-face contact.
- Strong organizational and interpersonal skills.
- Must have the ability to guard confidential information (HIPAA).
- Bachelor’s or Associate's degree in Finance, Business, Accounting, or equivalent experience, and 7 years of experience in this field.
- Must maintain a high volume of processing without compromising quality and accuracy.
Nice To Haves
- Certified medical coder a plus
- Experience with Electronic Health Records Software. Experience with eClinicalWorks is desirable.
Responsibilities
- Verifies and corrects insurance information, charges, and coding issues for electronic claims and manual corporate billing.
- Ensures that all billing guidelines are followed per the payer billing requirements.
- Contact insurance companies regarding the status of appeals.
- Daily reconciliation and elimination of billing backlogs.
- Follow up on payment errors, low reimbursement, denials, etc.
- Review EOBs and initiate appeals as necessary.
- Demonstrates working knowledge of coding (CPT, HCPCS, ICD-10, etc) as it relates to billing.
- Responsible for taking and resolving patient billing calls and inquiries.
- Demonstrates an ability to troubleshoot, report to management, and/or initiate resolution of all issues that occur with regard to billing operations.
- Performs analysis, identifies trends, presents opportunity areas, and prioritizes initiatives for performance improvement in a variety of areas, including but not limited to: coding, claim submission, insurance and self-pay collections, refunds, and write-off approvals.
- Routine Reporting of Key metrics includes: AR days, cash collections, denials, avoidable write-offs, refunds, charge lag, bad debt, etc.
- Coordinates with accounting to ensure accurate and timely month-end financial reports
Benefits
- Work life balance through nonrotating shifts
- Recognition and rewards for professional expertise
- Free Employee parking
- Medical, Prescription, Dental, and Vision coverage for employees and their eligible dependents effective on your date of hire
- Employer-paid Short & Long-Term Disability, Basic Life Insurance and AD&D, (short-term disability buy-up available)
- Paid Time Off
- Employer retirement contribution and match after 1-year of eligible employment with a 3-year vesting period
- Voluntary benefits include flexible spending accounts, legal plans, and life, pet, auto, home, long term care, and critical illness & accident insurance
- Subsidized childcare at participating childcare centers
- Tuition Reimbursement
- Employee Assistance Program (EAP) support
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
Number of Employees
501-1,000 employees
