Senior Revenue Cycle Specialist Job Locations

US-Remote ID

2024-12677

Category Audit - Healthcare  

Position Type Full-Time Overview

Join our dynamic Revenue Cycle team within the Yield Management Division as a Senior Revenue Cycle Specialist. Collaborate closely with other members of Yield to exceed department expectations.

As a Senior Revenue Cycle Specialist, you will lead critical functions ensuring departmental excellence. Your role involves resolving complex issues, analyzing discrepancies, and driving efficiency in payment processes across multiple platforms. Additionally, a Senior is a subject matter expertise and works directly with the Team Lead to ensure the success of the team in creating and identifying training materials and assisting with new hire onboarding and orientation, acting as a mentor for others on the team.

Responsibilities

A Senior Specialist is identified as a subject matter expert on all knowledge within the Revenue Cycle space. * Collaborating with the Team Lead, you will develop and oversee onboarding materials to empower Specialists and Specialist 2's with effective training. * Completes or monitors organizational functions or processes, ensuring that they are completed accurately, on time, and in compliance with established policies and regulations. * Maintains meticulous process tracking and generates detailed reports for management to ensure the highest quality standards in departmental actions. * Analyzes, identifies, and implements procedural change opportunities to improve performance and efficiency, and maximize revenue or margins. * Ability to resolve errors and handles exceptions of limited risk and complexity. * Identifies opportunities to improve revenue cycle processes and proposes solutions to capitalize on opportunities. Works with manager to establish an implementation plan and can work independently or with support of Specialists to implement plan. Thinks critically through implementation of plans to identify gaps and make necessary adjustments. * Serves as a key point of contact for other departments on the audit and the client. Resolves client and audit issues to completion with attention to detail and the highest level of professionalism. * Posts payments to collection accounts, reconciles with posted bank transactions, works with AP department to have refund issued when needed, reconciles monthly bank statements with cash posting database. Posts adjustment transactions to collection system as well as client's system. * Access and understand necessary information from the various online systems, understanding the systems process in determining how a claim has been paid to accurately apply payments and adjustments and assists in determining the adjudication of funds. Has a detailed understanding of client systems and processes. Can serve as a subject matter expert on client processes. * Prepares and records financial transactions for assigned accounts to accumulate and record accurate and timely financial history. Ensures monthly reporting for audit purposes. Prepares and records financial transactions for assigned accounts to accumulate and record accurate and timely financial history. Ensures daily deposit reconciliation; maintains daily, monthly reporting for audit purposes. * Researches and accurately distributes payments with no apparent invoice number, or date-of-service. Researches and determines the correct claim for the payment if there is a valid patient/date of services and accurately applying payment to correct claim. * Maintains thorough and detailed knowledge of compliance and recovery laws regarding processing and recoupment to ensure compliance with state laws regarding all cash processes as... For full info follow application link.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities