Revenue Cycle Specialist

Full Time
Morgantown, WV 26508
Posted Today
Job description

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This position is responsible for the day-to-day operations of billing, collections, and A/R management to include procedure development, internal and external communications, statistical reporting, trend analysis, issue resolution.

This position is responsible for the day-to-day operations of billing, collections, and A/R management to include procedure development, internal and external communications, statistical reporting, trend analysis, issue resolution.

MINIMUM QUALIFICATIONS :

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. High School Diploma or Equivalent.

EXPERIENCE:

1. Two (2) years of health care industry experience.

PREFERRED QUALIFICATIONS :

EXPERIENCE:

1. Five (5) years of professional or hospital billing experience.

2. One (1) year of healthcare supervisory experience preferred.

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

1. Maintains positive working relationships with internal departments such as, Patient Access, Patient Financial Services Managers and Staff, Coding, HIM , etc.

2. Develops, implements, revises, and monitors procedures in support of billing and Patient Financial Services Departmental Processes

3. Provides training to new and established employees as determined by management.

4. Assists Patient Financial Services Managers and staff on the resolution of issues related to submission of claims

5. Maintains competency in functional area assigned through daily work processes, professional development, literature review, seminars, networking, etc.

6. Coordinates projects assigned by management

7. Maintains QA program to ensure appropriate management of patient accounts within area of responsibility.

8. Ensures processes support data driven feedback both internally and to other departments that interact with Patient Financial Services to improve revenue cycle processes and reduce re-work.

9. Works with Patient Financial Services Managers and Peers to assist with account resolution.

10. Maintains positive working relationships with vendors, insurance carriers, government agencies, claims clearinghouse, EPIC, collection agency, etc.

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Normal Office Environment.

SKILLS AND ABILITIES:

1. Working knowledge of CPT/ICD-10 coding and regulatory compliance guidelines preferred.

2. Good computer skills, system applications, excel and other Microsoft products.

MINIMUM QUALIFICATIONS :

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. High School Diploma or Equivalent.

EXPERIENCE:

1. Two (2) years of health care industry experience.

PREFERRED QUALIFICATIONS :

EXPERIENCE:

1. Five (5) years of professional or hospital billing experience.

2. One (1) year of healthcare supervisory experience preferred.

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

1. Maintains positive working relationships with internal departments such as, Patient Access, Patient Financial Services Managers and Staff, Coding, HIM , etc.

2. Develops, implements, revises, and monitors procedures in support of billing and Patient Financial Services Departmental Processes

3. Provides training to new and established employees as determined by management.

4. Assists Patient Financial Services Managers and staff on the resolution of issues related to submission of claims

5. Maintains competency in functional area assigned through daily work processes, professional development, literature review, seminars, networking, etc.

6. Coordinates projects assigned by management

7. Maintains QA program to ensure appropriate management of patient accounts within area of responsibility.

8. Ensures processes support data driven feedback both internally and to other departments that interact with Patient Financial Services to improve revenue cycle processes and reduce re-work.

9. Works with Patient Financial Services Managers and Peers to assist with account resolution.

10. Maintains positive working relationships with vendors, insurance carriers, government agencies, claims clearinghouse, EPIC, collection agency, etc.

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Normal Office Environment.

SKILLS AND ABILITIES:

1. Working knowledge of CPT/ICD-10 coding and regulatory compliance guidelines preferred.

2. Good computer skills, system applications, excel and other Microsoft products.

Additional Job Description:

Scheduled Weekly Hours:

40

Shift:

Exempt/Non-Exempt:

United States of America (Non-Exempt)

Company:

WVUH West Virginia University Hospitals

Cost Center:

544 UHA Patient Financial Services

Address:

255 Scott Avenue

Morgantown

West Virginia

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