Revenue Cycle Confirmation Specialist

4 days ago

Dallas, United States Shyft6 Full time

This is a remote position.

Job Description: Revenue Cycle Confirmation Specialist Hospital Billing (Follow up/Denials)

Position Title: Revenue Cycle Confirmation Specialist Hospital Billing (Follow up/Denials)

Location: Remote (with limited onsite travel to Texas)

Employment Type: Contract (October 2024 April 2025)

Job Summary: The Revenue Cycle Confirmation Specialist Hospital Billing (Follow up/Denials) will be responsible for verifying and ensuring the accuracy of hospital billing processes related to followup and denials. This includes managing billing denial codes (BDCs) work queues (WQs) system actions and remittance management (RMCs). This role is essential for maintaining revenue integrity and compliance during the stabilization period postEpic implementation.

Key Responsibilities:

  • Verify the accuracy of hospital billing processes focusing on followup and denial management.
  • Ensure the accuracy and completeness of managing billing denial codes (BDCs) work queues (WQs) and system actions.
  • Collaborate with billing departments to ensure comprehensive and accurate data capture.
  • Perform audits to ensure compliance with established revenue cycle protocols.
  • Identify and rectify discrepancies in billing and denial data.
  • Provide support and guidance to billing staff regarding revenue cycle processes and best practices.
  • Liaise with IT and Epic implementation teams to address systemrelated issues affecting the revenue cycle.
  • Maintain uptodate knowledge of Epic applications and revenue cycle methodologies specific to hospital billing.
  • Ensure compliance with relevant regulations and standards.

Requirements

Qualifications:

  • Extensive experience in hospital billing with a focus on followup and denial management including BDCs WQs system actions and RMCs.
  • Certified Revenue Cycle Representative (CRCR) or Certified Healthcare Financial Professional (CHFP) preferred.
  • Familiarity with Epic applications and healthcare revenue cycle management.
  • Strong understanding of the revenue cycle processes for hospital billing and denial management.
  • Excellent analytical and problemsolving skills.
  • Effective communication and collaboration abilities.
  • Detailoriented with a focus on accuracy and compliance.

Preferred Qualifications:

  • Advanced certifications in healthcare revenue cycle management.
  • Previous experience in a similar role during an Epic implementation.

Work Conditions:

  • Primarily remote with approximately 25% onsite travel required during the initial stabilization period postgolive.
  • Fulltime contract position with potential for extension based on performance and hospital needs.


Hospital Billing (Follow up/Denials: BDCs WQs system actions RMCs)

Extensive experience in leadership roles within patient access and hospital administration. Proven experience with Epic implementations, particularly in the front-end space. Strong understanding of patient access processes, including admitting, bed placement, and patient flow. Excellent analytical and problem-solving skills. Effective communication and collaboration abilities. Ability to manage and lead teams effectively during high-pressure situations. Detail-oriented with a focus on accuracy and compliance.

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