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Revenue Cycle Specialist I, II
2 months ago
The Southcentral Foundation (SCF) Revenue Cycle Specialist is responsible for supporting multiple areas within the Revenue Cycle department. Applicants must have experience and understanding of outpatient and clinical Revenue Cycle settings. A qualified candidate would be proficient in the following areas: eligibility, claims billing and editing, denial resolution, interpretation of various EOBs and remittances, account resolution, exposure to various payers and payment sources (including, Medicaid, Medicare, Employer Sponsored health insurance, and workers comp), payment posting, contractual allowances, batch balancing and reconciliation, multi-specialty exposure, excellent customer service skills, HIPAA and 42 CFR guidelines.
This position has two (2) levels designed to provide progressively more responsible and independent work experiences. Progression between job levels is based on the demonstrated ability to successfully handle more progressively responsible assignments.
Minimum Qualifications:
- High school diploma or GED.
- Six (6) years of revenue cycle experience; OR equivalent combination of experience and education; OR demonstrated proficiency working as a Revenue Cycle Technician II at Southcentral Foundation.
- One (1) additional year of revenue cycle experience; OR equivalent combination of experience and education; OR demonstrated proficiency working as a Revenue Cycle Specialist I at Southcentral Foundation.
- Associate degree in Accounting, Health Care Financial Management, or related field; OR equivalent combination of training, education and related experience; OR professional certification in Patient Accounting, Coding, Health Care Financial Management or related field.
Native Preference:
Under P.L. 93-638, as amended, the company pursues a policy of Native preference in hiring, contracting and training.SCF Human Resources must receive certification before applicants receive preference.
Employee Health Requirements:
Compliance with our Employee Health Procedure is a condition of SCF employment.You are required to agree that you will comply with all job-related employee health screening and immunizations prior to your first day of employment.Jobs designated as a Health Care Personnel (HCP) position, requires that you have documentation that you have completed the following immunizations prior to your first day of employment: MMR (Measles, Mumps and Rubella, Varicella (Chicken Pox), Hepatitis B, Influenza, T-dap (Tetanus - Diphtheria - Pertussis), and COVID-19 vaccination is required.
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