Revenue Cycle Specialist
1 day ago
Woodsville, United States
Cottage Hospital
Full time
Ready to Join Our Team? Are you an experienced healthcare professional with a passion for optimizing revenue processes? Cottage Hospital is seeking a Revenue Cycle Specialist to support our Revenue Cycle Management team. With opportunities to analyze data, resolve claims, and drive improvements, this role is perfect for detail-oriented individuals eager to make a difference. If you meet the qualifications and are ready to contribute to a team committed to excellence, apply today
Job Summary:
The Revenue Cycle Specialist provides direct support to the Revenue Cycle Management Director to ensure revenue capture integrity.Works closely with Patient Financial Services and Health Information Management/Coding teams.Develops reporting and dashboards to measure and enhance operational performance.Researches denials from all commercial and governmental payors.
Duties and Responsibilities:
- Improve billing & collection processes and identify points of failure and appropriate course of actions with Revenue Cycle Management Director
- Monitor and analyze revenue cycle metrics to find ways to improve
- Prepare and analyze financial reports for the Patient Financial Services Manager & Revenue Cycle Management Director
- Monitor and identify potential loss or delay in revenue to ensure maximum reimbursement. Seek and suggest solutions to maximize revenue capture & reimbursement
- Monitor EHR work que's, identify and communicate trends
- Resolve claim denials and work with insurance companies as needed
- Enter Service Requests with EHR vendor and follow through to resolution
- Exhibit strong written and verbal communication skills
- Stay up to date on healthcare regulations and inform Revenue Cycle Management Director
- Special projects and other tasks as needed
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)