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Revenue Operations Specialist

2 months ago


Memphis, United States University Clinical Health Full time

Job Type Full-timeDescriptionWho We Are: As the only independent and physician-led faculty practice plan of the University of Tennessee Health Science Center, University Clinical Health (UCH) offers best-in-class clinical care through a network of 175+ providers across 19 specialties to meet the healthcare needs of the Mid-South community. UCH is a not-for-profit, non-tax-supported group practice and is here to serve the community while providing medical excellence to our patients.Position Summary: The Revenue Operations Specialist (ROS) is responsible for updating patient demographics and verifying insurance benefits. The ROS's additional responsibilities will include utilizing multiple hospital systems and various payer websites, entering alphabetic and numeric medical data from source documents into the practice billing system, checking for entry accuracy, and implementing the Epic claim correction process. The position requires overtime, both during the week and weekends, on an as-needed basis. Limited time off is approved for the last week of the month.Key Results Areas (KRAs): Responsible for Patient registration, including chart creation and demographic data inputNavigate multiple hospital systems and collect necessary patient demographic and insurance informationVerification of insurance eligibility through RTS, payer website, or phone calls to the payerHigh-level understanding of medical coding about CPT, ICD 10, modifiers, and POS codesInput Charge data including CPT, ICD 10, and modifier codes quickly and accurately on each transaction level/lineInput insurance data correctly on each billable encounter in EpicManage assigned work queues in Epic to correct errors and produce clean claimsEnsure up-to-date knowledge of policies and procedures about the Revenue Services departmentMakes appropriate adjustments to patient accounts in accordance with UCH policiesAssists Patient Account Biller/Collector/Payment Poster as required or assignedHigh level understanding of clinical operations for specialties supported by roleMaintain a working knowledge of Regulatory Compliance, especially HIPAA and CMS billing guidelinesHandle patient account calls knowledgably and professionally - investigating account questions and concernsDemonstrate teamwork through coordination and ownership of shared responsibilitiesPerform any other duties as assigned RequirementsCore Competencies Demonstrated analytical skillsPrompt response to email and telephone callsExceptional interpersonal and communication skillsExceptional customer service skillsPays close attention to detail, accuracy, and completenessExcellent organizational skillsExcellent time management skillsCommitted to supporting UCH's standard of medical excellence Education & Experience: High School diploma or equivalent required5 years of medical office or medical billing experience is strongly preferredComputer knowledge: Word, Excel, Outlook,and electronic medical record experienceKnowledge of medical terminology and insurance claim filing preferredKnowledge of insurance verification systems Knowledge and/or experience with local hospital systems (Cerner, Epic, etc.) preferred