Current jobs related to Senior Revenue Cycle Specialist Insurance Follow Up - Chardon - University Hospitals
-
Revenue Cycle Access Specialist
3 weeks ago
Chardon, Ohio, United States University Hospitals Full timeAbout the RoleWe are seeking a highly skilled and detail-oriented Revenue Cycle Access Specialist to join our team at University Hospitals. As a key member of our Revenue Cycle team, you will play a critical role in ensuring the smooth and efficient registration, patient estimates, and point of service collections process.Key ResponsibilitiesRegistration and...
-
Revenue Cycle Specialist
1 week ago
Chardon, Ohio, United States University Hospitals Full timeJob SummaryAs a key member of the Revenue Cycle team at University Hospitals, the Revenue Cycle Precert Specialist plays a vital role in ensuring that authorizations for outpatient testing, ambulatory, and inpatient services are obtained before services are rendered. This position requires strong communication and relationship-building skills, as well as the...
-
Revenue Cycle Precert Specialist
1 week ago
Chardon, United States University Hospitals Full timeA Brief Overview As an essential member of the Revenue Cycle team, Pre-cert Specialists ensure authorizations for outpatient testing, ambulatory and inpatient services are obtained before services are rendered. The successful completion of tasks performed by this position, directly impacts denials and reimbursement from third party payers. Pre-cert...
-
Revenue Cycle Precert Specialist
2 weeks ago
Chardon, United States University Hospitals Full timeA Brief Overview As an essential member of the Revenue Cycle team, Pre-cert Specialists ensure authorizations for outpatient testing, ambulatory and inpatient services are obtained before services are rendered. The successful completion of tasks performed by this position, directly impacts denials and reimbursement from third party payers. Pre-cert...
-
Revenue Cycle Precertification Specialist
2 weeks ago
Chardon, Ohio, United States University Hospitals Full timeAbout the RoleAs a key member of the Revenue Cycle team at University Hospitals, the Precertification Specialist plays a vital role in ensuring that authorizations for outpatient testing, ambulatory, and inpatient services are obtained before services are rendered. This position requires strong analytical and problem-solving skills, as well as excellent...
-
Revenue Cycle Access Specialist
3 weeks ago
Chardon, Ohio, United States University Hospitals Full timeAbout the RoleWe are seeking a highly skilled and detail-oriented Revenue Cycle Access Specialist to join our team at University Hospitals. As a key member of our Revenue Cycle team, you will play a critical role in ensuring the accurate and timely registration, patient estimates, and point of service collections.Key ResponsibilitiesInterviews and Registers...
-
Revenue Cycle Access Specialist I
3 weeks ago
Chardon, Ohio, United States University Hospitals Full timeAbout This RoleAs a key member of the University Hospitals Revenue Cycle team, the Revenue Cycle Access Specialist I plays a vital role in ensuring the smooth and efficient registration, patient estimates, and point of service collections process. This position requires strong communication and interpersonal skills, as well as the ability to work in a...
-
Revenue Cycle Access Specialist I
2 weeks ago
Chardon, Ohio, United States University Hospitals Full timeJob SummaryWe are seeking a highly skilled Revenue Cycle Access Specialist I to join our team at University Hospitals. As an essential member of our Revenue Cycle team, you will play a critical role in ensuring accurate patient registration, estimates, and collections, while providing exceptional customer service to our patients and customers.Key...
-
Revenue Cycle Access Specialist I
3 weeks ago
Chardon, Ohio, United States University Hospitals Full timeAbout This RoleAs a key member of the University Hospitals Revenue Cycle team, the Revenue Cycle Access Specialist I plays a vital role in ensuring the smooth and efficient registration, patient estimates, and point of service collections process. This position requires strong communication and interpersonal skills, as well as the ability to work in a...
-
Revenue Cycle Access Specialist I
4 weeks ago
Chardon, United States University Hospitals Full timeA Brief Overview As an essential member of the Revenue Cycle team, Access Specialists perform accurate registration, patient estimates, point of service collections and provide exemplary customer service while serving the needs of patients and customers. The successful completion of tasks performed by this position, directly impacts denials, customer...
-
Revenue Cycle Access Specialist. Ashland
4 weeks ago
Chardon, United States University Hospitals Full timeA Brief Overview As an essential member of the Revenue Cycle team, Access Specialists perform accurate registration, patient estimates, point of service collections and provide exemplary customer service while serving the needs of patients and customers. The successful completion of tasks performed by this position, directly impacts denials, customer...
-
Revenue Cycle Access Coordinator
1 month ago
Chardon, Ohio, United States University Hospitals Full timePosition OverviewAs a vital contributor to the Revenue Cycle team, the Access Coordinator is responsible for precise patient registration, estimating costs, collecting payments at the point of service, and delivering outstanding customer service to meet the needs of patients and clients. The effectiveness of this role directly influences claim denials,...
-
Chardon, Ohio, United States State Farm Insurance Full timeJob Title: Office RepresentativeAt State Farm Insurance, we're looking for a highly skilled and customer-focused Office Representative to join our team. As an Office Representative, you'll play a vital role in providing exceptional customer service, processing insurance policy changes and updates, and handling incoming and outgoing phone calls.Key...
-
Practice Revenue Analyst II Plastic Surgery
2 weeks ago
Chardon, Ohio, United States University Hospitals Full timeJob SummaryWe are seeking a highly skilled Revenue Capture Specialist to join our team at University Hospitals. This role will support operations through the set-up, configuration, analysis, monitoring, and maintenance of the system and operational training support.Key ResponsibilitiesReporting & AnalyticsPerform audits and analyses of accounts...
-
Insurance Accounting Specialist
3 weeks ago
Chardon, Ohio, United States Love Insurance Agency Full timeJob OverviewLove Insurance Agency is seeking a detail-oriented and analytical individual to fill the role of Insurance Accounting Specialist. As a key member of our financial operations team, you will be responsible for managing accounts payable and receivable functions, ensuring timely payments, conducting bank reconciliations, and maintaining accurate...
-
Insurance Accounting Specialist
3 weeks ago
Chardon, Ohio, United States Love Insurance Agency Full timeJob OverviewLove Insurance Agency is seeking a detail-oriented and analytical individual to fill the role of Insurance Accounting Specialist. As a key member of our financial operations team, you will be responsible for managing accounts payable and receivable functions, ensuring timely payments, conducting bank reconciliations, and maintaining accurate...
-
Accounting Specialist in Insurance
4 weeks ago
Chardon, Ohio, United States Love Insurance Agency Full timeJob OverviewEstablished in 1950, Love Insurance Agency has been a vital part of our community, focusing on a comprehensive range of insurance services. Our core values of respect, integrity, and humility shape our operations, creating a collaborative and supportive workplace where every team member is appreciated and encouraged to thrive. We prioritize...
-
Accounting Specialist in Insurance
1 month ago
Chardon, Ohio, United States Love Insurance Agency Full timeJob OverviewEstablished in 1950, Love Insurance Agency has become a vital part of our community, excelling in various insurance services. Our core values of respect, honesty, and humility shape our operations, creating a collaborative and nurturing workplace where every team member is appreciated and encouraged to thrive. We prioritize teamwork, integrity,...
-
Accounting Specialist in Insurance
4 weeks ago
Chardon, Ohio, United States Love Insurance Agency Full timeJob OverviewEstablished in 1950, Love Insurance Agency has been a pivotal part of our community, focusing on a comprehensive range of insurance services. Our core values of respect, integrity, and humility shape our operations, creating a collaborative and nurturing workplace where every team member is appreciated and empowered to thrive. We prioritize...
-
Insurance Accounting Specialist
4 months ago
Chardon, United States Love Insurance Agency Full timeJob DescriptionJob DescriptionFounded in 1950 and now proudly in its second and third generations, Love Insurance Agency has been a cornerstone of our community, specializing in all lines of insurance. Our values of respect, honesty, and humility guide everything we do, fostering a collaborative and supportive work environment where each team member is...
Senior Revenue Cycle Specialist Insurance Follow Up
3 months ago
Position responsible for submitting and resolving moderate to high complexity medical claims. Must remain current with governmental and third party billing, follow-up and appeal requirements for compliant billing and follow-up of both inpatient and outpatient claims for all wholly owned facilities and physician entities including internal and external policy requirements. This includes the handling of specialty billing claims, escalated accounts receivable concerns, and special projects for the health system.
What You Will Do
- Responds to requests from management, staff, or physicians in a timely and appropriate manner.
- Maintains patient and physician confidentiality and professionalism at all times.
- Follows department policies and procedures to ensure accurate and timely claim resolution.
- Effectively communicates utilizing telephone, form letters, e-mail, or internal correspondence to resolve patient inquiries and insurance issues.
- Attends and participates in team meetings.
- Utilizes work lists to review and analyze account balances in order to collect payment for medical services rendered.
- Utilizes multiple system applications to review and update patient billing information.
- Acts as a liaison with internal and external customers providing assistance in claims and receivables resolution in a high volume environment.
- Performs follow up with insurance companies to ensure appropriate payment on claims, resolve denials, correct claims, and appeal claims.
- Contacts patients and guarantors to secure necessary billing information.
- Documents accounts with clear and concise verbiage in accordance with departmental procedures.
- Reviews and responds to correspondence and inquiries received.
- Serves as subject matter expert and primary go to person for questions from junior level staff.
- Perform training and creates process documentation.
- Assists management with special projects.
- In absence of management, may lead work flow efforts.
- Participates in or leads payer and/or departmental meetings as needed.
- Responsible for providing feedback suggestions and process improvement recommendations to management.
- Meets and exceeds team productivity and quality standards.
- Functions independently to analyze and resolve claims.
- Creates Excel spreadsheets to analyze and resolve claims.
- Performs other duties as assigned.
- Complies with all policies and standards.
- For specific duties and responsibilities, refer to documentation provided by the department during orientation.
- Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.
Education
- High School Equivalent / GED (Required) and
- Associate's Degree (Preferred) and
- Bachelor's Degree (Preferred)
- 3+ years of medical billing / claim experience. (Required) and
- Experience with medical billing software. (Required)
- Must have a good working knowledge of claim submission (UB04/HCFA 1500) and third party payers. (Required proficiency)
- Knowledge of procedural and ICD10 coding. (Required proficiency)
- Knowledge of medical billing terminology. (Required proficiency)
- Detail-oriented and organized, with good analytical and problem solving ability. (Required proficiency)
- Notable client service, communication, and relationship building skills. (Required proficiency)
- Ability to function independently and as a team player in a fast-paced environment. (Required proficiency)
- Must have strong written and verbal communication skills. (Required proficiency)
- Demonstrated ability to use PCs, Microsoft Office suite (including Word, Excel and Outlook), and general office equipment (i.e. printers, copy machine, FAX machine, etc.). (Required proficiency)
recblid 6055he8ktp7886l4lhv8cgzqgkpuwn
