Revenue Cycle Specialist
2 weeks ago
CHI Memorial Hospital, a part of CommonSpirit Health, is recognized as a Best Regional Hospital by U.S. News & World Report. As a regional referral center, we provide healthcare services throughout Southeast Tennessee and North Georgia. We prioritize our employees' well-being and offer benefits that support work-life balance.
We provide the following benefits to support you and your family:
• Free membership to our Care@Work program for childcare, pet care, or adult dependent needs
• Employee Assistance Program (EAP) for you and your family
• Health, dental, and vision insurance
• Flexible spending accounts
• Voluntary protection: group accident, critical illness, and identity theft
• Adoption assistance
• Paid Time Off (PTO)
• Tuition assistance for career growth and development
• Matching retirement programs
• Wellness program
Responsibilities
Expectations include:
• Conducting reviews using critical thinking skills to understand payment transfers
• Reviewing and posting payments and write-offs/adjustments from insurance and patients
• Identifying and researching unusual, complex, or escalated issues
• Documenting all activities and findings in accordance with established policies and procedures
• Maintaining current knowledge of internal, industry, and government regulations applicable to the assigned function
• Establishing and maintaining professional and effective relationships with peers and other stakeholders
Qualifications
Minimum qualifications include:
• High School Diploma or GED equivalent
• Knowledge of general concepts and practices related to the healthcare field, debits and credits, clinic operations, regulatory/reporting requirements, automated systems, and government/commercial insurance reimbursement terms
• Excellent customer service, attention to detail, critical thinking, and the ability to maintain confidentiality of medical records, troubleshooting
• Ability to understand and apply detailed billing requirements and cash posting processes and effectively prioritize
Preferred qualifications include:
• One to three years of revenue cycle or related work experience demonstrating attainment of the requisite job knowledge and abilities
• Graduation from a post-high school program in medical billing or other business-related field
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