Revenue Cycle Specialist

2 weeks ago


Chattanooga, Tennessee, United States Chi Full time
Overview

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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