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Revenue Cycle Specialist

2 months ago

Martinsville, Virginia, United States Sovah Health - Martinsville Full time
Job Summary

We are seeking a highly skilled Revenue Cycle Specialist to join our team at Sovah Health - Martinsville. As a key member of our revenue cycle team, you will play a critical role in ensuring the accuracy and efficiency of our revenue cycle processes.

Key Responsibilities
  • Coordinate and evaluate revenue integrity operations, including medical necessity denials and loss leaders.
  • Develop and implement systems to manage revenue cycle operations, including tracking mechanisms and reporting tools.
  • Collaborate with cross-functional teams, including clinical departments, health information management, and the business office, to ensure seamless revenue cycle operations.
  • Provide education and training to staff on revenue cycle processes and policies.
  • Participate in the development of policies and procedures to ensure compliance with regulatory requirements.
  • Stay up-to-date on current healthcare revenue cycle trends and regulatory changes.
Requirements
  • High school diploma or equivalent required; college education or 2 years' experience preferred.
  • Requires critical thinking skills, decisive judgment, and the ability to work with minimal supervision.
  • Knowledgeable and experienced with hospital bill processing and insurance practices, including HCPC/CPT/UB04 experience, modifiers, Medicare APC's, and billing regulations.
  • Strong organizational skills, ability to multi-task, and excellent communication skills.
  • Ability to perform work duties with minimal supervision and willingness to learn new tasks.
What We Offer
  • Competitive salary and benefits package.
  • Opportunities for professional growth and development.
  • A dynamic and supportive work environment.
  • A commitment to diversity and inclusion.