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Revenue Cycle Operations Specialist

1 month ago

San Antonio, Texas, United States CommuniCare Health Center Full time
Job Summary

We are seeking a highly skilled Revenue Cycle Operations Specialist to join our team at CommuniCare Health Center. This role will be responsible for monitoring revenue cycle processes to identify areas of improvement in efficiency and profitability.

Key Responsibilities
  • Assist in planning, directing, and coordinating activities of designated projects to ensure goals or objectives are accomplished within a prescribed timeframe.
  • Provide revenue cycle training to providers and support staff as needed.
  • Assist with identifying ways to reduce expenses without compromising quality.
  • Act as liaison between analytics and operations and business office staff.
  • Coordinate with department leaders to provide supplemental training for clinic support staff regarding coding compliance and third-party payer requirements.
  • Collaborate with billing and operations staff regarding revenue cycle continuous process improvement efforts.
  • Provide training for all levels of clinic support staff on revenue cycle processes and best practices.
  • Establish time lines, communicate with team members, and track project objectives.
  • Perform other related duties as assigned.
Requirements
  • Bachelor's degree required.
  • Five years' experience in healthcare, business, or equivalent experience plus a high school diploma or equivalent may be substituted for Bachelor's degree.
  • Experience managing projects in a medical/clinical setting preferred.
  • Significant expertise in billing and eligibility requirements for Medicare, Medicaid, and private insurance.
  • Five (5) years' experience training staff in a healthcare environment; or eight (8) years' experience as a medical assistant.
  • Extensive knowledge of ICD-10-CM and CPT codes and medical terminology.
  • Advanced knowledge of computerized billing systems.
  • Ability to multitask and work to critical time-lines and under pressure.
  • Ability to work collaboratively with other department leaders and staff.
  • Strong communication skills.
  • Proven proficiency in Microsoft Word, Excel, Outlook.
  • Ability to travel from site to site within various counties using personal vehicle.