Revenue Cycle Specialist

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The Central Business Office is in search of a Revenue Cycle Specialist who will ensure that the department is effectively managing patient and financial information.

The specialist will be tasked with the audit and reconciliation of accounts receivable. This role will address any missing charges while guaranteeing that all charges are accurately recorded.

Primary Responsibilities:

• Evaluates the billing process to confirm the precision of billing documentation, discrepancies/edits, and aids in the coordination of systems' reconciliation.
• Conducts audits of billing, collections, posting, variance, and data entry to ensure adherence to protocols and identify discrepancies.
• Creates audit tool(s) to monitor and track audit outcomes, facilitating meetings with relevant units and directors to discuss data analysis results and potential corrective actions, providing feedback on reviews/audits, root causes, and suggestions for corrective measures and implementations.
• Reviews non-governmental payer contracts to ensure that contractual adjustments are accurate.
• Upon request, examines and/or validates billing accounts, communicating findings as necessary.

CORE JOB FUNCTIONS
Develops audit tool(s) to track and monitor audit outcomes. Facilitates discussions regarding data analysis results and potential corrective actions. Reviews non-governmental payer contracts and ensures accuracy in contractual adjustments. Validates billing accounts and communicates findings to the appropriate personnel. Identifies and resolves any unique circumstances affecting delayed payment submissions. Reviews billing information for accuracy and completeness, addressing any identified issues. Stays updated on statutory and regulatory changes that impact job functions. Escalates issues and situations within the division when necessary. Adheres to University and unit-level policies and procedures while safeguarding University assets.

This list of duties and responsibilities is not intended to be exhaustive and may be expanded to include other duties or responsibilities as necessary.

CORE QUALIFICATIONS

Education:
Bachelor's degree in a relevant field.

Experience:
Minimum of 2 years of relevant experience.

Knowledge, Skills and Attitudes:
General understanding of office procedures and operations.

Ability to accurately prepare and maintain records, files, reports, and correspondence.

Ability to recognize, analyze, and resolve a variety of issues.

Ability to work independently and/or in a collaborative environment.

The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission, and more.

UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by groundbreaking research and medical education at the Miller School of Medicine.

As an academic medical center, we are proud to serve South Florida, Latin America, and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research, and patient care. We're the challenge you've been looking for.

Patient safety is a top priority.

As a result, during the Influenza season, the University Of Miami Miller School Of Medicine requires all employees who provide ongoing services to patients, work in a location where patient care is provided, or work in patient care or clinical care areas, to have an annual influenza vaccination.

Failure to meet this requirement will result in rescinding or termination of employment.

The University of Miami is an Equal Opportunity Employer - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information.

Job Status:
Full time

Employee Type:
Staff

Pay Grade:
H8

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