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Revenue Cycle Specialist
2 months ago
Western Door Federal, a part of the Seneca Nation Group (SNG) portfolio of companies, is seeking a skilled Revenue Cycle Specialist to support the Defense Health Agency. The successful candidate will play a crucial role in developing and implementing a Revenue Integrity program and operations.
Key Responsibilities:- Support the DHA-project with extensive knowledge in MHS GENESIS Revenue Cycle, including all Charge Services.
- Optimize business workflows and control costs to collect across acute, ambulatory, specialty, and inpatient venues.
- Analyze and reconcile suspended charges and Discharged Not Final Billed (DNFB) to identify and prioritize proposed projects and reduce the backlog.
- Design and implement a portfolio of Revenue Cycle decision-support tools focused on key performance indicators for fiscal health.
- Support business process re-engineering efforts to achieve standardization within all Revenue Cycle areas.
- Apply principles and practices in Revenue Cycle management, including charge capture, coding, billing, reimbursement, denial management, and compliance.
- Bachelor's degree in a clinical or healthcare-related field or an Associate degree with five years of Revenue Cycle experience.
- Favorable Suitability Adjudication based on a T1 background investigation.
- US citizenship due to government contract requirements and/or clearance requirements.
- Substantial knowledge of Revenue Cycle concepts, business processes, and/or operations within the healthcare industry.
- Ability to analyze and interpret complex data, processes, and reports related to revenue cycle and integrity.
- Excellent oral, written, and interpersonal skills.
- Favorable Suitability Adjudication based on a current T1 background investigation.
- Substantial experience within the Military Health System (MHS) environment and requisite knowledge of revenue cycle operations.
- Ability to use various software applications and tools to perform Revenue Cycle functions.
Seneca Holdings LLC is committed to building an inclusive work environment that encourages, supports, and celebrates the diversity of its employees. The company recognizes that an inclusive corporate culture improves how it supports its customers and also improves the collective impact it can make in its communities.
Equal Opportunity Statement: Seneca Holdings provides equal employment opportunities to all employees and applicants without regard to race, color, religion, sex/gender, sexual orientation, national origin, age, disability, marital status, genetic information, and/or predisposing genetic characteristics, victim of domestic violence status, veteran status, or other protected class status.
