Revenue Cycle Specialist

7 days ago

Fort Washington, Pennsylvania, United States Office Practicum Full time $60,000 - $100,000 per year
:

The Revenue Cycle Specialist (RCS) oversees the revenue cycle for assigned clients and is responsible to ensure clients meet targets for KPIs, retention, and time to revenue. The RCS will serve as the primary point of contact for the Sutherland Global RCM team.

This position is fully remote, however, applicants must reside in one of the following states: FL, GA, ID, IN, KS, LA, MD, MI, MN, NC, OH, PA, TN, TX, UT, VA, WY

Applicants must be authorized to work for ANY employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.

Essential Functions / Tasks / Duties / Responsibilities:

  • Provide guidance and education to the Sutherland team on clarifications, help items, and resolving outstanding AR
  • Report monthly denial and rejection trends internally and externally and recommend process improvements to prevent future denials and rejections
  • Establish and maintain system parameters that support timely submission of claims to payers resulting in payment maximization that is both efficient and effective.
  • Improve operational efficiencies to include OP software performance and assist with automation initiatives
  • Independently identify and resolve process shortfalls.
  • Actively participate in internal RCM and Sutherland huddles
  • Maintain regular contact with RCM Vendor via meetings, email, and OP messages
  • Ensure all account reviews are documented in Salesforce and client specific instructions are documented on the client blueprint
  • Approve and implement workflow modifications to meet client needs that may have significant financial impact to OP and/or the practice
  • Identify at-risk clients and determine actions required to resolve concerns and retain clients
  • Maintain expert knowledge of payer guidelines for assigned geographic areas
  • Maintain functional knowledge of OP enhancements and improvements.
  • Maintain up-to-date awareness of healthcare industry standards and the overall landscape of pediatric medicine
  • Complete offboarding process for clients exiting RCM services

Requirements:

Competencies:

  • Strong knowledge of full cycle RCM, EHR systems, ICD-10 / CPT coding
  • Ability to efficiently and independently manage multiple tasks
  • Ability to prioritize workload
  • Understand, support, enforce and comply with Company policies, procedures and Standards of Business Ethics and Conduct
  • Must be comfortable working with different systems and software applications
  • Ability to effectively prioritize and execute tasks while under pressure
  • Strong active listening, interpersonal written and oral communication skills
  • Problem solving and decision making skills
  • Able to talk to speak with clients and employees in a professional, meaningful manner

Education / Professional Certifications or Licenses Required:

  • College Degree, Professional Certifications and / or some combination of related experience
  • CPC (a plus)

Experience Requirements:

  • Minimum of 2 years of full cycle RCM, EMR, and Customer Service experience
  • CPT and ICD10 knowledge
  • Microsoft office
  • Google Docs

Work Environment / Physical demands/ Travel Requirements:

  • Long hours on computer and phone
  • Minimal lifting requirements
  • Travel to conferences and remote offices
  • Nights and weekend as needed

Core Values:

Office Practicum seeks to hire individuals who are able and willing to embrace our company's performance based culture, as defined by our Core Values:

  • We are Clinician First
  • Pediatric Care is our Home
  • We Deliver on our Commitments
  • Our Success is Based on Results
  • We Believe in the Power of Teams

We believe that consistently aligning our planning and execution with these core values will lead to long term success for both Office Practicum as well as the customers we serve.

Benefits:

Our team members enjoy a variety of benefits, including but not limited to:

  • Medical, Prescription, Vision, and Dental Insurance
  • Life Insurance
  • 401(k) with company match
  • Paid Time Off, Holidays, and Volunteer Hours
  • Company Wellness Program
  • Employee Assistance Program
  • Short and Long Term Disability Insurance
  • Pet Insurance
  • Tuition Assistance Program
  • Employee Recognition Program

Equal Employment Opportunity Statement:

Our company is committed to equal employment opportunity. We will not discriminate against employees or applicants for employment on any legally recognized basis ["protected class"] including, but not limited to: veteran status, uniform service member status, race, color, ancestry, pregnancy, childbirth and related medical conditions, national origin, non-job related handicap or disability, or the use of a guide or support animal, creed, religion, sex, sexual orientation, national origin, age [18 and over] - [40 or over], physical or mental disability, predisposing genetic characteristics, military status, marital status, protected action, concerted activity, or any other protected class under federal, state or local law.

Americans with Disabilities Act Statement:

Our company is committed to providing equal employment opportunities to otherwise qualified individuals with disabilities, which may include providing reasonable accommodation where appropriate. In general, it is your responsibility to notify your supervisor of the need for accommodation. Upon doing so, your supervisor may ask you for your input or the type of accommodation you believe may be necessary or the functional limitations caused by your disability. Also, when appropriate, we may need your permission to obtain additional information from your physician or other medical or rehabilitation professionals.

  • Clinical Integration Specialist

    1 week ago

    Fort Washington, Pennsylvania, United States Alta Smiles Full time $140,000 - $200,000 per year

    Are you a highly organized and tech-savvy orthodontic or dental professional looking to apply your integration and customer success skills in a fast-paced, innovative environment? We are seeking a motivated individual to join our team. In this dynamic role, you will play a vital role in expanding the adoption of Alta Smiles' game-changing C5 Hidden...

  • Vice President of Sales- Team Lead

    7 days ago

    Fort Washington, Pennsylvania, United States m3usa Full time $150,000 - $200,000 per year

    Company DescriptionM3 USA is at the forefront of healthcare innovation, offering digital solutions across healthcare, life sciences, pharmaceuticals, and more. Since our inception in 2000, we've seen remarkable growth, fueled by our mission to utilize the internet for a healthier world and more efficient healthcare systems.Our success is anchored in our...

  • Vice President of Sales- Team Lead

    7 days ago

    Fort Washington, Pennsylvania, United States M3 USA Full time $120,000 - $250,000 per year

    Company DescriptionM3 USA is at the forefront of healthcare innovation, offering digital solutions across healthcare, life sciences, pharmaceuticals, and more. Since our inception in 2000, we've seen remarkable growth, fueled by our mission to utilize the internet for a healthier world and more efficient healthcare systems.Our success is anchored in our...

  • Senior Director, Controller

    1 week ago

    Fort Washington, Pennsylvania, United States US HealthConnect, Inc. Full time $150,000 - $250,000 per year

    Looking for a career that challenges you, fosters growth, and recognizes your contributions—all while keeping things fun? At US HealthConnect (USH), we don't just talk about our core values, we live them. With one of the industry's highest employee retention rates, and a rapidly growing portfolio of healthcare clients and services, USH is a place where...

  • Sr. Client Success Manager

    1 week ago

    Fort Washington, Pennsylvania, United States Longevity Holdings Full time $70,000 - $90,000 per year

    We are looking for a Sr. Client Success Manager - Pension Team (CSM) who's primary focus will be to retain our customers lifetime value of the account. The Sr. Client Success Manager will work with a defined set of existing clients and be responsible for understanding account needs and requirements for each client. This includes understanding the segment...

  • Technical Sales Manager

    5 days ago

    Fort Washington, Pennsylvania, United States STEQ America LLC. Full time $100,000 - $120,000 per year

    TECHNICAL SALES MANAGERJob Title:Regional Business Development ManagerLocation:Remote (Located in a BioPharma Hub)Department:SalesReports To:Sales DirectorPosition Summary:STEQ America is seeking an experienced, well-motivated, accomplished, and enthusiastic individual who brings a strong background and understanding of the pharma and biotech manufacturing...

  • RCM Patient Account Representative

    1 week ago

    Fort Washington, Pennsylvania, United States Office Practicum Full time $40,000 - $60,000 per year

    Job TypePart-timeDescriptionThe Patient Account Representative provides excellent customer service to patients regarding statements and outstanding balances. This includes managing inbound and outbound calls and emails, collecting payments, and resolving patient inquiries and concerns in a timely manner.This position is fully remote, however, applicants must...

  • Revenue Cycle Specialist

    13 hours ago

    Fort Lauderdale, United States ICBD Full time

    Revenue Cycle Specialist—Behavioral Health – Exact Billing Solutions (EBS) Lauderdale Lakes, FL Who We Are  Exact Billing Solutions is a unique team of revenue cycle management professionals specializing in the substance use disorder, mental health, and autism care fields of healthcare services. We have extensive industry knowledge, a deep...

  • Revenue Cycle Specialist

    5 days ago

    Fort Wayne, Indiana, United States Office Practicum Full time $80,000 - $120,000 per year

    The Revenue Cycle Specialist (RCS) oversees the revenue cycle for assigned clients and is responsible to ensure clients meet targets for KPIs, retention, and time to revenue. The RCS will serve as the primary point of contact for the Sutherland Global RCM team.This position is fully remote, however, applicants must reside in one of the following states: FL,...

  • Revenue Cycle Analyst

    2 weeks ago

    Fort Lauderdale, United States Aya Healthcare Full time

    Manager Of Revenue IntegrityShift: Shift 1FTE: 1.000000Summary: Under the general direction of the Director of Physician Business Operations and Coding, the Manager of Revenue Integrity is responsible for monitoring and maintaining an efficient operational workflow for day-to-day operations in the areas of front-end revenue cycle and coding audits. These...

  • Revenue Cycle Manager

    4 days ago

    Washington, North Carolina, United States Agape Health Services Full time

    Job SummaryWe are seeking a detail-oriented and proactive Revenue Cycle Manager to join our healthcare finance team. The ideal candidate will be responsible for managing the end-to-end revenue cycle processes, ensuring accurate billing, coding, and claims management to optimize revenue flow. This role requires strong analytical skills, attention to detail,...

  • Revenue Cycle Trainer

    7 days ago

    Fort Myers, FL, United States American Oncology Network LLC Full time

    Location: Remote Position Pay Range: $18.93 - $31.56 Position Summary Responsible for assisting with the planning and implementation of financial counseling activities as it relates to the onboarding of a new practice and/or an employee. Act as mentor and a resource person for all staff in resolving or guiding to resolution for revenue cycle items. Train...

  • Revenue Cycle Trainer

    3 days ago

    Fort Myers, FL, United States American Oncology Network LLC Full time

    Location: Remote Position Pay Range: $18.93 - $31.56 Position Summary Responsible for assisting with the planning and implementation of financial counseling activities as it relates to the onboarding of a new practice and/or an employee. Act as mentor and a resource person for all staff in resolving or guiding to resolution for revenue cycle items. Train...

  • Revenue Cycle Liaison Physicians' Billing

    2 weeks ago

    Washington, United States Medstar Good Samaritan Hospital Full time

    Revenue Cycle Liaison MPBSRepresents MPBS to assigned clinical service lines and entities. Provides support and guidance related to revenue cycle optimization and problem resolution. Distills standard and ad hoc analytics into understandable findings and communicates with all levels of associates ranging from: physicians and other clinical staff; entity and...

  • Revenue Cycle Manager

    6 days ago

    Fort Lee, United States Columbia University Full time

    Position Summary The Revenue Cycle Manager (Referrals) provides strategic oversight of a central revenue unit that manages the process of obtaining referral/authorization for scheduled and unscheduled services as required by payer policy. The Manager is responsible for monitoring unit performance, work quality, efficiency, and compliance with policies and...

  • Revenue Cycle Auditor RN

    17 hours ago

    Washington, United States Providence Full time

    DescriptionThe Revenue Cycle Auditor is responsible for providing patient focused, standardized, compliant revenue cycle support that will assist Providence St Joseph Health in meeting financial objectives.Conduct audits (individual chart/bill audits, focus audits, compliance audits, payer defense audits, patient requests for audit and post go live audit...

  • Revenue Cycle Liaison Physicians' Billing

    4 days ago

    Washington, United States MedStar Health Full time

    About the Job General Summary of PositionRepresents MPBS (MedStar Physician Billing Services) to assigned clinical service lines and entities. Provides support and guidance related to revenue cycle optimization and problem resolution. Distills standard and ad hoc analytics into understandable findings and communicates with all levels of associates ranging...