Revenue Cycle Specialist - Operational Staffing Pool - Hybrid

Occ Summary

Perform various complex functions related to the revenue cycle operations. This will include all ancillary departments of the PRMO and will involve refining existing processes related to revenue cycle activities and supporting overall revenue cycle goals. This job is reserved for the PRMO Operational Staffing (Float) Pool. This position will report to manager of Operational Staffing Pool.

Work Performed

The Revenue Cycle Specialist will provide coverage and serve as a temporary resource in various areas of the revenue cycle. Specific assignments will be managed by PRM O Operational Staffing Pool office. Under general supervision, the Revenue Cycle Specialist provides patient revenue management support throughout the revenue cycle, to include but not limited to Incoming Call Center, Billing and Collections, Cash Management and Payment Posting, Scheduling, Pre-Registration and Charge Capture. The Revenue Cycle Specialist will initiate and develop relationships with customers in order to gather and process information or resolve issues in order to receive accurate reimbursement and optimize internal and external customer satisfaction. Level I: Level I assignments are transactional and productivity-based. Specific job duties may include one or more of the following: Answer and resolve inbound inquiries and issues regarding patient account statement s, explanation of benefits, balance due, and other patient and insurance billing scenarios; Billing- sending out claims and patient statements f or reimbursement; Scheduling inpatient and outpatient appointments, pre- registration of patients prior to service; Cash management and payment posting; Charge correction, credit balance review and processing, and col lection of accounts .Level II: In addition to the responsibilities of a Level I, Level II assignments also include financial and trend analysis work, including one or more of the following: Low payment monitoring and resolving of outstanding balances; Reconciliations of cash accounts; Provider enrollment; Self pay analysis; Trend analysis of account 

Abilities

Excellent communication skills, oral and written. Denials review and resolution. Knowledge, Skills to analyze data, perform multiple tasks and work independently. Must be able to develop and maintain professional, service-oriented working relationships with patient s, physicians, co-workers and supervisors. Must be able to understand and comply with policies and procedures.  Ability to work well with others - strong teamwork skills, strong patient accounting systems knowledge a nd skills. Must be flexible and able to function in a work environment w here work and schedules may change to meet the needs of the customer.

Level Characteristics

Ability to work in a stressful environment and tactfully handle sensitive issues; ability to present a calm, professional manner and to tolerate a wide range of working conditions and personalities; ability to multitask; ability to maintain a sense of order in a busy environment; ability to provide good internal an d external customer relations. Advanced knowledge of revenue cycle operations requires good communication skills, both written and verbal. Under stands the impact of patient registration on the financial revenue cycle. Requires knowledge of patient accounting systems applications.

Minimum Qualifications

Education

Work requires knowledge of basic grammar and mathematical principles normally required through a high school education. Completion of a bachelor’s degree program in accounting or business related field preferred.

Experience

A minimum of five years experience in healthcare revenue cycle operations or support is required. Working knowledge of the IDX, Siemens Invision and Meditech patient account systems preferred. OR EQUIVALENT COMBINATION OF RELEVANT EDUCATION AND EXPERIENCE

Degrees, Licensures, Certifications

N/A