Revenue Cycle Specialist II, Credit Management

Location

Ohio

Posted

118 days ago

Salary

0

Seniority

Junior

High School1 yr expEnglish

Job Description

Revenue Cycle Specialist II, Credit Management

University Hospitals

• Position responsible for submitting and resolving medical claims moderate to high complexity. • Responds to requests from management, staff, or physicians in a timely and appropriate manner. • Maintains patient and physician confidentiality and professionalism at all times. • Follow department policies and procedures to ensure accurate and timely claim resolution. • Effectively communicates utilizing telephone, form letters, e-mail, or internal correspondence to resolve patient inquiries and insurance issues. • Attends and participates in team meetings. • Utilizes worklists to review and analyze account balances in order to collect payment for medical services rendered. • Utilizes multiple system applications to review, update patient information as well as research and resolve outstanding AR balance. • Assists in the analysis of claims resolution and provides feedback to management for solutions and process improvements. • Performs follow up with insurance companies to ensure appropriate payment on claims, resolve denials, correct claims, and appeal claims. • Acts as a liaison with internal and external customers providing assistance in claims and receivables resolution in a high volume environment. • Documents accounts with clear and concise verbiage in accordance with departmental procedures. • Reviews and responds to correspondence and inquiries received. • Meets and exceeds team productivity and quality standards. • Takes the lead on special projects. • Participates in staff training. • Reviews complex claims issues for resolution and recommends process improvements. • Performs other related duties as assigned.

Job Requirements

  • Education High School Equivalent / GED (Required) and Associate's Degree (Preferred) and Bachelor's Degree (Preferred)
  • 1+ years medical billing / claim experience (Required)
  • Experience with medical billing software (Preferred)
  • Must have a working knowledge of claim submission (UB04/HCFA 1500) and third party payers. (Required proficiency)
  • Knowledge of procedural and ICD10 coding. (Required proficiency)
  • Basic knowledge of medical billing terminology. (Required proficiency)
  • Detail-oriented and organized, with good analytical and problem solving ability. (Required proficiency)
  • Notable client service, communication, and relationship building skills. (Required proficiency)
  • Ability to function independently and as a team player in a fast-paced environment. (Required proficiency)
  • Must have strong written and verbal communication skills. (Required proficiency)
  • Demonstrated ability to use PCs, Microsoft Office suite (including Word, Excel and Outlook), and general office equipment (i.e. printers, copy machine, FAX machine, etc.). (Required proficiency)

Benefits

  • Complies with all policies and standards

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