Revenue Cycle Specialist II
Location
United States
Posted
66 days ago
Salary
0
Seniority
Mid Level
No structured requirement data.
Job Description
Revenue Cycle Specialist II
University Hospitals
Role Description Position responsible for submitting and resolving medical claims of moderate to high complexity. Must remain current with governmental and third-party billing, follow-up, and appeal requirements for compliant billing and follow-up of both inpatient and outpatient claims for all wholly owned facilities and physician entities including internal and external policy requirements. - Responds to requests from management, staff, or physicians in a timely and appropriate manner. - Maintains patient and physician confidentiality and professionalism at all times. - Follows 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. Qualifications - High School Equivalent / GED (Required) - Associate's Degree (Preferred) - Bachelor's Degree (Preferred) - 1+ years medical billing / claim experience (Required) - Experience with medical billing software (Preferred) Requirements - 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) Physical Demands - Standing: Occasionally - Walking: Occasionally - Sitting: Constantly - Lifting: Rarely up to 20 lbs - Carrying: Rarely up to 20 lbs - Pushing: Rarely up to 20 lbs - Pulling: Rarely up to 20 lbs - Climbing: Rarely up to 20 lbs - Balancing: Rarely - Stooping: Rarely - Kneeling: Rarely - Crouching: Rarely - Crawling: Rarely - Reaching: Rarely - Handling: Occasionally - Grasping: Occasionally - Feeling: Rarely - Talking: Constantly - Hearing: Constantly - Repetitive Motions: Frequently - Eye/Hand/Foot Coordination: Frequently Travel Requirements - 10%25
Related Guides
Related Categories
Related Job Pages
More Collections Jobs
Collections Executive
Co-LatamForma parte de una empresa sólida, en constante crecimiento, donde tu desempeño marca la diferencia.
Role Description ¿Buscas estabilidad, ingresos variables sin tope y una empresa donde sí puedas crecer? En COBRANDING, empresa del Grupo ONBOTGO Latinoamérica, estamos expandiendo nuestro equipo y queremos contar contigo. Qualifications - Mayor de 18 años - Estudios técnicos o universitarios (en curso o truncos) - Experiencia mínima de 6 meses en cobranzas temprana o intermedia (Indispensable) - Experiencia en telecomunicaciones (deseable) - Disponibilidad inmediata y actitud ganadora Requirements - Gestión de cobranza telefónica a clientes con cartera asignada - Negociación efectiva y seguimiento de compromisos de pago - Registro correcto de gestiones en el sistema - Cumplimiento de metas e indicadores de gestión Benefits - Sueldo base: S/. 1,130 - Comisiones: Desde S/300 hasta S/500 según desempeño y cartera - Pagos puntuales y mensuales - Contrato en planilla MYPE, con: 50% de CTS y Gratificación - 15 días de vacaciones - Seguro EsSalud - Excelente clima laboral - Línea de carrera y oportunidades reales de crecimiento Company Description Forma parte de una empresa sólida, en constante crecimiento, donde tu desempeño marca la diferencia.
• Analyze new applicant data to support automated and manual credit decisioning. • Work with data extracted from business financial statements, tax documents, and banking integrations (e.g., Quickbooks, Netsuite, Plaid, etc). • Leverage insights from adjacent product usage (e.g., business banking, payments platforms) to evaluate risk profiles. • Build dashboards or tools to surface real-time indicators for underwriting and fraud detection. • Monitor account-level behavior post-origination, including spend and payment patterns, credit utilization, and engagement. • Identify signs of weakening creditworthiness using internal data and third-party credit reports (e.g., Experian, D&B). • Track and analyze delinquency trends and payment consistency to refine risk models and collections strategies. • Develop behavioral segments and performance cohorts for proactive account management. • Support P&L analysis of the unsecured credit card product, including interchange income, interest revenue, rewards cost, and charge-off rates. • Build models to evaluate customer lifetime value, profitability segmentation, and risk-adjusted returns. • Assist in identifying drivers of loss and opportunities for margin improvement.
• Contact consumers via phone, email, and mail regarding past-due accounts • Negotiate payment plans in accordance with company policies • Document all communications and account updates accurately • Adhere to federal and state collection laws, including FDCPA • Meet performance goals and maintain high customer service standards
Role Description Altus is seeking a Remote Mid-Balance Collector as we continue to grow our team! - Minimum of 80 outbound/inbound calls - Negotiate payment in full or secure a payment arrangement - Create a sense of urgency on non-paying debtors - Work closely with Client Support Representative to resolve disputes - Meet/exceed monthly phone, activity & fee quotas Qualifications - Prior Collections experience is a MUST - Attention to detail and accuracy - Ability to multi-task - Aptitude for technology - Skilled in Negotiations - Articulate communication skills both verbally and in writing - Time management and interpersonal skills Benefits - $13 per hour PLUS commission and bonuses (average commission ranges $2k-$3k monthly) - Benefits package with health, dental, vision, life, and disability coverage options - 401(k) retirement plan option with company matching - Generous paid time off policy - start with 18 days per year - Paid holidays immediately upon hire - 7 standard holidays & 2 floating holidays of your choice Company Description Altus Commercial Receivables is America’s #1 B2B commercial collections firm, specializing in global accounts receivable management and debt recovery. With over 30 years of experience, Altus combines cutting-edge technology platform built on Salesforce—with a vast international network of certified professionals. Headquartered in New Orleans, Altus serves clients across 66 countries, helping businesses streamline their credit-to-cash cycle with unmatched security, compliance, and performance.
