Revenue Cycle Specialist II

Job not on LinkedIn

🔥 15 hours ago

🏈 Ohio – Remote

🏈 Ohio – Remote

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

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University Hospitals

WebsiteLinkedInAll Job Openings

10,000+ employees

📚 Education

💰 $2M Grant on 2021-07

Healthcare • Medical Services • Education

University Hospitals is a leading healthcare provider that offers a wide range of medical services, including primary care, specialty care, and urgent care. With a focus on patient-centered care, UH also engages in medical education and research, ensuring high-quality treatment and innovative healthcare solutions. The institution is recognized nationally for its excellence in various medical specialties, providing accessible healthcare to the community and beyond.

📋 Description

• Position responsible for submitting and resolving medical claims 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. • 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.

🎯 Requirements

• 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) • 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 • Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.