Revenue Cycle Specialist

🔥 57 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $28 - $31 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

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UCSF Health

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

🏥 Healthcare

📚 Education

Healthcare • Education

UCSF Health is an academic health system and medical center affiliated with the University of California, San Francisco that provides advanced specialty and primary care, hospital services, and regional outpatient locations across Northern California. It emphasizes highly specialized expertise (heart & vascular, cancer, orthopedics, neurology, transplant and more), operates hospitals and clinics, runs clinical trials and research programs, offers second opinions and international services, and focuses on research, innovation and education through UCSF’s schools of medicine, nursing, pharmacy and dentistry. UCSF Health positions itself as delivering world-class medicine and compassionate care, including urgent and emergency services, virtual care, and patient support services.

📋 Description

• Manage claims by evaluating payments, denials, registration issues, appeals, and required research for all UBCP practices • Follow through on accounts with inactive, ineligible, or unverifiable insurance coverage • Review, document, and process patient refunds, account adjustments, and posting follow-through • Review and address assigned correspondence within seven calendar days • Provide customer service and conduct pre-collection activities for assigned self-pay balances • Identify trends in rejected, denied, or unpaid claims and recommend reimbursement solutions • Communicate with practices, payers, patients, and internal partners to resolve account issues • Document account activity, corrections, decisions, and process improvements in appropriate systems • Maintain at least 95% accuracy and meet productivity, quality, and timeliness standards • Support Epic optimization, quality initiatives, compliance requirements, risk mitigation, and other Revenue Cycle duties as assigned • Share knowledge, request feedback, and collaborate with team members to achieve departmental goals

🎯 Requirements

• High school diploma or equivalent required • Five or more years of healthcare accounts receivable experience, including expertise in unadjudicated claim management, appeals, and pre-collection activities • Demonstrated experience researching complex account issues, resolving non-coding denials, and working with payers, practices, and patients to support timely reimbursement • Knowledge of healthcare accounts receivable, insurance billing, revenue cycle compliance, and non-coding denial resolution • Knowledge of medical terminology, payer rules, regulations, managed care contracts, insurance requirements, and credentialing-related billing requirements • Strong analytical and problem-solving skills • Proficiency using Epic or another electronic health record or practice management system, Microsoft Excel, Word, Outlook, and web-based applications • Ability to manage multiple priorities, work independently, and complete assignments accurately within established deadlines • Excellent verbal and written communication skills, including diplomatic communication and conflict-resolution techniques • Ability to maintain effective working relationships with colleagues, practice staff, leaders, patients, payers, and other partners • Ability to maintain professionalism, confidentiality, cultural sensitivity, and respect for patient rights, safety, and ethical standards • Additional coursework or training in medical billing, healthcare administration, or a related field preferred

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