Revenue Cycle Specialist II – Credit Management

Job not on LinkedIn

🕒 July 10

🏈 Ohio – Remote

🏈 Ohio – Remote

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 41%

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University Hospitals

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

📚 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

• Submit and resolve moderate- to high-complexity medical claims • Maintain current knowledge of governmental and third-party billing, follow-up, and appeal requirements • Respond to management, staff, and physician requests • Maintain patient and physician confidentiality and professionalism • Follow department policies and procedures for accurate and timely claim resolution • Communicate via telephone, form letters, email, and internal correspondence to resolve patient inquiries and insurance issues • Attend and participate in team meetings • Review and analyze account balances using worklists to collect payment for medical services • Review and update patient information and research and resolve outstanding accounts receivable balances using multiple system applications • Analyze claim resolution and provide management feedback for solutions and process improvements • Follow up with insurance companies, resolve denials, correct claims, and appeal claims • Serve as a liaison with internal and external customers in claims and receivables resolution • Document accounts clearly and concisely according to departmental procedures • Review and respond to correspondence and inquiries • Meet and exceed team productivity and quality standards • Lead special projects • Participate in staff training • Review complex claims issues and recommend process improvements • Comply with all policies and standards • Safely and securely maintain Protected Health Information (PHI) • Perform 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) • Working knowledge of claim submission (UB04/HCFA 1500) and third party payers • Knowledge of procedural and ICD10 coding • Basic knowledge of medical billing terminology • Detail-oriented and organized, with good analytical and problem solving ability • Client service, communication, and relationship building skills • Ability to function independently and as a team player in a fast-paced environment • Strong written and verbal communication skills • Ability to use PCs, Microsoft Office suite (including Word, Excel and Outlook), and general office equipment • Ability to safely and securely maintain Protected Health Information (PHI) • Ability to meet physical demands including occasional standing/walking, constant sitting/talking/hearing, rare lifting/carrying/pushing/pulling up to 20 lbs, and frequent repetitive motions and eye/hand/foot coordination • Ability to travel up to 10%

🏖️ Benefits

• Full-time regular employment • Day shift • Remote work • Annual training • UH Code of Conduct and workplace policies and procedures • Employee assistance with maintaining and securely handling Protected Health Information (PHI)