Senior Revenue Cycle Specialist

Job not on LinkedIn

🔥 15 hours ago

🏈 Ohio – Remote

🏈 Ohio – Remote

⏰ Full Time

🟠 Senior

🦅 H1B Visa Sponsor

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👻 Ghost score 20%

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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 inpatient and outpatient medical claims • Remain current with governmental and third-party billing, follow-up, and appeal requirements • Handle specialty billing claims, escalated accounts receivable concerns, and health-system special projects • Respond to management, staff, physician, patient, and insurance inquiries • Maintain patient and physician confidentiality and professionalism • Follow department policies and procedures for accurate and timely claim resolution • Communicate by telephone, form letters, email, and internal correspondence to resolve inquiries and insurance issues • Attend and participate in team meetings • Review and analyze account balances using work lists to collect payment for medical services • Review and update patient billing information across multiple system applications • Liaise with internal and external customers to resolve claims and receivables in a high-volume environment • Follow up with insurance companies to secure appropriate claim payment • Resolve denials, correct claims, and appeal claims • Contact patients and guarantors to obtain necessary billing information • Document accounts clearly and concisely according to departmental procedures • Review and respond to correspondence and inquiries • Serve as subject matter expert and primary resource for junior staff • Perform training and create process documentation • Assist management with special projects • Lead workflow efforts in the absence of management • Participate in or lead payer and departmental meetings • Provide feedback and process-improvement recommendations to management • Meet and exceed team productivity and quality standards • Independently analyze and resolve claims • Create Excel spreadsheets to analyze and resolve claims • Perform other duties as assigned • Comply with all policies and standards • Safely and securely maintain Protected Health Information (PHI)

🎯 Requirements

• High School Equivalent / GED (Required) • Associate's Degree (Preferred) • Bachelor's Degree (Preferred) • 3+ years of medical billing / claim experience (Required) • Experience with medical billing software (Required) • Good working knowledge of claim submission using UB04/HCFA 1500 and third party payers • Knowledge of procedural and ICD10 coding • Knowledge of medical billing terminology • Detail-oriented and organized, with 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, handling, and grasping; constant sitting, talking, and hearing; frequent repetitive motions and eye/hand/foot coordination • Ability to travel as required; travel requirements listed as 10%

🏖️ Benefits

• Full-time schedule • Regular employee status • Day shift • Remote work available • Annual training • UH Code of Conduct and workplace policies and procedures • Travel requirement listed as 10%