Senior Revenue Cycle Specialist

Job not on LinkedIn

🕒 August 19

🏈 Ohio – Remote

🏈 Ohio – Remote

⏰ Full Time

🟠 Senior

🦅 H1B Visa Sponsor

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👻 Ghost score 46%

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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 • Handle specialty billing claims, escalated accounts receivable concerns, and health system special projects • Respond to management, staff, and physician requests • Maintain patient and physician confidentiality and professionalism • Communicate via telephone, form letters, email, and internal correspondence to resolve patient inquiries and insurance issues • 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 regarding claims and receivables resolution • Follow up with insurance companies, resolve denials, correct claims, and appeal claims • Contact patients and guarantors to obtain necessary billing information • Document accounts according to departmental procedures • Serve as subject matter expert and resource for junior staff • Perform training and create process documentation • Assist management with special projects and lead workflow efforts when management is absent • Participate in or lead payer and departmental meetings • Provide 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 assigned duties and comply with organizational policies and PHI requirements

🎯 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) • Working knowledge of claim submission (UB04/HCFA 1500) and third party payers • Knowledge of procedural and ICD10 coding • 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, and lifting/carrying/pushing/pulling up to 20 lbs rarely

🏖️ Benefits

• Full-time schedule • Regular employee status • Day shift • Remote work available • 10% travel requirement