Revenue Cycle Specialist II

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    "requisitionDescription": "<div><div><p id=\"isPasted\"><span style='font-size:15px;line-height:115%;font-family:\"Calibri\",sans-serif;'>The <strong>Revenue Cycle Specialist II</strong> is responsible for analyzing and optimizing the financial processes within a healthcare organization, including patient registration, billing, coding, claims submission, and collections, by identifying areas for improvement, monitoring key performance indicators (KPIs), and implementing strategies to maximize revenue while adhering to compliance regulations; essentially acting as a data-driven expert to streamline the revenue cycle and ensure accurate and timely payments from insurance companies and patients.</span></p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'><strong><span style='font-size:15px;line-height:115%;font-family:\"Calibri\",sans-serif;'>Essential Duties &amp; Responsibilities: &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;</span></strong></p><ul><li><span style='line-height:115%;font-family:\"Calibri\",sans-serif;font-size:15px;'>Work closely with Revenue Cycle Business Analysts and Revenue Cycle Financial Analysts working claims not limited to but including the following:</span><ul><li><span style='line-height:115%;font-family:\"Calibri\",sans-serif;font-size:15px;'>Prepare Complex Medical Records Request and review documents for accuracy, completeness, and congruency&nbsp;</span></li><li><span style='line-height:115%;font-family:\"Calibri\",sans-serif;font-size:15px;'>Interpret Payer Correspondence and determine next appropriate action</span></li><li><span style='line-height:115%;font-family:\"Calibri\",sans-serif;font-size:15px;'>Submit carrier appeals and reconsideration requests in a timely manner based on SOPs or make suggestions to enhance SOP&rsquo;s</span></li><li><span style='line-height:115%;font-family:\"Calibri\",sans-serif;font-size:15px;'>Review and update line-item receipt posting (LIRP) as needed or other posting needs.</span></li><li><span style='line-height:115%;font-family:\"Calibri\",sans-serif;font-size:15px;'>Work assigned hold codes and determine next actions including, but not limited to, Bad Addresses, Eligibility, and &nbsp;other denial reasons.&nbsp;</span></li><li><span style='line-height:115%;font-family:\"Calibri\",sans-serif;font-size:15px;'>Maintain accurate tracking of client and referring provider documentation and obtain any missing documentation to ensure accuracy and completeness</span></li><li><span style='line-height:115%;font-family:\"Calibri\",sans-serif;font-size:15px;'>Ensure all relevant claims and appeal documentation is uploaded into OnBase</span></li><li><span style='line-height:115%;font-family:\"Calibri\",sans-serif;font-size:15px;'>Verify all identified insurance carriers for policy related to prior authorization requirements as needed for claims adjudication</span></li><li><span style='line-height:115%;font-family:\"Calibri\",sans-serif;font-size:15px;'>Work collaboratively with other Coding, Billing, Patient Access, and Cash Receipts Specialists as needed</span></li></ul></li><li><span style='line-height:115%;font-family:\"Calibri\",sans-serif;font-size:15px;'>Mentor and train new team members</span></li><li><span style='line-height:115%;font-family:\"Calibri\",sans-serif;font-size:15px;'>Lead small-scale projects focused on process optimization</span></li></ul><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'><strong><span style='font-size:15px;line-height:115%;font-family:\"Calibri\",sans-serif;'>Successful Candidates Must Possess:</span></strong></p><ul style=\"list-style-type: disc;\"><li><span style='line-height:115%;font-family:\"Calibri\",sans-serif;font-size:15px;'>High School diploma or GED required; Associate&rsquo;s or Bachelor&rsquo;s Degree in Business, Finance, or related discipline preferred</span></li><li><span style='line-height:115%;font-family:\"Calibri\",sans-serif;font-size:15px;'>With a High School diploma, a minimum of five (5) years of experience performing revenue cycle processes in a hospital, laboratory, ambulatory surgery center, or large medical practice with a minimum of two (2) years in denials management required; With a Bachelor&rsquo;s degree, a minimum of two (2) years of finance/accounting experience required</span></li><li><span style='line-height:115%;font-family:\"Calibri\",sans-serif;font-size:15px;'>Knowledge of ICD9, ICD10, CPT, and HCPCS coding strongly required</span></li><li><span style='line-height:115%;font-family:\"Calibri\",sans-serif;font-size:15px;'>Strong working knowledge of Microsoft Office, including Excel and Outlook</span></li><li><span style='line-height:115%;font-family:\"Calibri\",sans-serif;font-size:15px;'>Ability to take direction and follow Standard Operating Procedures with a high degree of accuracy</span></li><li><span style='line-height:115%;font-family:\"Calibri\",sans-serif;font-size:15px;'>Strong attention to detail and the ability to work in a fast-paced, team-oriented environment with a focus on communication required</span></li><li><span style='line-height:115%;font-family:\"Calibri\",sans-serif;font-size:15px;'>Demonstrated ability to lead initiatives and mentor others</span></li></ul><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'><span style='font-size:15px;line-height:115%;font-family:\"Calibri\",sans-serif;'>&nbsp;</span></p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'><span style='font-size:15px;line-height:115%;font-family:\"Calibri\",sans-serif;'>Aegis Sciences Corporation is an Equal Opportunity Employer</span></p></div></div>\n",
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