Revenue Cycle Specialist in Duluth, GA at Prestige Staffing

Date Posted: 2/22/2021

Job Snapshot

  • Employee Type:
    Contractor
  • Location:
    Duluth, GA
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    2/22/2021

Job Description

JobID: 29482

Prestige Staffing is hiring for a Revenue Cycle Specialist in the Duluth / Johns Creek area with a very stable healthcare organization. This is a contract to potential hire for the right person. It is a Monday through Friday normal business hours (8:30 or 9a start time) with free parking.

JOB DESCRIPTION:

  • Very well rounded in all aspects of the Revenue Cycle through resolution of all patient claims.
  • Updates & confirms demographic and insurance information from all sites for accuracy on all patients.
  • Collects and follows up on all accounts assigned prior to, during or after admission and/or surgery.
  • Communicates financial policies to all patients and identifies patients who require financial counseling intervention.
  • Verifies, researches, reconciles and confirms all paperwork for services performed by the Anesthesiology team to bill all types of claims for reimbursement, serving as a patient advocate during the cycle of the account.
  • Serves as point person for Patient Financial Services (coders), clinical staff and patient questions.
  • Maintains thorough understanding of insurance, payment reimbursement, account reconciliation, referrals, authorizations, and account follow-up to secure reimbursement of claims.
  • Provides support to leadership facilitating quality improvement by reporting problems, concerns, and opportunities for increased revenue and decreased denials through the quality assurance process.
  • Assists in training and development of new staff members.
  • Provides liaison and educational services in support of standards.
  • Identifies and resolves financial issues relating to all patients.
  • Strong problem solving skills are required as the applicant must be able to use various tools, analyze the situation, research data and resolve and/or formulate a decision.
  • Works closely with Management in formulating and implementing departmental objectives toward enhancing the workflow of the department.
  • Comfortable with heavy phone and computer usage
  • Knowledge and familiarity with Cerner EeMR system, Anescan EeMR system, Microsoft Office Products, GE, and various other online tools that vary for the insurance companies and stakeholders.
  • Excel experience needed
  • Additionally, education sessions and insurance payor forums should be attended as appropriate. Specialist is required to review, analyze and understand the managed Care Contracts and various aspects of patient care to maximize reimbursement.
  • Knowledge of payer requirements including pre-cert requirements, splitting of claims, analyzing payments, researching complex payment variances are critical for patient and/or account resolutions.
  • The Revenue Cycle Specialist must be able to work independently and be self-supervised.
  • Must have excellent verbal, written, analytical and interpersonal communication skills.
  • Professionalism must be maintained at all times regardless of circumstances.
  • Organization skills are a must because paper backup must be collected, filed and kept for several months. 

QUALIFICATIONS:

  • Bachelor's Degree with two (2) years’ experience OR Associate's Degree with four (4) years’ experience; OR six (6) of years’ experience in Healthcare.
  • Able to pass a criminal background and drug test (including tobacco)
  • Very knowledgeable of medical patient financial services billing and collections of all payers
  • Able to explain to patients and surgery centers EOB's, reasons for charges, answer billing questions, etc.
  • Anesthesia billing and collections extremely helpful
  • Used to a production environment with high volume
  • Professional in appearance, demeanor and verbal /written responses
  • Comfortable working with lots of paper and phone calls

Great way to get in the door with a wonderful organization. Apply today!