Revenue Cycle Specialist

Baptist Health

Remote · USFull-time$7.25/hrSeen 1w agoSeen in employer's feed 2 days ago

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At a glance

Compensation

$7.25/hr

Location

Remote · US

Schedule

Full-time

Work Authorization

Not specified

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Job overview

Baptist Health seeks a Revenue Cycle Specialist to research denials from commercial and governmental payors and review accounts for payor compliance and medical necessity. The specialist obtains authorizations and responds to account reviews to support reimbursement, recover outstanding revenue, and prevent future revenue loss. The position is described as remote and requires residency in Kentucky, Indiana, or Illinois.

Skills & qualifications

RequiredNice to have

Skills

Denial ResearchPayor Compliance ReviewMedical Necessity ReviewAuthorization ProcessingAccount Review Response

Qualifications

2+ Years Healthcare ExperienceBachelor's Degree or 5 Years Healthcare Experience2 Years Revenue Cycle Experience

Full job description

Experience Required

2 - 20 years

Minimum Education Required

Bachelor's Degree

Compensation

$7.25 / hourly

Hours Per Week

Number Of Positions

Work Schedule and Shift Requirements

First (Day)

Job Description

Summary

Job Description:

Baptist Health is looking for a Revenue Cycle Specialist to join our team!

This is a remote work position that requires residency in KY, IN, IL.

The Revenue Cycle Specialist will research denials from all commercial and governmental payors. Performs payor compliance review on accounts to determine medical necessity of services, pre and post service as well as pre and post billing. Obtains pre-determinations, prior authorizations, and retro authorizations when required by payor. Responds to all account reviews with the best possible efforts to ensure reimbursement, recover outstanding revenue, and prevent future revenue loss while meeting all appropriate payor or government timelines. Recovery efforts include but are not limited to written letter, email, web site, and telephonic communication.

Qualifications:

Bachelor's degree

Minimum of two years healthcare experience.

In lieu of Bachelor's degree, five years of healthcare experience including two years in a revenue cycle related area such as registration, patient financial services, or managed care.

If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now!

Baptist Health is an Equal Employment Opportunity employer.

"EEO Statement: Baptist Health is an Equal Employment Opportunity employer, and seeks to employ individuals without regard to r ace, color, national origin, gender, s exual orientation, gender identity, age, disability, marital status, citizenship status, military status, religious or political beliefs, protected veteran status, employment status or any other protected class identified in any federal, state, or local law. Baptist Health specifically encourages minority, female, disabled, veteran and other candidates from diverse backgrounds to apply and strengthen our team. Please note that Baptist Health is a drug-free workplace and employment with Baptist Health is subject to post offer, pre-employment drug testing.

NOTICE OF NONDISCRIMATION AND ACCESSIBILITY TO SERVICES

Persons with hearing and speech impairments can contact Baptist Health facilities by using the Kentucky Relay Service, a toll-free telecommunication device for the deaf (TDD). For voice to TDD, call 800.648.6057. For TDD to voice, call 800.648.6056."