Revenue Cycle Specialist II

SE Health Hospital

Full time

JR15874

Southeast. Always the right career direction.

Job Description Summary

Job Profile Summary

Performs daily activities involved in the reimbursement process, i.e., claims filing/follow-up, entry of payments/adjustments, follow-up on non-payment or payments below contracted fee schedule amount. Identifies any repetitive errors, either system/manual so that corrective action may be taken and documented. Performs all tasks in a timely manner to ensure consistency in Accounts Receivables totals and maintain a minimum of days in A/R.

Job Description

Job Description

QUALIFICATIONS:

• High School diploma;

• Prefer one year of revenue cycle experience;

• Working knowledge of CPT and ICD 10 coding systems;

• Coding Certification preferred;

• Working knowledge of computers.

LANGUAGE/ COMMUNICATION SKILLS:

• Excellent written, verbal and interpersonal skills;

• Ability to interact with customers in both hospital and clinic environments.

SKILLS:

• Basic keyboard/typing skills;

• Basic computer skills;

• Calculator skills.

POSITION DUTIES:

• Works as part of a multi-disciplinary team to provide answers to inquiries and questions;

• Troubleshoot problems and provide information;

• Handle intervention or referrals with a professional and respectful customer service focus telephonically and/or in person;

• Provides a variety of support services in connection to the day-to-day operations in a health care environment;

• Maintains working knowledge of regulatory guidelines for billing;

• Provides claim submission for services provided at SEH;

• Provides follow up on claims which did not process correctly;

• Provides follow up with insurance companies or individuals to obtain accurate reimbursement;

• Reviews correspondence daily for appropriate follow up;

• Works closely with clinical team for accurate charges and modifiers;

• Verifies third party payer coverage;

• Coordinates authorizations when appropriate;

• Works closely with coding team for accurate submission on claim;

• Process and follow up on payer denials, consulting with various entities for completion;

• Research and resolve client billing problems or issues;

• Provide communication on the methods and principles used for billing to the customers and resolve concerns;

• Study contractual terms and conditions of payment to ensure payments are made consistent with terms;

• Conduct work functions to assist with late charge processes;

• Works closely with third party collection vendors for accurate payment records;

• Assist patients and their families with applying for financial assistance;

• Establish payroll deduction transactions;

• Make daily deposits to the bank;

• Ensure change fill requests are complete for department’s daily function;

• Work with patients to develop self-pay arrangements and payment plans when applicable;

• Post payments for both insurance and individuals;

• Review accounts and initiate refunds when applicable;

• Communicate self-pay balances for upcoming services and collect balances due;

• Work with accounting department for accurate financial documentation;

• Edit account for correct coverage documentation;

• Apply contractual adjustments in accordance with contracts;

• Print, scan and index correspondence to the appropriate account;

• Works closely with electronic payment process vendor for accurate posting and adjustments electronically;

• Oversee the electronic flow of the account through the billing process to include bad debt;

• Handle bankruptcies and liens;

• Manage billing for specialty payers or service lines;

• Handle credit balances for professional and facility claims;

• Manage client billing and collections;

• Performs all other duties as assigned.

Shift

DayShift Details

8:00 am - 4:30 pm

FTE

1

Type

Regular

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Equal Employment Employer

Southeast Health is committed to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Southeast Health will provide reasonable accommodations for qualified individuals with disabilities.

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Southeast Health is an academic community-based health system serving the healthcare needs of 460,000 residents in southeast Alabama, southwest Georgia, and the Florida panhandle.

The organization includes, Southeast Health Medical Center, a 420-bed hospital with the region’s largest medical group and the Alabama College of Osteopathic Medicine (ACOM), the state’s largest medical school. The philanthropic arm of the organization is the Southeast Health Foundation, and its population health division is Southeast Health Statera Network.

Southeast Health, a not-for-profit organization, exists to promote healing, prevent disease, educate medicine’s brightest minds, and bring wellness and prosperity to the region it serves. Delivering excellent patient care and top-notch educational experiences begins with great employees, which is why we constantly strive to improve the work experience for our 3,000 team members.