This position will focus in healthcare, specifically Revenue Cycle Operations (RCO) and reside in Performance. The position should be a Sr. Staff to Manager with deep expertise in revenue cycle operations and implementations. Job requires 30-70% travel. Qualifications
- Bachelor’s degree with three to five years hospital revenue cycle experience.
- Track record with hands on experience and significant positive results developing recommendations and implementing revenue cycle process changes including successful denial resolution & reduction of future denials
- Experience with all types of payor denials (incorrect/incomplete billing, coordination of benefits, service/patient not covered, medical necessity, bundled charges, pre-cert authorization, etc.) including process improvement efforts to reduce future denials
- Strong data analysis ability and experience analyzing large amounts of data, including 835/837 EDI, to identify trends and quantify denials opportunity/revenue
- Experience with front end patient access workflow assessment and redesign including tools & systems (scheduling, eligibility, etc.)
- Experience with multiple Patient Accounting Systems, specific experience with Epic preferred
- Deep experience within the functional areas of Patient Acesss & Patient Financial Services including: scheduling, patient registration, insurance verification, financial counseling, billing & collections; experience in HIM & case management preferred
- Desire and ability to work well in a team environment, prioritize tasks and manage multiple project/client responsibilities
- Strong verbal and written communication skills and good time-management and business judgment
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