Revenue Cycle Specialist II

Há 2 dias

Região Geográfica Intermediária de Araraquara, Brasil Southeast Health Tempo inteiro

Revenue Cycle Specialist II page is loaded

Revenue Cycle Specialist II

Apply locations 1144 Ross Clark Circle
Time type: Full time
Posted on: Posted Yesterday
Job requisition id: JR11205

Southeast. Always the right career direction. Job Description 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.

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

Day

Shift Details

8:00 am - 4:30 pm

FTE

1

Type

Regular

Join one of Forbes 500 best mid-sized employers in America. 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. Join Our Talent Community

Let's connect Submit your resume to connect with one of our recruiters.

This Is Who We Are

Watch this three-minute film showcasing our history, team members, community and future.

About Us

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.

#J-18808-Ljbffr

  • Revenue Specialist

    6 meses atrás

    Rio de Janeiro, Brasil Grand Hyatt Rio de Janeiro Tempo inteiro

    Summary At Hyatt, we believe our guests select Hyatt because of our caring and attentive associates who are focused on providing authentic hospitality and meaningful experiences to each and every guest. Hyatt is a place where high expectations aren't just met-they're exceeded. It's a place of outstanding rewards, where talent opens doors to exciting...

  • Access Specialist 1

    Há 1 mês

    Região Geográfica Intermediária de Araraquara, Brasil Southeast Health Tempo inteiro

    Southeast. Always the right career direction. Job Description Summary Interviews and obtains all necessary information to register or admit patients. Obtains signatures for permission for treatment and reimbursement for services. Obtains billing information, ensures pre-authorizations are obtained for treatment and all other reimbursement requirements are...

  • Talent Acquisition Specialist

    2 semanas atrás

    Região Geográfica Intermediária de Sorocaba, Brasil buscojobs Brasil Tempo inteiro

    About SHEIN SHEIN is a global online fashion and lifestyle retailer, offering SHEIN branded apparel and products from a global network of vendors, all at affordable prices. Headquartered in Singapore, with more than 16,000 employees operating from offices around the world, SHEIN is committed to making the beauty of fashion accessible to all, promoting its...

  • Email Campaign Specialist Revenue Operations

    1 dia atrás

    Rio de Janeiro, Brasil Prometeo Talent Tempo inteiro

    **About the company** **Go Nimbly** is a Revenue Operations company. We help SaaS companies break down the silos that happen naturally as you grow. Silos aren't your fault, but they're hurting your revenue. They're causing friction for your customers. We'll identify exactly where that friction exists in your funnel, then build and operationalize...

  • Account Executive Tier II

    4 semanas atrás

    Região Geográfica Intermediária de Cascavel, Brasil ROSS Tempo inteiro

    Account Executive Tier II– Eastern Region USA & Canada Salary: $100K-110K Base SalaryTotal On Target Earnings: $120-$130+K Do you have a minimum of ten years experience selling software solutions and services into the Telecom market vertical? Do you have a proven ability to develop new business and cultivate new opportunities within existing clients? If...

  • Senior Client Acquisition Specialist

    2 semanas atrás

    Região Geográfica Intermediária de Sorocaba, Brasil buscojobs Brasil Tempo inteiro

    Job Summary:Buscojobs Brasil is seeking a highly skilled Senior Client Acquisition Specialist to join our team in Brazil. As a key member of our client development team, you will be responsible for developing and executing strategies to acquire new clients and grow existing relationships.About the Role:This role involves managing all aspects of client...

  • Vaga de HR Specialist

    19 minutos atrás

    Rio de Janeiro, Brasil Catho Online Ltda. - BR - Specialist Tempo inteiro

    Wärtsilä is an innovative technology company known for being a forerunner in the Marine and Energy markets. Every day, we Wärtsilians put our hearts and minds into turning Wärtsilä's purpose of enabling sustainable societies through innovation in technology and services into reality. Our ultimate aim is to provide increased value to both our customers...

  • Talent Acquisition Specialist

    2 semanas atrás

    Região Geográfica Intermediária de Juiz de Fora, Brasil buscojobs Brasil Tempo inteiro

    About SHEIN SHEIN is a global online fashion and lifestyle retailer, offering SHEIN branded apparel and products from a global network of vendors, all at affordable prices. Headquartered in Singapore, with more than 16,000 employees operating from offices around the world, SHEIN is committed to making the beauty of fashion accessible to all, promoting its...

  • Microsoft Technical Specialist

    2 semanas atrás

    Região Geográfica Imediata de Criciúma, Brasil buscojobs Brasil Tempo inteiro

    Big Picture are looking for a Technical Specialist to join our existing team to drive the Microsoft product portfolio around server, datacentre and HCI solutions. Big Picture provides sales and technical support services around Microsoft products and solutions to Dell Sales Teams. This is a unique opportunity to work with the most influential hardware and...

  • Influencer Marketing Specialist

    2 semanas atrás

    Região Geográfica Intermediária de Sorocaba, Brasil buscojobs Brasil Tempo inteiro

    Join the Flex AI Dream Team as Our Influencer Marketing Guru! Flex, the A.I. personal trainer in your pocket, is on a mission to create a healthier world by making fitness fun, free, and effective for everybody, everywhere. App: Flex Fitness App Website: Flex Fitness Website A.I. patent: Flex A.I. Patent Job Description: As our Influencer Marketing...

  • Vaga de HR Specialist

    2 meses atrás

    Rio de Janeiro, Brasil Catho Online Ltda. - BR - Specialist Tempo inteiro

    Wärtsilä is an innovative technology company known for being a forerunner in the Marine and Energy markets. Every day, we Wärtsilians put our hearts and minds into turning Wärtsilä's purpose of enabling sustainable societies through innovation in technology and services into reality. Our ultimate aim is to provide increased value to both our...

  • Service Delivery Specialist

    4 semanas atrás

    Rio de Janeiro, Brasil Airswift Tempo inteiro

    Airswift is seeking a Service Delivery Specialist to work on a permanent contract in Rio de Janeiro with a major Oil & Gas Company.The Service Delivery Specialist has responsibility over the service delivery performance of an assigned portfolio of products. The objective is to ensure a high level of service quality throughout the job cycle of the assigned...

  • Technical Sales Specialist Oils&Fats

    3 meses atrás

    Região Geográfica Intermediária de São Luís, Brasil DSM Tempo inteiro

    Job Title: Technical Sales Specialist Oils & Fats City: São Paulo Work Model: Hybrid Clevel: C-40 As a Technical Sales Specialist for Oils & Fats, you will be responsible for driving growth in the Oils & Fats and Fruit Processing segments within the Ingredients Processing Business. The primary focus of this role is to open doors, secure new business,...

  • Vaga de Specialist Java Developer

    Há 1 mês

    Região Geográfica Intermediária de Ilhéus-Itabuna, Brasil Catho Online Ltda. - BR - Senior Tempo inteiro

    About the RoleAs a Specialist developer on our team, you will be involved in planning, designing, developing, and testing software systems, or applications for enhancements and new projects. You will be using Java, Spring Boot, APIs, and SQL. You should be an individual who has a passion for writing code, enjoys tackling problems that are difficult to solve,...

  • Service Delivery Specialist

    4 semanas atrás

    Rio de Janeiro, Brasil Airswift Tempo inteiro

    Airswift is seeking a Service Delivery Specialist to work on a permanent contract in Rio de Janeiro with a major Oil & Gas Company.The Service Delivery Specialist has responsibility over the service delivery performance of an assigned portfolio of products. The objective is to ensure a high level of service quality throughout the job cycle of the assigned...

  • Talent Acquisition Specialist

    2 semanas atrás

    Região Geográfica Imediata de Criciúma, Brasil buscojobs Brasil Tempo inteiro

    About SHEIN SHEIN is a global online fashion and lifestyle retailer, offering SHEIN branded apparel and products from a global network of vendors, all at affordable prices. Headquartered in Singapore, with more than 16,000 employees operating from offices around the world, SHEIN is committed to making the beauty of fashion accessible to all, promoting its...

  • Paid Social Specialist

    2 semanas atrás

    Região Geográfica Imediata de Criciúma, Brasil buscojobs Brasil Tempo inteiro

    Role Type: Full Time, Contract position The paid social specialist is responsible for ongoing analysis, executing the paid social strategy, and providing updates and reporting on behalf of our clients. He / she will work closely with the Digital Marketing Strategist to ensure work is moving through the pipeline and we’re delivering results....

  • Ssu & Regulatory Specialist Ii

    Há 5 dias

    Rio de Janeiro, Brasil Syneos Health Clinical Tempo inteiro

    **SSU & Regulatory Specialist II** **-** **(** **22004616** **)** **Description** **Site Start-Up & Regulatory Specialist II** Come discover what our 25,000+ employees already know: work here matters everywhere. We’re a growing and evolving biopharmaceutical industry leader, which means you’ll have endless opportunities to work with experts around the...

  • Regional Channel Account Manager

    2 semanas atrás

    Região Geográfica Intermediária de Sorocaba, Brasil buscojobs Brasil Tempo inteiro

    Company Overview : Cellebrite’s (Nasdaq : CLBT) mission is to enable its customers to protect and save lives, accelerate justice, and preserve privacy in communities around the world. Cellebrite is a global leader in Digital Intelligence solutions for the public and private sectors, empowering organizations to master the complexities of legally sanctioned...

  • HR Specialist

    3 meses atrás

    Rio de Janeiro, Brasil Wärtsilä Tempo inteiro

    HR Specialist Wärtsilä is an innovative technology company known for being a forerunner in the Marine and Energy markets. Every day, we - Wärtsilians - put our hearts and minds into turning Wärtsilä's purpose of enabling sustainable societies through innovation in technology and services into reality. Our ultimate aim is to provide increased value to...