Revenue Cycle Specialist

Revenue Cycle Specialist

The Revenue Cycle Specialist will serve as a resource to support various areas of the revenue cycle to cover for team members and provide revenue cycle financial and trend analysis work. The position could perform in the various roles including but not limited to: Registration/Scheduling, Pre-Services, Insurance Verification, Billing and Collections, Payment Posting, training and Charge Capture to cover staffing needs within the revenue cycle.

Essential Duties & Responsibilities:

• Specific job duties may include one or more of the following: scheduling appointments, pre-registration of patients prior to service and registration of patients; answering inbound inquiries and issues regarding patient account statements (explanation of benefits, balance due, and other insurance billing scenarios); sending out claims and patient statements for reimbursement; claim follow up; payment posting; charge entry and correction; training; credit balance review and processing.
• Other duties include financial and trend analysis work; payment monitoring; data collection to support process improvements, reconciliations of cash accounts; trend analysis of account receivables; and denials review and resolution when not floating to other revenue cycle positions.
• Other job duties as assigned.

Supervisory Responsibilities:

No direct reports

Skills and Experience:

• Required: Strong teamwork skills with 5 years revenue cycle experience or post high school degree in accounting, healthcare administration, or business-related field
• Basic computer skills: Microsoft Word, Excel, Outlook, etc.
• Excellent communication skills, both oral and written. Ability to analyze data, perform multiple tasks, and work independently in a busy work environment
• Must be able to develop and maintain professional, service-oriented working relationships with patients, physicians, co-workers, and supervisors
• Must be able to understand and comply with policies and procedures

• Preferred: Knowledge and experience with lean process improvement tools and techniques
• Previous knowledge of Cerner scheduling, registration, and/or patient accounting systems

Summary of Benefits at Winona Health:

At Winona Health, we are dedicated to offering a comprehensive and affordable benefits package for our employees and their families. While benefits may vary based on employment classification and job status, the following key benefits are available:

• Health Insurance: Options for medical, dental, and vision coverage, as well as mental health support and wellness incentives
• Income Protection: Short and long-term disability, plus additional benefits like accident, critical illness, hospital indemnity, legal assistance, and identity protection plans
• Retirement Planning: Access to a 403(b) retirement plan with employer contributions once eligibility requirements are met
• Work/Life Balance: Flexible scheduling, paid time off, and earned sick time to support personal well-being
• Education & Development: Paid training, tuition reimbursement, scholarships, and sponsored seminars to foster both personal and professional growth
• Employee Discounts: Special offers with local businesses, including the YMCA and cell phone providers

For more details or specific information, visit our website or contact Human Resources

Internal Applicant Policy:

It is the policy of Winona Health to work with employees in an equitable fashion regarding promotions, transfers, and position reclassifications. Any employee wishing to apply for another available position at Winona Health must submit an application for consideration through the internal application portal. Employees requesting to change positions should have successfully completed at least six (6) months in their current position. Employees currently in the formal disciplinary process may be required to meet with the Director of Human Resources to determine eligibility to request transfer. The employee's past performance, experience, training and qualifications will be considered in transfer/hiring decisions. Consideration for transfer or promotion is not a guarantee of transfer or promotion. Employees may be given a chance to interview for a position when they meet the minimum position qualifications.

Disclaimer:

Winona Health is an equal opportunity employer. Winona Health does not refuse to hire, discharge, or discriminate against a person with respect to tenure, compensation, terms, upgrading, conditions, facilities, or privileges of employment because of race, color, creed, religion, sex, age, national origin, marital status, genetic information, status with regard to public assistance, membership in a local discrimination commission, sexual orientation, disability, veteran status, or any other prohibited basis of discrimination under applicable local, state, or federal law. Winona Health does not tolerate retaliation against any employee, patient/resident, physician, or other individuals pursuing concerns regarding Civil Rights issues. Winona Health adheres to ALL pertinent governmental policies and legislation including the Civil Rights Act of 1964, Title VII, as amended, and the Minnesota Human Rights Act.

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.