Revenue Cycle Specialist

General – Coordinate and participate in activities involved in the review, adjustment and collection of patient accounts in the Billing and Collections Department.Specific – Responsible for the billing and processing of claims. Responsible for the review, adjustment and collection of delinquent accounts to include preparing patient refunds and write-offs including proper documentation for bad debts. Prepare financial and collection effort data. Answer a variety of correspondence from patients and their representatives, insurance companies, attorneys and administrators of estates regarding billing, insurance and payments; interview or telephone concerned parties regarding delinquent accounts or unusual collection problems. Maintain liaison with hospital and clinic supervisory personnel to coordinate collection efforts and to resolve problems. Assists in the preparation of reports and analyses for month end close.Quality - Participates in performance improvement activities that ensures important processes and activities are measured, assessed and improved systematically.Safety/Risk/Compliance/OSHA - Maintains and supports a safe and compliant environment. Complies with all state and federal laws, Medicare/Medicaid guidelines, JCAHO standards, ASC and hospital policies, procedures and rules.IT – Maintains all security passwords given to him/her. Keeps current on the knowledge of all accounting and IT Applications used in ASC’s and hospitals.HITECH HIPAA - Keeps staff and patient information within the HITECH HIPAA privacy laws.Position requires a high school diploma or the equivalent. Some accredited college or business school coursework including analyzing, recording and summarizing fiscal transactions and the preparation of financial statements is preferred.Experience which requires the performance of calculations involving basic arithmetic skills, an acceptable degree of verbal skills, and the ability to follow oral or written instructions. Experience in a healthcare organization which involves financial transaction processing including responsibility for posting of information to records, as well as preparing, completing, reviewing, checking, sorting and filing of financial transaction and billing statements, records, forms, reports and other related material. Knowledge of FISS system, Medicare, and managed care billing guidelines. Experience with MS Office products including Word, Excel and Outlook. #J-18808-Ljbffr