Revenue Cycle Specialist

Revenue Cycle Specialist

Job Summary: The Revenue Cycle Specialist is responsible for analyzing data for Key Performance Indicator (KPI) monitoring and reporting to help reduce financial risk and improve financial performance. Provides information to ensure compliance of registration policies and procedures and regulatory requirements. Monitors registration staff's performance across the system to identify benchmarks and goals; investigate, provide root analysis when necessary, and to create and implement general course correction as appropriate. Develops and implements strategies to facilitate continuous operational improvement across the health system impacting services across the system for all aspects of registration including functions within professional and hospital billing. Assists in developing and leading end user department learning in both formal/classroom style training and informal/elbow support training. Responsible for audits/analysis and outcome assessments for accuracy of patient data, both system-related and process-related for registration, billing, and operational areas that impact patient registration, billing, and/or collections. Helps support revenue cycle initiatives across the system within registration and billing departments. The Revenue Cycle Specialist reviews appropriate reports and systems to monitor patient account errors and track trends for timely resolution. Responsible for ongoing reports to leadership as defined by each owning area. Works closely with Erlanger's eChart team, Organizational Learning, operation leadership, payers, and third-party applications to ensure consistency across the health systems to conduct assigned activities.

Education: Required: High school graduate/GED Preferred: B.S. Business or Healthcare related field

Experience: Required: Two years' work experience in a complex and high-volume healthcare setting in a registration, precert and/or billing capacity such as PAS or PFS. Fundamental knowledge of insurance processes is necessary as well as experience with direct contact with patients. Demonstrated ability and interest to mentor and teach all types of learning styles. Demonstrated ability to work effectively in a fast-paced environment, build positive relationships, and remain flexible under stressful situations. Preferred: Experience in a supervisory and/or training capacity is preferred. Experience in both hospital and professional healthcare setting is preferred. Analytical and reporting skills. Experience using Excel and PowerPoint Microsoft products. Epic experience preferred.

Position Requirement(s): License/Certification/Registration Required: N/A Preferred: Certified Healthcare Access Management (CHAM)