Revenue Cycle Specialist

Revenue Cycle Specialist

The Revenue Cycle Specialist plays a pivotal role in working with Independence Physician Management (IPM) Market Leadership to drive consistency in 'front-end' workflows and business processes that will help the Market maximize revenue along with enhanced patient satisfaction. The Specialist is an extension of the IPM Central Billing Office (CBO) but is embedded in the IPM Market to assist with specific tasks that will enhance the overall revenue cycle continuum.

The Specialist strives to improve and accelerate revenue cycle processes to achieve higher productivity, faster payments, decreased rework, and improved patient service by working with leadership and staff to promote best practices throughout IPM. Specific workflows will be trained and enforced along with daily/weekly/monthly metrics to help determine the overall "health" of the revenue cycle. Metrics such as eligibility verification, registration accuracy, encounters without charges, charge lag, denials, and TOS/NTOS collections will be captured, shared, and trended.

Be a visible presence in each IPM Market, and they work closely with each other as well as the IPM CBO to ensure consistency in process and best practice across all of IPM.

Qualifications

High School Graduate/GED, Technical School, 2 Years College, or Associates Degree required. Bachelor's degree preferred.

Experience (3-5 years minimum) working in a healthcare (professional) billing, health insurance or equivalent operations work environment. Work experience in a client facing position, project management experience and/or customer service highly desirable. Healthcare (professional) billing, broad knowledge of CPT/ICD-10 coding, claim submission requirements and other related industry terminology and practical use. Knowledge of registration data requirements and health plan payors Thorough understanding of the revenue cycle and how the various components work together. Excellent verbal/written communication skills. Strong presentation skills. Project Management. Strong interpersonal, customer service and organization skills. Strong computer literacy skills.

As an IPM employee you will be part of a first-class organization offering: A Challenging and rewarding work environment. Competitive Compensation & Generous Paid Time Off. Excellent Medical, Dental, Vision and Prescription Drug Plans. 401(K) with company match.