Revenue Cycle Specialist II

Here’s What You Need

Education

·         H.S. Diploma or Equivalent (Required)

·         Associate’s Degree Business or healthcare related field (Preferred)

 

Experience

·         2 Years PB AR management, insurance follow-up, insurance billing or relevant revenue cycle experience. (Required)

•  Payor knowledge/Medicare/ Medicaid (Preferred)

 

​​​​Skills

·         Possess a strong work ethic and a high level of professionalism.

·         Demonstrates high level understanding of health insurance billing, follow-up, credits, regulations, and payer requirements.

·         Proficient computer and EMR skills, including but not limited to, Microsoft Office suite applications such as Word and Excel.

·         Strong communication and organizational skills.

·         Proven experience in a billing environment.

·         Ability to shape communications to the needs of the audience.

·         Knowledgeable of HIPAA, state and federal regulations governing confidentiality, release of information and record retention.

·         Familiar with Electronic Medical Record (EMR) functionality, document imaging, and workflow. Epic Care Connect EMR experience and certifications are a plus.

·         Must be a dependable self-starter and deadline driven. Must have the ability to work well independently and in a team setting to meet organizational goals.

·         Must demonstrate solid understanding of key revenue cycle workflows, technical system, and metric goals.

 

 

What You Will Do

Under general direction of the PBO Rev Cycle AR Supervisor, the PBO Rev Cycle AR Specialist II is responsible for consistently and accurately processing billing, insurance follow-up, and credit related inventory. Responsibilities include identifying and resolving claim, denial, payment issues and implementing risk mitigation and efficient resolution strategies. The Specialist II demonstrates high level of subject matter expertise and experience in functional areas. All responsibilities are performed in accordance with established organizational policies, procedures and compliance and quality standards.

·         Expedite and maximize payment and resolution of insurance medical claims by resolving edits, denials, payment issues in a timely manner.

·         Document clear, concise, and complete follow up notes in system for each account worked.

·         Ensure accounts are completed and worked at a high level of quality by using HRO tools and monitoring output.

·         Identify, analyze, and escalate trends impacting AR collections.

·         Exceeds established productivity goals.

·         Complete special projects to improve team performance, as assigned.

·         Demonstrate expertise of all payors, including Medicare, Medicaid and commercial payors, and applicable department’s revenue cycle operations.

·         Ensure protection of private health and personal information. Adheres to all HIPAA compliance requirements.

·         Participate in educational activities and attends team meetings.

·         Remain current on collection and follow up procedures of various payors and specialty departments.

·         Assist with knowledge sharing, payor, and department training, and provide support to other team members as advised by leadership team.

·         Demonstrate strong technical skills and account resolution abilities

 

 

Additional perks of being a Texas Health Revenue Cycle Specialist

·         Benefits include 401k, PTO, medical, dental, Paid Parental Leave, flex spending, tuition reimbursement, student Loan forgiveness as well as several other benefits.

·         Delivery of high quality of patient care through nursing education, nursing research and innovations in nursing practice.

·         Strong Unit Based Council (UBC).

·         A supportive, team environment with outstanding opportunities for growth.

 

·         Learn more about our culture, benefits, and recent awards.

 

 

 

Do you still have questions or concerns? Feel free to email your questions to recruitment@texashealth.org.

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