Responsible for the management and monitoring of revenue, charges, and revenue cycle internal and external customers to ensure goals are met while adhering to federal and state regulations, payer policies, and coding rules and guidelines.
Works closely with other Revenue Cycle Management departments to ensure effective workflow and process. Supports analytical and negotiation work related to third-party payer reimbursement contracts.
Evaluates, recommends, and assists with implementation of systems solutions to improve accounts receivable automation. Performs audits to support integrity, quality, and control over billing processes. Assists with training and education on system functionality and billing and coding practices.
This position may be performed onsite or remotely, though onsite work is preferred based on business needs. Remote candidates must be located within the continental United States, with some state restrictions.
Education
- Bachelor's degree in healthcare administration, computer science/software development, finance/business, math, or another degree requiring complex data analysis from an accredited college or university.
- In lieu of a degree in one of the specified majors, a bachelor's degree in any major plus 3 years of directly related experience in revenue cycle reporting or healthcare finance reporting and analytics.
Licensure
- HFMA Certified Revenue Cycle Rep. (CRCR) certification must be obtained within 9 months of hire.
Experience
- Experience with database reporting and interfaces required.
Skills
- Strong organizational and meeting facilitation skills.
- Strong project management capabilities.
- Ability to read and interpret regulatory information related to healthcare finance and revenue cycle.
- Proficiency in SQL preferred.
- Proficiency with Microsoft Office applications, especially Excel, PowerPoint, Word, and Access.
- Knowledge of internet and government websites.
- Strong communication skills, both written and verbal.
- Ability to work effectively in a team environment and manage multiple priorities.
- Knowledge of CPT, HCPCS, revenue codes, charge master data flow, claims processing, remittance data, Medicare regulations, and APC/payment methodologies.
Comprehensive benefits package may include:
- Medical, dental, and vision insurance
- Life, disability, and long-term care coverage
- Paid time off, including vacation, sick leave, holidays, and bereavement
- 403(b) retirement plan with employer match
- Education reimbursement for eligible roles
- Professional development and training programs
- Employee Assistance Program
- Wellness programs
- Recognition programs
- Shift differentials
- Market-based compensation review and increases subject to approval and organizational performance
Location
California, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
Yes
Posted
1 month ago