Spec Revenue Cycle Sr jobs in United States
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Denver Health · 1 month ago

Spec Revenue Cycle Sr

Denver Health is an integrated, high-quality academic health care system that includes a Level I Trauma Center and serves as a mission-driven organization. The Revenue Cycle Specialist Senior will provide financial, clerical, and administrative services to ensure efficient reimbursement of hospital and physician claims, while also serving as a resource and mentor for junior members of the team.

Health CareHospitalMedical

Responsibilities

Maintain detailed knowledge of revenue cycle functions and metrics. Work accounts receivables to ensure timely payments from insurance and/or patients. Initiates claims submissions, performs review of accounts, ensures work performed is accurate and complete. Documents contact with patients, guarantors, insurance companies and others using the appropriate methods. Identify trends, conduct follow-up, and perform root cause analysis on unpaid and underpaid accounts. (50%)
Trains staff, responds to inquiries and complex questions and collaborates with Supervisor to develop training material and standard of work for the department. Builds trusting relationships with internal and external departments/ business partners by providing confident leadership and timely communication. (20%)
Completes worklists and/or reports as assigned. Performs deep-dive analysis of KPI’s, identify underlying drivers, uncovers new insights, and makes data-driven recommendations to stakeholders which results in improved business and performance. (15%)
Utilizes various payer systems, provider portals, and internal applications. (10%)
Reviews websites, bulletins, etc., to keep current knowledge of regulatory requirements. Relays updated information to key stakeholders regarding policy changes. (5%)

Qualification

Insurance billing knowledgeClaims submission experienceAccounts receivable managementAnalytical thinkingCommunication skillsProblem solving skillsSoftware application proficiencyTyping speedAttention to detailTeam collaboration

Required

High School Diploma or GED Required
4-6 years Four years minimum of hospital/ medical office experience, with an emphasis on claim submission, insurance follow up, insurance denials and credit balances
Intermediate knowledge of insurance billing, insurance processing and practices, payor rules and regulations related to claim processing and applicable insurance definitions
Must have strong written and verbal communication skills, analytical thinking, high level of computer accuracy, and organization and problem solving skills
Ability to prioritize work activities with minimal supervision in an individual and team setting
Ability to utilize various software applications and information systems to perform work processes
Working knowledge of accounts receivable databases. Skill sets to include 10-key by touch and typing a minimum of 35 words per minute (WPM)
Attention to detail and ability to demonstrate professional work behavior

Benefits

Outstanding benefits including up to 27 paid days off per year
Immediate retirement plan employer contribution up to 9.5%
Generous medical plans
Free RTD EcoPass (public transportation)
On-site employee fitness center and wellness classes
Childcare discount programs & exclusive perks on large brands, travel, and more
Tuition reimbursement & assistance
Education & development opportunities including career pathways and coaching
Professional clinical advancement program & shared governance
Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF program
National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer

Company

Denver Health

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Denver Health is a health care organization providing level one care for all, regardless of ability to pay.

Funding

Current Stage
Late Stage
Total Funding
$1M
Key Investors
Health Resources and Services AdministrationCDA Foundation
2024-11-22Grant· $1M
2024-03-18Grant

Leadership Team

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Leticia Leyva
Administrative Director. CEO's Office
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Ansar Hassan
Interim CFO / Senior Finance Director
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Company data provided by crunchbase