SpartanburgRecruiter Since 2001
the smart solution for Spartanburg jobs

Revenue Management Specialist

Company: Spartanburg Regional Healthcare System
Location: Spartanburg
Posted on: March 15, 2020

Job Description:

Position SummaryThe AR management specialist works with unique department billing/collection functions to assure accounts are managed accurately and timely. Responsibilities will vary based on department need. Minimum Requirements Education

  • High School Diploma or equivalency Experience
    • 4 years medical office or medical billing in a hospital or physicians billing setting, collections or coding experience.
    • Must possess strong knowledge of CPT, HCPCS and ICD-9/10 codes.
    • Must be efficient in reading insurance explanation of benefits (EOB) and understanding of remittance and remark codes.
    • Good working knowledge of Microsoft Excel
    • Good communication skills and the ability to interact well with multiple departments/levels of management License/Registration/Certifications
      • N/APreferred RequirementsPreferred Education
        • N/APreferred Experience
          • In depth knowledge of all payer billing and eligibility requirementsPreferred License/Registration/Certifications
            • Certified Procedural Coder (CPC) (CPC-H)
            • Certified Revenue Cycle Associate (CRCA)
            • Certified Medical Insurance Specialist (CMIS)
            • Registered Health Information Technician (RHIT)Core Job Responsibilities
              • Responsible for research and resolution of all outstanding patient and insurance credit accounts, any additional A/R management research and account updates required to ensure claims are filed to the appropriate carrier or posted correctly.
              • Processing of all refunds or credit reversals in a timely manner as defined within the departmental credit/refund policy/procedures.
              • Responsible for all government monthly credit reporting preparation and requirements
              • Responsible for accurate charge capture, charge review, claim edits, posting to the AR system and resolution of all charge edits.
              • Responsible to handle all denials related to charge capture for improved integrity of charge capture
              • Responsible to accurately update patient demographics, insurance registration information, verification of insurance, etc.
              • Responsible for the consolidation of duplicate guarantor/patient accounts within the AR management system in an accurate/timely manner.
              • Responsible for the review and processing of Accounts Receivables reports to ensure revenue integrity. Reporting trends identified during the analysis.
              • Responsible to research and complete a detailed analysis of all payer variances based on our Contract modeling within our AR system.
              • Revenue Management Specialist must have the skill set and understanding of payer and government payer contracts/schedules in order to confirm expected reimbursement amounts are correct.
              • Work closely with other departments on revenue integrity issues including variance contract build issues, charging issues, A/R type issues and other items as define.
              • Responsible for all account financial changes and refiling of those claims to the appropriate payer source.
              • Assist with payer/physician credentialing and system table management.
              • Responsible for electronic remittance, eligibility and claims agreements to insure the proper processing of electronic transactions, electronic remittance requirements and other payer requirements for billing.
              • Responsible for the processing of all vendor claim updates, returns and resubmissions for payment.
              • Other duties as assigned.

Keywords: Spartanburg Regional Healthcare System, Spartanburg , Revenue Management Specialist, Executive , Spartanburg, South Carolina

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Executive Jobs


Lead Director-IT Audit
Description: Equitable is growing its Audit function on our journey to becoming a standalone US company. We are seeking a leader for our IT Audit team who will thrive in a fast-changing environment involving one of (more...)
Company: Equitable
Location: Charlotte
Posted on: 03/30/2020

Regional CEO / Business Owner
Description: Do you want to be your own boss Have more independence and flexibility Earn what you're really worth Make a difference in the community With today's corporate environment, chances are you've already (more...)
Company: The Alternative Board (Worldwide)
Location: Charlotte
Posted on: 03/30/2020

Compliance SR Assoc- Private Wealth Management Compliance Banking
Description: Job DescriptionImportant Note: During the application process, ensure your contact information email and phone number is up to date and upload your current resume when submitting your application for (more...)
Company: Wells Fargo
Location: Charlotte
Posted on: 03/30/2020


Customer Category Manager
Description: As one of the world s largest food and beverage companies, we are proud to spark joy around mealtimes with a global portfolio of more than 200 brands. Some are iconic master brands like Heinz, Kraft and (more...)
Company: The Kraft Heinz Company
Location: Charlotte
Posted on: 03/30/2020

Business Solutions Manager
Description: Business Solution Manager willbe responsible to assist Enterprise Solutions Architects with existing or prospectiveopportunities in the process they will be working closely with the variousteam at Cognizant (more...)
Company: Cognizant
Location: Charlotte
Posted on: 03/30/2020

Business Development Manager
Description: Why join our team at Cognifyd Fun, team-focused work environmentEmployee driven Community Outreach programCompetitive base salaryTelecommuting OpportunitiesHere at Cognifyd, our core principles
Company: Cognifyd
Location: Charlotte
Posted on: 03/30/2020

New Capabilities Delivery Manager
Description: Software Guidance Assistance, Inc., SGA , is searching for a New Capabilities Delivery Manager for a contract assignment with one of our premier clients in Charlotte NC , Austin TX, Des Moines IA and (more...)
Company: Software Guidance & Assistance
Location: Charlotte
Posted on: 03/30/2020

Corporate Accounts Strategic Account Manager - Charlotte, NC
Description: Together we can make a differenceAt Getinge we are dedicated and passionate about helping our customers save lives and ensure excellent care. We provide innovations for operating rooms, intensive-care (more...)
Company: Getinge Group
Location: Charlotte
Posted on: 03/30/2020

Business Development Manager
Description: Matlen Silver Client Solutions Managers are tasked with identifying staffing opportunities with their current and prospective fortune 500 clients. They are primarily responsible for building trusting, (more...)
Company: Matlen Silver
Location: Charlotte
Posted on: 03/30/2020

Business Development Manager - Property & Casualty
Description: Essential Duties Prospects, obtains, and develops successful broker relationships on a regional to national level to maintain profitable sales growth. Researches,
Company: FrankCrum
Location: Charlotte
Posted on: 03/30/2020

Log In or Create An Account

Get the latest South Carolina jobs by following @recnetSC on Twitter!

Spartanburg RSS job feeds