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Job description
UC Health Revenue Cycle Account Receivable SpecialistAt UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering.As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors.UC Health is committed to providing an inclusive, equitable and diverse place of employment.Managing Revenue Cycle accounts receivable, following standard Operating Departmental Procedures to ensure prompt payment of payer and patient payments. Responsible for collaborating with other departments, or third parties, to drive payer and patient collections.ResponsibilitiesRevenue Cycle Functions:Communicates directly with payers to follow up on outstanding claims and achieve timely reimbursement. This may include obtaining claim status, submitting reconsiderations, or submitting appeals.Monitors and reviews denial reason codes to identify root causes; works with payer contracting, other areas of the revenue cycle, and payer representatives, if necessary to resolve issuesAnalyzes data to track collection efforts, identify trends, and provide team with updates and ideas for improvementMonitors payer files for accuracy, ensures payer documentation is completed by follow-up staff, and assists in updating files with pertinent information as necessaryAssists other follow-up staff in identifying high-risk accounts and prioritizing follow-up effortsHelps to work and resolve accounts from other staff members' workloads to prevent backlogs and fills in as needed for absent staffMaintains superior understanding of claims management, third-party payer guidelines, state and federal regulations, and all other functions of the job; educates and trains other follow-up staff as neededMaintains compliance with HIPAA guidelines and ensures staff maintain discrepancy when handling patient informationWorks independently to resolve claims issuesParticipates in continuous quality improvement efforts on an ongoing basis, establishing goals with supervisors and tracking progressOffers suggestions to improve individual and team productivityMaintains a quality review score of 90% or greater on department quality reviewsAssists supervisor with identifying departmental areas in need of improvementsSelf-Development:Attends 1 or more UC Health training and development courses per yearOther duties as assignedProductivity:Maintains 100% or greater each week on department productivity scoring and takes responsibility for individual productivity standardsQuality:Other duties as assignedQualificationsQualificationEducationMinimum Required: High School Diploma or GED. Preferred: Associate degree.ExperienceMinimum Required: 3 – 5 years of relevant experience in Revenue Cycle and/or Epic Revenue Cycle applications.Job InfoJob Identification 24122Job Category FinanceLocations 3200 Burnet Ave, Cincinnati, OH, 45229, USEmployer UC Health, LLCCost Center UCH- -Pat Fin Svc-Billing-Follow-UpRemote/Hybrid/Onsite RemoteOn Call Required? NoShift FirstWorking Hours 40FTE 1
Worksite address
cincinnati, OH, 45229, US
Who can apply
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