Revenue Cycle Specialist job opportunity at Baptist Health.

Home Jobs In United States Of America Tag: Job Revenue Cycle Specialist position at Baptist Health


DateMore Than 30 Days Ago bot
Baptist Health Revenue Cycle Specialist
Experience: General
Pattern: full-time
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loacation Kentucky, United States Of America
loacation Kentucky....United States Of America

Summary Job Description: Baptist Health is looking for a Revenue Cycle Specialist to join their team. This is a remote work position that requires residency in KY or IN Research denials from all commercial and governmental payors. Performs payor compliance review on accounts to determine medical necessity of services, pre and post service as well as pre and post billing. Obtains pre-determinations, prior authorizations, and retro authorizations when required by payor. Responds to all account reviews with the best possible efforts to ensure reimbursement, recover outstanding revenue, and prevent future revenue loss while meeting all appropriate payor or government timelines. Recovery efforts include but are not limited to written letter, email, web site, and telephonic communication. Qualifications: Bachelor’s Degree in related field, Practical Nurse License, or Coding Certification with two years healthcare experience required. In lieu of Bachelor’s degree, five years of healthcare experience required including two years in a revenue cycle related area such as registration, patient financial services, or managed care. Requires knowledge of medical terminology; payor reimbursement guidelines (authorization / notification, medical necessity, and timely filing guidelines); payor denial appeal / payment variance resolution processes; and managed care contracts. Individuals working with payor audits must have a keen understanding of all audit response requirements and timelines. Work Experience Education If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now! Baptist Health is an Equal Employment Opportunity employer.

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