Revenue Cycle Specialist Position Available In Durham, North Carolina

Revenue Cycle Specialist ncg

CARE Corporate Durham, NC Job Details Estimated:

$55.1K – $73.4K a year 15 hours ago Benefits Health savings account Health insurance Dental insurance Flexible spending account Financial planning services Tuition reimbursement Paid time off Qualifications Management Mid-level Bachelor’s degree Full Job Description Bring Your Passion. The Revenue Specialist plays a crucial role in the Revenue Operations team, reporting directly to the Revenue Operations Supervisor. This involves actively reviewing and validating claim information, promptly correcting billing errors to maintain data precision, analyzing denied claims to identify reasons for denial, and implementing workflow and procedural enhancements to minimize denials. The role also includes collaborating with the billing team to address claim submission discrepancies, contributing to denial management efforts, actively participating in revenue optimization initiatives, and fostering close teamwork for a cohesive and cooperative approach to achieving optimal financial performance. Build Your Purpose. The role encompasses information management, including record management, subpoena response, and credentialing responsibilities. This involves both new and re-credentialing processes.

Denial Management:

Analyze denied claims to identify reasons for denial. Promptly correct billing errors to maintain data precision.

Payer Outreach :

Contacting payers to gather information on claim denials.

Process Improvement:

Assist with implementing revenue-related processes and strategies to enhance operational efficiency.

Collaboration:

Collaborating with partner leadership, corporate leadership, the billing team, IT, and payers to resolve issues.

Credentialing :

Collaborate with relevant partner-level staff to collect, submit, and/or verify required credentials. Initiate credentialing and re-credentialing processes for applicable clinical staff and maintain working status.

Information Management :

Facilitate the release of medical records to authorized personnel, including clients, healthcare facilities, and insurance companies. Respond to subpoenas and court orders, ensuring accurate coordination and legal compliance. Uphold the highest standards of privacy, security, and legal requirements, particularly within the scope of HIPAA.

Facility :

Support facility licensing and enrollment process.

Contracts:

Support the contract management process.

Teamwork:

Foster close teamwork for a cohesive and cooperative approach to achieving optimal financial performance.

Reporting:

Contribute to regular reporting on key performance indicators (KPIs) related to revenue processes.

Meetings :

Attend and actively contribute to staff meetings within the Revenue Operations team.

Training:

Attend relevant training to stay updated on industry best practices, regulatory changes, and emerging trends. Education Bachelor’s Degree (preferred) Experience Basic knowledge of denial management processes is required. 1-3 years of experience in a similar role within healthcare revenue operations, billing, or claims processing is preferred. Grow with Us. Come be part of an inclusive culture that values excellence, innovation, and discovery. As an organization, we have exciting opportunities to be forward-thinking leaders in our field. We want talented individuals to join us, examine our current operations, and create innovative solutions that will revolutionize and enhance the way we approach our work. Beyond the engaging work, you’ll also benefit from ncgCARE’s competitive benefits package to support you and your loved ones, provide work/life balance, and invest in your future. The list below is for informational purposes only. Consumer-driven health plan coverage provided by

Anthem Wellness:

When you enroll in a medical plan, you get complete care support on your time through Sydney app (Anthem), with exclusive access to 24/7 access to licensed doctors, therapists, and psychiatrists. Health Savings Account (HSA) or Flex Spending Account (FSA) Two dental plan options available through Delta Dental, so you can choose the level of coverage that fits your needs and budget. Affordable vision plan available through EyeMed to keep your eyes healthy and your vision sharp. An optional Dependent Care Flexible Spending Account to reimburse yourself on a pre-tax basis for child care. Generous paid time off 401k or Roth IRA Retirement Programs administered by Empower Financial planning and education services at no cost to you Educational Assistance (your position, date of hire and years of service determine your eligibility) ncgCARE offers excellent compensation packages including a salary commensurate with experience and benefits to meet your needs for today and the future.

Equal opportunity employer:

ncgCARE and each of its affiliated partners are equal opportunity employers. We consider all qualified candidates without regard to race, religion, color, national origin, citizenship, sex, sexual orientation, gender identity, age, veteran status, disability, genetic information, or other protected characteristic. We believe it’s important to create an inclusive workplace for everyone, so please reach out if you need an accommodation in the application or interview process as our goal is to create an environment where you are able to fully participate. You can contact us at . ncgCARE participates in the E-Verify program. Therefore, any employment with ncgCARE will also be contingent upon confirmation from the Social Security Administration (“SSA”) and/or the Department of Homeland Security (“DHS”) of your authorization to work in the United States. EEO is the Law EEO Supplement E-Verify Family Medical Leave Pay Transparency ncgCARE and all partner affiliates maintain a drug-free workplace.