Revenue Cycle Specialist I

Revenue Cycle Specialist I San Angelo, TX Job Details 1 day ago Qualifications Collaborate with healthcare professionals Revenue cycle management Computer operation Direct patient care Medical claims processing Insurance verification Achieving HIPAA compliance Maintaining patient confidentiality Medical office experience HIPAA High school diploma or GED Decision making Workers' compensation claims Computer skills Patient interaction 1 year Order entry Entry level Full Job Description Job Summary The Revenue Cycle Specialist I will submit claims compliant with government regulations and private payer policies. Per department policy, submits Work Comp, Liability or Client billing. Takes appropriate action to ensure claims or bills are submitted timely and accurately. Physical Requirements The ability to perform the duties and responsibility of the position, with or without reasonable accommodations for disabilities. The ability to consistently lift, push or pull loads of up to fifty (50) pounds. (Unless nursing 50) Sufficient strength, mobility and stamina to make frequent location and position changes, assist with patient care, and perform other physical activities of average difficulty. Candidates whose disabilities make them unable to meet the requirements will still be considered fully qualified if they can perform the essential functions of the job with reasonable accommodations. May be exposed to infectious or contagious disease. May have to handle emergency situations. May be subject to irregular hours. May be required to wear protective equipment such as eye protection, face protection, masks, sterile/nonsterile gloves, isolation gowns. May be exposed to toxic/caustic/chemicals/detergents. Physical activities include continuous sitting, and occasional walking, standing, bending, squatting, climbing, kneeling and twisting. Activity Conditions (Occasionally, Frequently, Continuously): Sitting

• Continuously Walking
• Frequently Standing
• Frequently Bending-Frequently Squatting
• Occasionally Climbing-Occasionally Kneeling-Occasionally Twisting-Occasionally Visual and Hearing Requirements Must be able to see with corrective eye wear.

Must be able to hear clearly with assistance. Working Conditions Primarily Works in a well-lighted and air-conditioned environment with period of heavy workload and stress. This role may include working in less-than-ideal home conditions, which can include exposure to extreme temperatures and environments that may not meet typical cleanliness standards such as clutter, unkept surfaces, and homes with pets. Works in various conditions.

Performance:

Essential Functions Decision Making:

Ability to make decisions and takes appropriate action based on the information they have. Recognizes own limitations and consults with the supervisor, manager, or team member when appropriate.

Time Management:

Works efficiently and manages duties to ensure that tasks are completed with accuracy and within the scheduled shift or reasonable amount of time.

Quality & Quantity:

Demonstrates accurate, knowledge and skill to carry out job duties. Follows departmental work policies and procedures. Speed and consistency of output, and time utilization of job duties.

Computer Knowledge & Electronic Equipment Use:

Demonstrates ability to consistently utilize electronic equipment and online computer programs to perform job duties, including electronic documentation, and order entry.

Resource Utilization:

Consistently utilizes and maintains supplies and equipment to minimize lost charges and unnecessary equipment repair-replacement.

Confidentiality:

Adheres to established policies on privacy and security requirements for compliance with the Health Insurance Portability and Accountability Act (HIPAA), as applicable by Shannon Policy. Supervises the

Following Positions Positions:

N/A Performance:

Position Specific Essential Functions Work with government and commercial payers, making sure all claim edits are worked accurately and timely to include verification of patient's eligibility. Per department policy, submit Work Comp, Liability or Corporate Billing. Work with patients or other departments, as needed, to obtain accurate insurance information. Work 277 rejected or errored claims. Understands various types of insurance plans. Works late charges, as needed. Work reports to better serve the business office. Observes and is compliant with all policies and procedures. Maintains current knowledge of job duties and appropriate business office procedures. Attends seminars, training sessions, and meetings as needed or requested. Performs other duties, as assigned. Serves as a liaison between administration, physicians, nurses, staff and other departments. Reports problems or issues affecting the office to the Manager, other Business Office Managers or Directors. Review insurance carrier bulletins and industry periodicals for updates. Keep abreast of current changes in claims processing dependent on various contracts or payers. Performs other duties as assigned. Qualifications Education Required High School Diploma, GED, or equivalent

Experience:

Preferred 1-2 years in Medical Office 1 year Medical Claims experience

Certification/Licensure:

N/A