Revenue Cycle Specialist

The Revenue Cycle Specialist provides leadership, direction, and support for delivering world class results while providing efficiency and effectiveness for the Revenue Cycle operations within the Revenue Cycle function of NorthShore Health Centers. This includes related activities specific to all billing, collections, secondary billing, A/R resolution and cash flow with respect to billing and the accurate presentation and maximization of the Revenue Cycle results.  These associates will work closely with all operational areas within NorthShore Health Centers and the NSHC Revenue Cycle function such as pre-service clearance, financial management reporting, patient satisfaction, Patient Access, coding and the payors to apply new and emerging approaches for the NorthShore Health Centers clinical, administrative, financial and operational areas. Further responsibilities include identifying, analyzing, and resolving all operational issues associated with the internal processing of accounts receivable while insuring annual cash flow.
The Revenue Cycle Specialist will actively look for opportunities to maximize revenue throughout the system to transform the patient experience with a focus on improving both the patient experience and satisfaction as well as providing accountability for strategic business units that impact the patient experience and service pillars of the organization. The incumbent will focus on opportunities to maximizing the patient experience and patient revenue by strategically re-engineering the revenue integrity processes to improve the patient experience, increase patient volumes and retain current patients by expanding the services in question.
The Revenue Cycle Specialist will exhibit behaviors consistent with the standards for organizational values of NorthShore Health Centers. Demonstrates actions consistent with NorthShore Health Centers “expectations” as duties are performed on a daily basis.
Scope of practice includes the following areas:

• Billing and Collections
• Revenue Leakage – (Denials, Missing Charges and Payment Variances)
• Patient Service Call Center
• Cash Application
• Guarantor/Self-Pay Collections/Medicaid Eligibility
• Payor Audits
• Denial Resolution

*This job description is not an all-inclusive list of functions and tasks. Over the length of employment these functions and tasks may change.

Diversity Statement
NorthShore Health Centers celebrates and supports the diversity of its workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

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