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Form of workJob Title: Revenue Cycle Specialist
Location: Chicago, IL
Company Overview: A dynamic and innovative healthcare organization based in the heart of Chicago, is seeking a highly skilled Revenue Cycle Specialist to join our dedicated team. We are committed to providing exceptional patient care and are looking for a talented individual to contribute to the financial success of our organization.
Position Overview: As a Revenue Cycle Specialist, you will play a crucial role in managing the financial health of our organization by overseeing the entire Revenue Cycle process. This includes billing, coding, claims processing, and payment reconciliation. The ideal candidate will have a deep understanding of healthcare Revenue Cycle management, exceptional attention to detail, and a proactive approach to problem-solving.
Responsibilities:
- Accurately assign appropriate codes to medical procedures and diagnoses.
- Ensure compliance with coding regulations and guidelines.
- Review and update coding processes to optimize revenue capture.
- Manage the timely submission of claims to insurance providers.
- Investigate and resolve claim denials, ensuring maximum reimbursement.
- Collaborate with internal departments to obtain necessary documentation for claims.
- Reconcile payments received with billed amounts.
- Identify and resolve discrepancies in payment postings.
- Monitor accounts receivable and follow up on outstanding balances.
- Verify patient insurance coverage and eligibility.
- Communicate with insurance companies to resolve coverage issues.
- Update patient records with accurate insurance information.
- Generate patient statements and invoices.
- Answer patient inquiries regarding billing and insurance.
- Implement strategies to improve patient payment collections.
- Prepare regular reports on key Revenue Cycle metrics.
- Analyze trends and recommend process improvements for efficiency.
- Collaborate with the finance team to support financial planning and reporting.
Qualifications:
- Bachelor's degree in Healthcare Management, Business Administration, or related field.
- Proficiency in medical billing software and coding systems (e.g., CPT, ICD-10).
- Strong knowledge of healthcare regulations and compliance.
- Excellent communication and interpersonal skills.
- Detail-oriented with a focus on accuracy and problem-solving.
Benefits:
- Competitive salary
- Comprehensive health and dental benefits
- Retirement savings plan
- Professional development opportunities
- Collaborative and inclusive work environment
Pay Details: $20.00 to $25.00 per hour
Search managed by: Joseph Ardaiolo
Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.
Equal Opportunity Employer/Veterans/Disabled
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The Company will consider qualified applicants with arrest and conviction records subject to federal contractor requirements and/or security clearance requirements.
