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Revenue Cycle Optimization Specialist
2 weeks ago
Role Summary:
">- This is a leadership position in the finance and accounting department, responsible for overseeing the accounts receivable function to ensure timely and accurate payment processing.
Key Responsibilities:
">- Manage and supervise the accounts receivable team, ensuring compliance with regulatory requirements and industry best practices.
- Develop and implement strategies to optimize cash flow and minimize bad debt.
- Monitor key performance indicators (KPIs) and financial metrics to identify trends, areas for improvement, and potential revenue leakage.
- Collaborate with cross-functional teams, such as clinical departments, finance, and coding, to streamline accounts receivable processes.
- Oversee the timely and accurate submission of claims to third-party payers, including Medicare, Medicaid, commercial insurance companies, and self-pay patients.
- Monitor claim status and work closely with the billing team to resolve any coding or billing discrepancies.
- Stay updated with changes in healthcare regulations, payer policies, and coding guidelines to ensure compliance and accurate billing.
- Analyze denial patterns, identify root causes, and implement corrective measures to minimize denials and maximize collections.
Required Skills and Qualifications:
">- Bachelor's degree in Healthcare Administration, Business Administration, or a related field.
- Experience in revenue cycle management or healthcare finance.
- Strong knowledge of healthcare reimbursement systems, billing regulations, and coding guidelines (e.g., CPT, ICD-10, HCPCS).
- Proficiency in using revenue cycle management software and electronic health record (EHR) systems.
- Familiarity with third-party payer requirements, including Medicare, Medicaid, and commercial insurance.
- Excellent analytical and problem-solving skills with the ability to interpret financial data and identify trends.
- Strong leadership and team management abilities.
- Effective communication and interpersonal skills to collaborate with various stakeholders.
Industry Type: Medical Services/Hospital
">Department: Finance & Accounting
">Employment Type: Full Time, Permanent
">Role Category: Accounting & Taxation
"]",