Hybrid Revenue Cycle Specialist – Day Shift

Mercy Health Corporation; Janesville (WI); Hybrid; USD 25,000 - 39,000; Full time

Benefits offered by this job

Medical, Dental, Vision

Life & Disability Insurance

Paid time off

Parental and caregiver leave

Tuition reimbursement

Well-being Programs

Employee Discounts

On-Demand Pay

Job summary

Mercyhealth is seeking an experienced Patient Financial Services professional to audit, bill, and resolve complex claims within the Epic SBO environment. You will handle workers' compensation, third-party liability, denials, and refunds, while maintaining HIPAA compliance and high productivity in a hybrid setting.

In this role you’ll collaborate with payer, patient, and attorney offices, review documentation, and advance accounts through the revenue cycle from intake to payment, ensuring

Qualifications

• High school diploma or equivalent.
• Microsoft Excel required and healthcare billing experience preferred.
• 2 - 3 years customer service experience preferred or 1 year customer service in medical field preferred.
• Ability to work with multiple software applications simultaneously.
• Basic understanding of working in hospital/clinic billing environments.

Responsibilities

• Research and perform audits on patient accounts to ensure correct payer billing.
• Identify if charges on a patient’s account are correct using available information such as medical records and charts.
• Understand collection laws for workers' compensation and third party liability.
• Learn and operate Epic SBO environment and related applications.
• Respond to inquiries from patients, insurers, and outside vendors via mail, phone, or email.
• Verify claims received by payers and follow up to obtain payment.
• Draft appeal letters as needed and escalate as necessary.

Skills

Account auditing

Denial resolution

HIPAA compliance

Team collaboration

Attention to detail

Customer service

Epic SBO

Education

High school diploma or equivalent

Tools

Epic

Agility

Connex

Kronos

OneSource

MS Word

MS Outlook

Claim Source

On-Base

Job description

Mercyhealth is seeking an experienced Patient Financial Services professional to audit, bill, and resolve complex claims within the Epic SBO environment. You will handle workers' compensation, third-party liability, denials, and refunds, while maintaining HIPAA compliance and high productivity in a hybrid setting.

In this role you’ll collaborate with payer, patient, and attorney offices, review documentation, and advance accounts through the revenue cycle from intake to payment, ensuring