Revenue Cycle Flow Specialist: Denials & Payer Recovery

Henry Ford Health; Troy (MI); On-site; USD 42,000 - 72,000; Full time

Job summary

Henry Ford Health seeks a Revenue Cycle specialist to manage insurance recovery and patient pay workflows, under minimal supervision. You will research root causes of denials and design error prevention initiatives while coordinating with HFHS business units to drive performance improvements.

The role emphasizes strong communication, data analysis, and the ability to work independently within a large integrated healthcare system.

Qualifications

• High school degree or equivalent.
• Associate's degree or equivalent years of college education, preferred.
• Two (2) years of experience within healthcare revenue cycle.
• One (1) year of healthcare accounts receivable billing.
• One (1) year of experience with resolving insurance payer denials.
• Experience with both technical (UB) and professional (1500) billing, preferred.
• Experience with billing and follow up of variety of insurance payers, preferred.
• Experience at a large, complex, integrated healthcare organization, preferred.
• Experience with patient billing, patient accounting and other related applications, preferred.
• Experience with EPIC Patient Accounting System, preferred.
• Ability to communicate effectively with colleagues, supervisors, and managers.
• Strong organizational and time management skills required to effectively prioritize workflow to meet third party requirements.
• Ability to work independently.
• Ability to understand and lead change.
• Knowledge of Medical terminology, preferred.
• Ability to analyze data and identify opportunities.

Responsibilities

• Design insurance recovery and patient pay workflows to improve performance.
• Research root causes of denials and develop prevention initiatives.
• Coordinate with CBO staff, HFHS business units and internal customers to drive performance improvements.

Skills

Healthcare revenue cycle

Billing

Data analysis

Change management

Communication

Time management

Education

High school diploma

Associate degree preferred

Tools

EPIC Patient Accounting

Job description

Henry Ford Health seeks a Revenue Cycle specialist to manage insurance recovery and patient pay workflows, under minimal supervision. You will research root causes of denials and design error prevention initiatives while coordinating with HFHS business units to drive performance improvements.

The role emphasizes strong communication, data analysis, and the ability to work independently within a large integrated healthcare system.