Revenue Cycle Optimizer – Healthcare Payments

Aegis Sciences Corp; Brooklyn Heights (TN); On-site; USD 65,000 - 85,000; Full time

Job summary

Aegis Sciences Corporation is seeking a Revenue Cycle Specialist II to analyze and optimize financial processes within a healthcare setting in the Greater Nashville area. You will handle patient registration, coding, claims submission, and collections, while focusing on accuracy and timely payments.

Ideal candidates bring strong ICD9/ICD10/CPT/HCPCS knowledge, proficiency with MS Office, and experience mentoring others in a fast-paced environment.

Qualifications

• High School diploma or GED required; higher degrees preferred.
• With a HS diploma, a minimum of five (5) years of revenue cycle experience in a hospital, laboratory, ambulatory surgery center, or large medical practice with a minimum of two (2) years in denials management required; With a Bachelor’s degree, a minimum of two (2) years of finance/accounting experience required.
• Knowledge of ICD9, ICD10, CPT, and HCPCS coding strongly required.
• Strong working knowledge of Microsoft Office, including Excel and Outlook.
• Ability to take direction and follow Standard Operating Procedures with a high degree of accuracy.
• Strong attention to detail and the ability to work in a fast-paced, team-oriented environment with a focus on communication required.
• Demonstrated ability to lead initiatives and mentor others.

Responsibilities

• Analyze and optimize the financial processes within a healthcare organization, including patient registration, billing, coding, claims submission, and collections.
• Collaborate with Revenue Cycle Business Analysts and Revenue Cycle Financial Analysts.
• Review and process complex Medical Records Requests for accuracy and completeness.
• Submit carrier appeals and reconsideration requests per SOPs; suggest SOP improvements.
• Verify and upload all relevant claims and appeal documentation into OnBase.
• Mentor and train new team members; lead small-scale process improvement projects.

Skills

Medical coding

MS Office

Attention to detail

Leadership

SOP compliance

Communication skills

Education

High School diploma or GED

Associate’s or Bachelor's degree in Business, Finance, or related discipline preferred

Tools

Excel

Outlook

Microsoft Office

Job description

Aegis Sciences Corporation is seeking a Revenue Cycle Specialist II to analyze and optimize financial processes within a healthcare setting in the Greater Nashville area. You will handle patient registration, coding, claims submission, and collections, while focusing on accuracy and timely payments.

Ideal candidates bring strong ICD9/ICD10/CPT/HCPCS knowledge, proficiency with MS Office, and experience mentoring others in a fast-paced environment.