Revenue Cycle Project Specialist

Western Missouri Medical Center; Warrensburg (MO); On-site; USD 32,000 - 52,000; Full time

Job summary

Western Missouri Medical Center is seeking a detail-oriented billing specialist to drive projects until balances become self-pay or zero balance. You will trend claim denials, communicate findings to the supervisor, and work identified trends as directed.

Responsibilities also include handling inquiries from patients, processing data per hospital policy, and maintaining accuracy under deadlines. A high school diploma and MO or KS residency are required.

Qualifications

• High school diploma or equivalent.
• Ability to communicate with various insurance payers.
• Current residency in the state of Missouri or Kansas is required.
• Must be self-motivated and have the ability to work within the established policies, procedures and practices prescribed by the hospital/clinic.

Responsibilities

• Meet productivity standards as outlined.
• Trend claim denials, advises supervisor of trends in order to improve processes with the department.
• Work identified trends as a project by following the given direction.
• Handle inquiries from patients/customers as needed after identification has been verified.
• Process data in accordance with company policies and confidentiality standards.
• Identify and correct errors in data entry.
• Assist co-workers as needed/requested.
• Communicate discrepancies or system issues to supervisor.
• Maintain a positive rapport with all customers.
• Appropriately handles telephone and email communications.
• Support the Medical Center’s Mission/Vision/Philosophy positively.
• Maintain regular and predictable attendance.
• Perform other essential duties as assigned.

Skills

Payer communication

Self-motivation

Policy adherence

Education

High school diploma or equivalent

Residency in Missouri or Kansas

Job description

Description

PURPOSE STATEMENT

This position is responsible for working on identified projects until the balance becomes self-pay or zero balance.

ESSENTIAL FUNCTIONS

• Meet productivity standards as outlined.
• Trend claim denials, advises supervisor of trends in order to improve processes with the department.
• Work identified trends as a project by following the given direction.
• Handle inquiries from patients/customers as needed after identification has been verified.
• Process data in accordance with company policies and confidentiality standards.
• Identify and correct errors in data entry.
• Assist co-workers as needed/requested.
• Communicate discrepancies or system issues to supervisor.
• Maintain a positive rapport with all customers.
• Appropriately handles telephone and email communications.
• Support the Medical Center’s Mission/Vision/Philosophy positively.
• Maintain regular and predictable attendance.
• Perform other essential duties as assigned.

Requirements

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS

• High school diploma or equivalent.
• Ability to communicate with various insurance payers.
• Current residency in the state of Missouri or Kansas is required.
• Must be self-motivated and have the ability to work within the established policies, procedures and practices prescribed by the hospital/clinic.

PHYSICAL/MENTAL REQUIREMENTS

• Must be able to use standard office equipment, including the telephone and computer keyboard.
• Continuously works under pressure of near 100% accuracy while meeting inflexible deadlines.
• Frequently stands, walks, sits and utilizes eye/hand coordination and color definition.
• Occasionally reaches above shoulder, regularly required to lift and/or carry up to 40 lbs.
• Occasionally walks on uneven surfaces.
• Ability to travel 1% of the time, including flying and driving rental cars.
• To accommodate travel, must be able to transport own suitcases and portable computer estimated at 25 pounds.