Revenue Cycle Specialist

Cook Children's Health Care System; Fort Worth (TX); On-site; USD 55,000 - 80,000; Full time

Job summary

Cook Children's Health Care System in Fort Worth, TX is seeking a Revenue Cycle Specialist to ensure billing transactions are accurate for uninsured patients with Good Faith Estimates (GFE) before services. You will address questions and disputes related to the No Surprises Act (NSA) and conduct research of charges and GFEs to support appropriate reimbursement.

The role sits within the SBO, integrating customer service and self-pay collection across the medical center and physician network to

Qualifications

• High school diploma or equivalent.
• 3 years of experience in hospital and physician revenue cycle (patient access, patient financial services, and finance).
• Ability to type, spell, write or print legibly with accurate data entry skills and use computer and other office equipment.
• Ability to perform complex mathematical calculations and prioritize competing demands.
• Multitasking required.
• Strong knowledge of medical terminology, such as CPT and diagnosis codes.
• Epic Systems experience preferred.

Responsibilities

• Verify billing transactions for uninsured patients with GFEs.
• Research charges, GFEs, and NSA-related issues to determine reimbursement.
• Respond to questions and disputes from patients/guarantors.
• Support the IDR process within SBO framework.

Skills

Data entry

Mathematical calculations

Multitasking

Medical terminology

Customer service

Education

High school diploma or equivalent

Bachelor's degree (preferred)

Tools

Epic Systems

Job description

Location

Calmont Operations Building

Department

CBO/Patient Financial Services

Shift

First Shift (United States of America)

Standard Weekly Hours

40

Summary

The Revenue Cycle Specialist is responsible for ensuring all transactions at the time of billing are accurate for uninsured patients who have received Good Faith Estimates (GFE) prior to services being rendered in hospital and professional billing. This position will handle questions, complaints and disputes from patients/guarantors related to the No Surprises Act (NSA). Conducts research of charges, coding and GFEs to determine appropriate reimbursement amounts, providing adequate documentation and managing the Federal Independent Resolution (IDR) process. The Cook Children's Cash Management, Customer Service and Document Control departments function as a part of a Single Billing Office (SBO) that supports all of Cook Children's Health Care System. The goal of the SBO is to integrate customer service and self-pay collection activities across Cook Children's Medical Center and Cook Children's Physician Network, providing a single point of contact, a single patient billing statement and increased transparency to guarantors thereby improving the patient collection process and patient experience.

Qualifications

• High school diploma or equivalent
• 3 years of experience in hospital and physician revenue cycle (patient access, patient financial services, and finance)
• Ability to type, spell, write or print legibly with accurate data entry skills and use computer and other office equipment
• Ability to perform complex mathematical calculations and prioritize competing demands
• Multitasking required
• Strong knowledge of medical terminology, such as CPT and diagnosis codes

Preferred

• Bachelor's Degree with 5 years of experience in hospital and physician revenue cycle (patient access, patient financial services, and finance)
• Prior experience of Epic Systems
• Working knowledge of hospital and clinical healthcare delivery

About Us

Cook Children's Medical Center is the cornerstone of Cook Children's, and offers advanced technologies, research and treatments, surgery, rehabilitation and ancillary services all designed to meet children's needs.

Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer.