Revenue Cycle Specialist

Lemaire Scott A Md; Houston (TX); Hybrid; USD 47,000 - 61,000; Full time

Job summary

Baylor College of Medicine in Houston is seeking a Revenue Cycle Specialist to support the AR follow-up team at the Greenway Plaza location, with on-site presence and optional telecommuting. You will assist with training staff, act as first point of contact, resolve patient billing issues, and help departments meet monthly goals through effective billing processes.

Ideal candidates understand accounts receivable follow-up, appeals of denied claims, payer status checks, and guiding less

Qualifications

• High school diploma or GED.
• Three years of relevant experience.

Responsibilities

• Processes complex procedures within the revenue cycle including, but not limited to, coding, collections and payment discrepancies.
• Identifies areas of concern regarding the various areas of the revenue cycle.
• Analyzes trends and issues and proposes appropriate action & possible solutions.
• Consistently exceeds established performance standards.
• Works special projects and follows through to completion.
• Provides guidance and technical work directions to less experienced Patient Account Representatives.
• Performs other job-related duties as assigned.

Education

High school diploma or GED

Job description

Location: Texas Medical Center, Houston, TX

Salary Range: $47,372 to $61,406

FLSA Status: Nonexempt

Work Schedule: Monday - Friday, 8 a.m. - 5 p.m.

Summary

The Revenue Cycle Specialist will assist team members with problems solving, motivate/coach team members to accomplish their goals and enhance their skill set. Key responsibilities include assist with training staff. First point of contact for the team for assistance. Resolves patient billing issues and assist with helping departments meet monthly goals and deadlines. Process billing for various departments. In a timely manner.

This position requires an experienced person that understands Accounts Receivable (AR) follow-up. The person should be very knowledgeable of how to appeal a denied claim and check status of a claim by payer website or placing a telephone call to the payer.
The ideal candidate should have experience/knowledge of AR follow-up, speaking with the insurance company reps for claim status, experience with accessing the payer website for claim information and experience in submitting an appeal for reimbursement.

This position is located at our Greenway Plaza location and will have the opportunity to work onsite and telecommute.

Job Duties

• Processes complex procedures within the revenue cycle including, but not limited to, coding, collections and payment discrepancies.
• Identifies areas of concern regarding the various areas of the revenue cycle.
• Analyzes trends and issues and proposes appropriate action & possible solutions.
• Consistently exceeds established performance standards.
• Works special projects and follows through to completion.
• Provides guidance and technical work directions to less experienced Patient Account Representatives.
• Performs other job-related duties as assigned.

Minimum Qualifications

• High school diploma or GED.
• Three years of relevant experience.

Preferred Qualifications

Work Authorization Requirement:

This position is not eligible for visa sponsorship.Candidates must be legally authorized to work in the United States at the time of application and throughout the duration of employment.

Baylor College of Medicine is an Equal Opportunity/Affirmative Action/Equal Access Employer.

Baylor College of Medicine fosters diversity among its students, trainees, faculty, and staff as a prerequisite to accomplishing our institutional mission and setting standards for excellence in training healthcare providers and biomedical scientists, promoting scientific innovation, and providing patient-centered care. Baylor College of Medicine is an Equal Opportunity/Affirmative Action/Equal Access Employer.