Revenue Cycle Specialist

Talentify; Madisonville (KY); On-site; USD 65,000 - 75,000; Full time

Job summary

Baptist Health in Madisonville, KY seeks a Revenue Cycle Specialist to develop and maintain reimbursement models for hospital and physician services. The role supports managed care negotiations, revenue-cycle auditing, and denial management to forecast financial profitability.

The ideal candidate has a BS or equivalent in a related field and at least 3 years of Revenue Cycle analytics experience in healthcare, with knowledge of BI/Analytics tools.

Qualifications

• BS or equivalent degree in Finance, Management, IT, Statistics or related field.
• Experience in Revenue Cycle operations and/or Revenue Cycle analytics in a multi-dimensional healthcare environment.
• Knowledge of Revenue Cycle and BI/Analytics tools such as payment modeling, auditing and denial management.

Responsibilities

• Develop and maintain accurate reimbursement models for hospital and physician services.
• Support managed care negotiations, payment auditing and denial management.
• Forecast financial profitability based on Revenue Cycle analytics.

Skills

Revenue cycle operations

BI/Analytics tools

Payment modeling

Auditing

Denial management

Education

BS or equivalent in Finance/Management/IT/Statistics

Job description

Job Description:

Baptist Health is looking for a Revenue Cycle Specialist to join our team in Madisonville, KY

The Revenue Cycle Specialist will be responsible for the development and maintenance of accurate reimbursement models for both hospital and physician services in support of managed care negotiations, payment auditing, denial management, and financial profitability forecasting.

Requirements

A minimum BS or equivalent degree in Finance, Management, Information Technology, Statistics or related field. Knowledge and experience with Revenue Cycle and BI/Analytics tools such as payment modeling, auditing and denial management. A minimum of 3 years’ experience in Revenue Cycle operations and/or Revenue Cycle analytics in a multi-dimensional healthcare environment is required.

Baptist Health is an Equal Employment Opportunity employer.