Revenue Cycle Specialist I, II

SCF; Anchorage (AK); On-site; USD 36,000 - 48,000; Full time

Job summary

Southcentral Foundation (SCF) is seeking a Revenue Cycle Specialist I-II to manage complex revenue cycle issues, including denial management, appeals, and payment processing. The role emphasizes accuracy, prioritization of payers, and coordination of benefits in a high-volume environment.

The position offers progression from Revenue Cycle Specialist I to II, with increasing responsibility and independence. Candidates should have relevant education or certifications and a commitment to SCF’s

Qualifications

• Bachelor degree in accounting, health care administration, finance, or business; or related certification such as CPCRC, CPC, NCICS, CRCR or HFMA. Alternatively, equivalent work experience in revenue cycle.

Responsibilities

• Manage complex revenue cycle issues including revenue recovery, quality assurance, and appeals.
• Serve as a subject matter expert in denial management and appeals, payment processes, and coordination of benefits.
• Provide training/mentorship within the department and troubleshoot complex account issues.

Skills

Detail Oriented

Team Player

Functional Expert

Education

Bachelor degree in accounting, health care administration, finance, or business; or related certifications (see qualifications)

Job description

Revenue Cycle Specialist I
Hiring Range $22.99 to $30.66
Revenue Cycle Specialist II
Hiring Range $26.33 to $35.10

Summary of Job Responsibilities:

The Southcentral Foundation (SCF) Revenue Cycle Specialist is responsible for managing the most complex day to day issues within revenue cycle. These tasks include revenue recovery, quality assurance, and appeals. The Revenue Cycle Specialist is considered a subject matter expert in denial management and appeals, payment processes, coordination of benefits, prioritization and sequencing of payers, contracts, and exclusions based on payer contracts. The Revenue Cycle Specialist can be relied upon to provide training and mentorship to others within the department. The Revenue Cycle Specialist can solve complex account issues, which require a high degree of technical knowledge and critical thinking.

This position has two (2) levels designed to provide progressively more responsible and independent work experiences. Progression between job levels is based on the demonstrated ability to successfully handle more progressively responsible assignments.

Qualifications:

SCF programs are established to serve a primary population comprised of Alaska Native people who are affiliated with Cook Inlet Region, Inc. (CIRI) and Alaska Native and American Indian people within SCF’s geographical service area. Employees should have a thorough understanding of the cultures and the needs of this population. Such knowledge is critical to ensure the achievement of SCF’s Vision of, “A Native Community that enjoys physical, mental, emotional and spiritual wellness” and SCF’s Mission of, “Working together with the Native Community to achieve wellness through health and related services”:

• Bachelor degree in accounting, health care administration, finance, business, OR Certified Professional in Revenue Cycle Management, Certified Professional Coding Certification or Nationally Certified Insurance & Coding Specialists (NCICS) Certification, or HFMA Certified Revenue Cycle Representative (CRCR) or related field, OR equivalent combination of experience and education; OR demonstrated proficiency working as a Revenue Cycle Technician at Southcentral Foundation.

Additional Qualifications for Revenue Cycle Specialist II:

• Two (2) additional years of revenue cycle experience; OR equivalent combination of experience and education; OR demonstrated proficiency working as a Revenue Cycle Specialist I at Southcentral Foundation.

Native Preference:

Under P.L. 93-638, as amended, the company pursues a policy of Native preference in hiring, contracting and training. SCF Human Resources must receive certification before applicants receive preference.

Employee Health Requirements:

Compliance with our Employee Health procedure is a condition of SCF employment. You are required to agree that you will comply with all job-related employee health screening and immunizations prior to your first day of employment. Jobs designated as a Health Care Personnel (HCP) position, requires that you have documentation that you have completed the following immunizations prior to your first day of employment: MMR (Measles, Mumps and Rubella, Varicella (Chicken Pox), Hepatitis B, Influenza, and T-dap (Tetanus - Diphtheria - Pertussis)

Behaviors

Preferred

Detail Oriented : Capable of carrying out a given task with all details necessary to get the task done well

Team Player : Works well as a member of a group

Functional Expert : Considered a thought leader on a subject

Motivations

Preferred

Financial : Inspired to perform well by monetary reimbursement

Job Security : Inspired to perform well by the knowledge that your job is safe

Work-Life Balance : Inspired to perform well by having ample time to pursue work and interests outside of work

Licenses & Certifications

Required

BCU Approval

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.