Revenue Cycle Specialist II

Southeast Health; United States; On-site; USD 55,000 - 75,000; Full time

Job summary

Southeast Health is seeking a Revenue Cycle Specialist II to perform daily reimbursement activities, including claims filing and follow-up, payment entries, and AR management. You’ll identify errors, support the billing process, and coordinate with clinical and coding teams to ensure accurate charges and timely reimbursements.

The role emphasizes collaboration with insurers and patients, adherence to billing regulations, and delivering professional customer service in hospital and clinic

Qualifications

• High School diploma or equivalent.
• Prefer one year of revenue cycle experience.
• Working knowledge of CPT and ICD-10 coding systems.
• Coding Certification preferred.
• Working knowledge of computers.

Responsibilities

• Works as part of a multi-disciplinary team to provide answers to inquiries and questions.
• Troubleshoot problems and provide information; handle referrals with professional customer service.
• Provides a variety of support services in day-to-day operations in a health care environment.
• Maintains working knowledge of regulatory guidelines for billing.
• Provides claim submission for services provided at SEH.
• Provides follow up on claims which did not process correctly.
• Reviews correspondence daily for appropriate follow up.
• Works closely with clinical team for accurate charges and modifiers.
• Verifies third-party payer coverage; coordinates authorizations when appropriate.
• Works closely with coding team for accurate submission on claim.
• Process and follow up on payer denials; research and resolve billing issues.
• Assist patients and families with financial assistance; establish payment plans when applicable.

Skills

Revenue cycle experience

CPT/ICD-10 coding knowledge

Coding Certification preferred

Excellent communication skills

Job description

## Revenue Cycle Specialist IIApply: SE Health Hospital: Full time: Posted Today: JR15874# **Southeast. Always the right career direction.**## **Job Description Summary**Job Profile Summary Performs daily activities involved in the reimbursement process, i.e., claims filing/follow-up, entry of payments/adjustments, follow-up on non-payment or payments below contracted fee schedule amount. Identifies any repetitive errors, either system/manual so that corrective action may be taken and documented. Performs all tasks in a timely manner to ensure consistency in Accounts Receivables totals and maintain a minimum of days in A/R.## **Job Description**Job Description**QUALIFICATIONS:*** High School diploma;* Prefer one year of revenue cycle experience;* Working knowledge of CPT and ICD 10 coding systems;* Coding Certification preferred;* Working knowledge of computers.### **LANGUAGE/ COMMUNICATION SKILLS:*** Excellent written, verbal and interpersonal skills;* Ability to interact with customers in both hospital and clinic environments.**SKILLS****:*** Basic keyboard/typing skills;* Basic computer skills;* Calculator skills.**POSITION DUTIES:*** Works as part of a multi-disciplinary team to provide answers to inquiries and questions;* Troubleshoot problems and provide information;* Handle intervention or referrals with a professional and respectful customer service focus telephonically and/or in person;* Provides a variety of support services in connection to the day-to-day operations in a health care environment;* Maintains working knowledge of regulatory guidelines for billing;* Provides claim submission for services provided at SEH;* Provides follow up on claims which did not process correctly;* Provides follow up with insurance companies or individuals to obtain accurate reimbursement;* Reviews correspondence daily for appropriate follow up;* Works closely with clinical team for accurate charges and modifiers;* Verifies third party payer coverage;* Coordinates authorizations when appropriate;* Works closely with coding team for accurate submission on claim;* Process and follow up on payer denials, consulting with various entities for completion;* Research and resolve client billing problems or issues;* Provide communication on the methods and principles used for billing to the customers and resolve concerns;* Study contractual terms and conditions of payment to ensure payments are made consistent with terms;* Conduct work functions to assist with late charge processes;* Works closely with third party collection vendors for accurate payment records;* Assist patients and their families with applying for financial assistance;* Establish payroll deduction transactions;* Make daily deposits to the bank;* Ensure change fill requests are complete for department’s daily function;* Work with patients to develop self-pay arrangements and payment plans when applicable;* Post payments for both insurance and individuals;* Review accounts and initiate refunds when applicable;* Communicate self-pay balances for upcoming services and collect balances due;* Work with accounting department for accurate financial documentation;* Edit account for correct coverage documentation;* Apply contractual adjustments in accordance with contracts;* Print, scan and index correspondence to the appropriate account;* Works closely with electronic payment process vendor for accurate posting and adjustments electronically;* Oversee the electronic flow of the account through the billing process to include bad debt;* Handle bankruptcies and liens;* Manage billing for specialty payers or service lines;* Handle credit balances for professional and facility claims;* Manage client billing and collections;* Performs all other duties as assigned.## **Shift**Day## Shift Details8:00 am - 4:30 pm## **FTE**1## **Type**Regular