Revenue Cycle Specialist IV

4100 Exact Sciences Corp; United States; À distance; USD 31 000 - 62 000; Plein temps

Résumé du poste

Abbott is hiring a Senior Revenue Cycle Specialist to serve as a key resource within the Revenue Cycle department. You will coordinate with cross-functional partners, direct prioritization of work, and support leadership on strategic Revenue Cycle initiatives.

The role requires 4+ years in billing or revenue cycle, strong Microsoft Office and ERP experience, and HIPAA knowledge. This is a remote position within the United States, with travel as needed.

Qualifications

• 4+ years of experience in Billing, Insurance, or Revenue Cycle functions.
• Experience interpreting remittances (EOPs), handling rejections, and managing appeals.
• Experience using multiple computer systems, including Microsoft Office Suite, Excel, Epic, and OnBase.
• Working knowledge of HIPAA regulations.
• Working knowledge of medical terminology, medical billing, and insurance terminology.
• Experience with EDI transactions and insurance payer communications.

Responsabilités

• Serve as the department's primary vendor support and liaison, including training, onboarding, documentation creation, audit support, and communication management between Exact Sciences and vendor operations.
• Support leadership in the Quality Program and evaluate suggested changes before leadership approval.
• Own escalated system issues between Revenue Cycle Team and Systems, acting as primary conduit.
• Assist leadership with day-to-day assignments and prioritization of workload; onboard new members.
• Partner with peers across Revenue Cycle to ensure cross-team communication; develop workflows for new tests.
• Lead meetings in leadership's absence and support cross-departmental projects.
• Contribute to process improvements with strong attention to detail and organization.

Connaissances

Billing experience

Revenue cycle knowledge

HIPAA knowledge

Analytical thinking

Communication skills

Formation

High School Diploma or GED

Outils

Microsoft Office Suite

Excel

Epic

OnBase

Description du poste

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 122,000 colleagues serve people in more than 160 countries.

JOB DESCRIPTION:

The Senior Revenue Cycle Specialist acts as a key support resource within the Revenue Cycle department. This role is responsible for facilitating collaboration among the Revenue Cycle Team's cross-functional partners. In this position, the Senior Revenue Cycle Specialist works closely with Exact Sciences Laboratories Revenue Cycle leadership to direct the prioritization of work efforts within the Revenue Cycle Specialist team. Based on guidance from cross-functional partners, the Senior Revenue Cycle Specialist collaborates with all members of the Exact Sciences Laboratories Revenue Cycle leadership team to ensure alignment and implementation of strategic Revenue Cycle processes.

Essential Duties Include, but are not limited to, the following: Serve as the department's primary vendor support and liaison, including training, onboarding, documentation creation, audit support, and leading or monitoring communication between Exact Sciences and vendor daily operations. Support leadership in the department's Quality Program and evaluate suggested changes before submission for leadership approval. Take ownership of escalated system issues between the Revenue Cycle Team (RCT) and Systems, serving as the primary conduit between RCT and supporting departments. Assist leadership with day-to-day assignments and prioritization of the Specialist team's workload. Responsible for onboarding new team members. Partner with peers across the Revenue Cycle Team to ensure effective communication between teams. Support development of departmental workflows as new tests are implemented through the Exact Sciences pipeline. Assist Specialists as directed by leadership. Lead meetings in the absence of leadership. Utilize Microsoft Office and EMR reporting tools to support team initiatives and leadership requests. Participate in cross-departmental project initiatives as needed. Actively contribute to process improvement initiatives. Demonstrate strong attention to detail, organization, and record-keeping skills. Apply excellent analytical skills and a strong understanding of business processes. Remain disciplined, self-motivated, and reliable. Work independently while maintaining focus on assigned tasks. Maintain motivation, a positive attitude, and a commitment to quality work. Complete assigned tasks accurately and within established timelines. Adapt effectively to changing workloads and circumstances and respond quickly to new information. Conduct all interactions with Exact Sciences team members, clients, and associates in a professional manner. Build and maintain strong working relationships with peers at all levels of the organization. Demonstrate excellent written and verbal communication skills, including the ability to communicate process updates effectively. Uphold company mission and values through accountability, innovation, integrity, quality, and teamwork. Support and comply with the company's Quality Management System (QMS) policies and procedures. Maintain reliable attendance and work designated schedules, including overtime as needed. Work on a mobile device, tablet, or computer screen and perform typing activities for approximately 90% of a typical workday.

Minimum Qualifications

• High School Diploma or General Education Degree (GED).
• 4+ years of experience in Billing, Insurance, or Revenue Cycle functions, including interpreting remittances (EOPs), handling rejections, and managing appeals.
• 4+ years of experience using multiple computer systems, including but not limited to Microsoft Office Suite, Excel, Epic, and OnBase.
• Proven ability to solve complex problems related to workflow processes.
• Working knowledge of HIPAA regulations.
• Working knowledge of medical terminology, medical billing, and insurance terminology.
• Working knowledge of EDI transactions and insurance payer communications.
• Demonstrated ability to perform the essential duties of the position with or without reasonable accommodation.
• Authorization to work in the United States without sponsorship.

Preferred Qualifications

• Experience with project management.
• Peer mentoring experience.
• Experience supporting multiple workstreams concurrently.
• Experience creating and maintaining process documentation using Microsoft Excel or similar applications.

Position Summary

This senior-level role serves as a key operational resource for the Revenue Cycle department, providing vendor management, quality oversight, systems issue resolution, team onboarding, workflow development, process improvement support, and cross-functional collaboration while assisting leadership in daily operations and strategic initiatives.

The base pay for this position is $22.45 – $44.85/hour In specific locations, the pay range may vary from the range posted.

JOB FAMILY: Accounts Payable & Receivables, Credit & Collection, & Payroll

DIVISION: ONCO Cancer Diagnostics

LOCATION: United States of America : Remote

ADDITIONAL LOCATIONS:

WORK SHIFT: Standard

TRAVEL: Yes, 5 % of the Time

MEDICAL SURVEILLANCE: No

SIGNIFICANT WORK ACTIVITIES: Continuous sitting for prolonged periods (more than 2 consecutive hours in an 8 hour day), Keyboard use (greater or equal to 50% of the workday)

Abbot is an Equal Opportunity Employer of Minorities/Women/Individuals with Disabilities/Protected Veterans. EEO is the Law link - English: http://webstorage.abbott.com/common/External/EEO_English.pdf EEO is the Law link - Espanol: http://webstorage.abbott.com/common/External/EEO_Spanish.pdf

Abbott is about the power of health. For more than 135 years, Abbott has been helping people reach their potential — because better health allows people and communities to achieve more. With a diverse, global network serving customers in more than 160 countries, we create new solutions — across the spectrum of health, around the world, for all stages of life. Whether it’s next‑generation diagnostics, life-changing devices, science‑based nutrition, or novel reformulations, we are advancing some of the most innovative and revolutionary technologies in healthcare, helping people live their best lives through better health. The people of Abbott come to work each day with relentless energy, enthusiasm and a promise to enhance the health and well‑being of millions of people. They push the boundaries to help manage and treat some of life’s greatest health challenges. We invite you to explore opportunities at Abbott, to see if your talents and career aspirations may fit with our openings. An equal opportunity employer, Abbott welcomes and encourages diversity in our workforce.

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