Revenue Operations Support Specialist II

SCP Health; Lafayette (LA); Hybrid; USD 21,000 - 29,000; Full time

Benefits offered by this job

Medical dental vision benefits

401(k) plan with company match

Paid time off and holidays

Professional development support

Employee wellness resources

Job summary

SCP Health is hiring a Billing Specialist in Lafayette, LA, offering a hybrid work model with remote work flexibility. You will track and trend chart/edit volumes, ensure timely processing, and coordinate with offshore partners to resolve complex edits while maintaining billing quality and compliance.

The role requires attention to detail, strong communication skills, and experience with Microsoft Office. A high school diploma is required, with preferred medical billing experience.

Qualifications

• High school diploma or equivalent required.
• One year experience in medical billing preferred.
• Experience in Microsoft Excel, Word & Outlook.

Responsibilities

• Track, report and trend chart and edit volume to ensure timely processing and workflow integrity.
• Evaluate and ensure proper chart flow meeting deadlines.
• Monitor departmental inventory by process and report to management daily.
• Research complex edits and implement resolutions to prevent denials and increase billing quality.
• Outbound calls to insurance carriers for additional data gathering.
• Examine KAV reports monthly; determine top denials; initiate resolutions.
• Report out for MOR.
• Follow up on complex edit issues and collaborate with offshore partners.
• Help meet deadlines and target inventories by processing edits as needed.
• Maintain knowledge of departmental policies.

Skills

Detail oriented

Organized

Data tracking

Interpersonal skills

Written and oral communication

Word Excel Outlook

Education

High school diploma or equivalent

Tools

Microsoft Excel

Microsoft Word

Microsoft Outlook

Job description

At SCP Health, what you do mattersAs part of the SCP Health team, you have an opportunity to make a difference. At our core, we work to bring hospitals and healers together in the pursuit of clinical effectiveness. With a portfolio of over 8 million patients, 7500 providers, 30 states, and 400 healthcare facilities, SCP Health is a leader in clinical practice management spanning the entire continuum of care, including emergency medicine, hospital medicine, wellness, telemedicine, intensive care, and ambulatory care.Why you will love working here:- Strong track record of providing excellent work/life balance.- Comprehensive benefits package and competitive compensation.- Commitment to fostering an inclusive culture of belonging and empowerment through our core values - collaboration, courage, agility, and respect.Primary Duties and Responsibilities:Responsible for tracking, reporting and trending chart and edit volume to ensure timely processing and workflow integrityEvaluate and ensure proper chart flow ensuring deadlines are metMonitor departmental inventory by process and report to management dailyCommunicate and follow up on volume not processed as deadlines approachResearch complex edits escalated to the department and implementing resolutions that result in denial prevention and an increase in billing quality and revenueOutbound calls to insurance carriers for additional data gatheringExamine KAV reports on a monthly basisDetermine top denialsInitiate resolutionReport out for MORFollow up and resolution to complex edit issuesFrequent communication with offshore partners regarding deadlines and edit resolutionAssist in meeting deadlines and target inventories by processing edits when neededMaintain a comprehensive knowledge of the departmental policies and proceduresKnowledge, Skills, and Abilities:Detail oriented and organizedSelf-motivated; capable of compiling/tracking data to meet deadlines and goalsExcellent interpersonal skillsAbility to work equally well individually and in a team environment and adhere to our CORE values of Agility, Courage, Collaboration and RespectProfessional attitude and demeanorWritten and oral communication skillsProficient computer knowledge of Word, Excel, Windows and OutlookQuick learner with an aptitude for custom computer systemsPrevious success and comfort with entering data for extended time periods and limited interruptionsEDUCATION (Required and/or Preferred):High school diploma or equivalent requiredFIELD OF STUDY (Preferred):Business or healthcare related fieldSUPERVISION EXERCISED:N/AQUALIFICATIONS:Previous Experience:One year experience in medical billing preferredOne year experience in a fast-paced production environmentExperience in Microsoft Excel, Word & OutlookKnowledge, Skills, and Abilities:Detail oriented, organized, self-motivatedCapable of compiling/tracking data to meet deadlines and goalsExcellent interpersonal skillsQuick learner with an aptitude for custom computer systemsPrevious success and comfort with entering data for extended time periods and limited interruptionsCertification and Licenses:N/ACONTACTS INSIDE AND OUTSIDE THE ORGANIZATION:Examples of the information needed:Daily contact with Department LeadershipFrequent contact with offshore partners written and oralFrequent contact with insurance carriers and facilities via phone callsWORK ENVIRONMENT AND PHYSICAL DEMANDS:Hybrid work schedule (40 hours/week); ability to work well independently in a remote setting or in the officeCourteous and professional interactions with co-workers and outside partiesOccasional overtime may be requiredContinuous oral & written communication and listening skillsHigh level of integrity, accuracy, honesty, loyalty, and trustOffice noise and distractions must be minimized to promote quality and productive workJob requires a high level of mental awareness and concentration abilityHigh level of independence; will usually work in solitude and will assume the responsibilities of prioritizing, and determining workloadAbility to be flexible with duties and responsibilitiesPRIMARY LOCATION:Home Based or Lafayette, LASECONDARY LOCATION(S):N/ACONFIDENTIALITY:The daily activities of this position will be held in the strictest confidence whether it is in regard to a person, individual and/or a strategic initiative. Confidentiality must be maintained on any and all documents and/or information processed.COMPLIANCE:All SCP Health employees will abide by all policies and procedures including the SCP Health Corporate Compliance Program and will adhere to all applicable local, state, and federal laws.DISCLAIMER:The above statements reflect the general duties considered necessary to describe the essential functions of the job as identified and shall not be considered as a detailed description of all work requirements which may be inherent in the position. They may be subject to change at any time due to reasonable accommodation or other reasons.#LI-PM1Pay Range:15.00 - 21.00 USD per hourThis range represents the anticipated base salary for this role. Actual compensation will be determined based on experience, qualifications, and internal equity considerations.-We offer a comprehensive benefits package designed to support your health, financial well-being, and work-life balance, including medical dental, vision insurance, a 401(k) plan with a company match, paid time off and holidays, professional development support, and employee wellness resources.Visit our website for further information. https://myscpbenefits.com/Login name: corp-guestPassword: weheal