Senior Revenue Cycle Specialist

Mercy Care; Atlanta (GA); On-site; USD 60,000 - 80,000; Full time

Job summary

Mercy Care Atlanta seeks a Senior Revenue Cycle Specialist to enhance financial outcomes through expertise in healthcare reimbursement and financial analysis. This role involves leading process improvements, managing compliance, and collaborating across departments to optimize revenue cycle processes.

Benefits

Low-cost medical, dental, and vision insurance plans

Opportunity to get paid daily – through DailyPay

Paid holidays and generous Paid Time Off (PTO)

Up to $4,000 in tuition reimbursement annually

Discounts with major vendors

Qualifications

• 3-5 years of related experience in healthcare patient accounting or customer service.
• Comprehensive understanding of healthcare reimbursement and payment methodologies.

Responsibilities

• Lead Process Improvement projects across various departments.
• Implement revenue cycle improvement initiatives.
• Analyze and manage data to identify revenue and compliance issues.

Skills

Financial Analysis

Analytical Skills

Education

High school diploma or equivalent

Tools

EXCEL

Access programming

Epic systems

Job description

Employment Type:

Full time

Shift:

Day Shift

Description:

Position Purpose: As a Senior Revenue Cycle Specialist at Mercy Care Atlanta, you will leverage your expertise in healthcare reimbursement and financial analysis to drive process improvements across the Revenue Cycle spectrum. Your role will be pivotal in identifying revenue opportunities, managing compliance issues, and implementing strategies to enhance financial outcomes.

What You Will Do:

• Perform all duties of Level I and Level II Revenue Cycle Specialists.

• Lead Process Improvement projects across Patient Access, Billing, Collections, Denial Management, Reimbursement, and Clinical Departments.

• Analyze and manage data to identify revenue and compliance issues.

• Implement revenue cycle improvement initiatives.

• Follow up on third-party and commercial claims, ensuring accuracy and compliance.

• Verify claims addresses, prepare, and mail claims as necessary.

• Manage periodontal records and X-rays, ensuring proper documentation and submission.

• Collaborate with various departments to enhance revenue cycle processes.

Minimum Qualifications:

• High school diploma or equivalent.

• 3-5 years of related experience in healthcare patient accounting or customer service.

• Strong experience in financial analysis within healthcare, preferably from a top consulting firm.

• Advanced proficiency in EXCEL, Access programming, and Epic systems.

• Comprehensive understanding of healthcare reimbursement and payment methodologies, including Medicare, Medicaid, and Managed Care Organizations.

• Strong analytical skills and ability to work with dynamic groups to solve complex revenue cycle issues.

Position Highlights and Benefits:

• Day-1 Benefits (Low-cost medical, dental, and vision insurance plans).

• Opportunity to get paid daily – through DailyPay

• Paid holidays and generous Paid Time Off (PTO)

• Up to $4,000 in tuition reimbursement annually

• Discounts with major vendors; AT&T, Verizon, Ford Motor Company, General Motors, Quicken Loans.
  

Ministry/Facility Information:

Mercy Care Atlanta, a Federally Qualified Health Center (FQHC) and comprised of 300 plus colleagues, is a healthcare organization that provides a range of health services to underserved and vulnerable populations in the Atlanta, Georgia area.

Our Commitment to Diversity and Inclusion

Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.