Revenue Cycle Specialist at Cleveland Area Hospital

Cleveland, Oklahoma, United States -

Full Time

Start Date

Immediate

Expiry Date

31 May, 26

Salary

0.0

Posted On

03 Mar, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Employee Adjustments, Private Pay Collections, Customer Service, Posting Charges, Answering Phones, Billing, Appeals, Account Review, Statement Review, Medicaid Billing, Claim Review, Collection Agencies, Payment Arrangements, HIPAA Compliance, Organizational Skills, Communication Skills

Industry

Hospitals and Health Care

Description

Description POSITION SUMMARY: Under the direction of the Revenue Cycle Manager, the employee in this position is responsible for employee adjustments, private pay collections, customer service, posting charges, answering phones, billing and appeals. · Are you passionate about patient care? · Would you enjoy being an integral part of a team on the verge of new hospital construction? · Are you motivated by ongoing improvement and an opportunity to make a measurable impact on rural healthcare in Oklahoma? CLEVELAND AREA HOSPITAL is an independent, self-managed Critical Access Hospital, half an hour west of Tulsa, Oklahoma. As the only hospital in Pawnee County, we are constantly striving to provide the highest level of care by continuously growing and updating our services and equipment. Our facilities include a Level IV Trauma Center/ER, Skilled Nursing/Swing Bed program, Respiratory Therapy, CT, 3D Mammography, a fully equipped Outpatient Rehabilitation Center, 24/7 Lab, and a Primary Care Clinic. The organization is a Regional Healthcare Provider in its 10th year of consistent leadership. Continuing the spirit of growth, healing, and service-driven healthcare established when the hospital first opened in 1963, Cleveland Area Hospital is on track to build a new facility, expand our services, and better serve our patients and communities. BENEFITS: • Competitive pay • 401k with up to 4% matching after the first year • Excellent PTO accrual from the date of hire • Generous Tuition Reimbursement Program • Discounts on our Health Services • Employee Appreciation and Engagement o Birthday, Anniversary, and New Hire Gifts o Uniform Vouchers (annually and upon hire) o Employee Engagement events o Employee Referral incentives PRINCIPAL JOB DUTIES AND RESPONSIBILITIES: Adhere to all policies of the organization, including (but not limited to) job description, certification/licensure requirements, mission statement, HIPAA, confidentiality standards, and patients’ rights. Actively engage and stay up to date with the organization’s communications and directives. Daily review of private pay accounts Review statements prior to release Ensures the patient receives three statements Reviews daily posting for accuracy Updates job knowledge by participating in educational opportunities, reading professional publications, and keeping current on Medicaid billing and reimbursement procedures. Serves and protects the hospital community by adhering to professional standards, hospital policies and procedures, federal, state, and local requirements Accomplishes the billing department and hospital mission by completing related tasks as needed Appeals claims as needed Bills assigned claims in Athena and or Cerner. Reviews claims within Rev-Manager for appropriateness of claim. Answers phone in a professional manner Maintains quality results by following standards. Enhances the billing department and hospital reputation by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments. Utilizes collection agencies and small claims court to collect accounts by evaluating and selecting collection agencies; determining appropriateness of pursuing legal remedies; and testifying for the hospital in court cases. Collects delinquent accounts by establishing payment arrangements with patients, monitoring payments, and following up with patients when payment lapses occur. Maintain professional attire. Maintain patient confidentiality at all times. Wear an identification badge while on duty. Create detailed notes in the system to reflect all actions performed on the account. Performs a variety of tasks as assigned by the supervisor. Assist with Daily deposit as needed. Assist with the payment floor as needed. Set up payment arrangements. Scans EOB’s to Cerner as needed. Works unpostables in Athena as needed. Assists with the Medicare bad debt report as needed. Other duties as assigned. Equipment: Computer and Printer Fax Machine Copy Machine Telephone Requirements Educational/Skills Required: High school diploma required. Prefer experience in billing, excel and business environments. The employee in this position must possess excellent communication and organizational skills to interact with patients and staff. Experience: Two to five years’ experience in a Healthcare business office, billing, and collections, either in a hospital or a physician’s office. Responsibility for Confidential Information: This position may have access to patient confidential records and must comply with HIPAA regulations and Hospital Compliance Policies. Supervisory Experience: This position has no supervisory responsibilities. Working Conditions: Primarily sitting, sometimes standing. Utilizes good hearing, vocal, and visual skills. Occasionally requires walking about, bending, and stretching. Equipment, boxes, materials, or supplies that are lightweight (under 50 lbs) may require infrequent lifting, pushing, or pulling. The incumbent works under good conditions in a clean environment. The above statements reflect the general details considered necessary to describe the principal function of the job as identified, and shall not be considered as a detailed description of all work requirements that may be inherent to this position. EEO STATEMENT: Cleveland Area Hospital/Lake Area Medical Associates is an equal opportunity employer and considers all qualified applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and all other protected classes.

Responsibilities

The specialist is responsible for managing employee adjustments, private pay collections, customer service, posting charges, answering phones, billing, and handling claim appeals under the direction of the Revenue Cycle Manager. Key duties include daily review of private pay accounts, ensuring statement accuracy, updating job knowledge on reimbursement procedures, and utilizing collection agencies for delinquent accounts.