Description:
The Revenue Cycle Specialist (RCS) oversees the revenue cycle for assigned clients and is responsible to ensure clients meet targets for KPIs, retention, and time to revenue. The RCS will serve as the primary point of contact for the Sutherland Global RCM team.
This is a remote position, however, applicants must reside in one of the following states: FL, GA, ID, IN, KS, LA, MD, MI, MN, NC, OH, PA, TN, TX, UT, VA, WY
Applicants must be authorized to work for ANY employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.

EDUCATION / PROFESSIONAL CERTIFICATIONS OR LICENSES REQUIRED:

• College Degree, Professional Certifications and / or some combination of related experience
• CPC (a plus)

EXPERIENCE REQUIREMENTS:

• Minimum of 2 years of full cycle RCM, EMR, and Customer Service experience
• CPT and ICD10 knowledge
• Microsoft office
• Google Docs

Work Environment / Physical demands/ Travel Requirements:

• Long hours on computer and phone
• Minimal lifting requirements
• Travel to conferences and remote offices
• Nights and weekend as needed

AMERICANS WITH DISABILITIES ACT STATEMENT:

Our company is committed to providing equal employment opportunities to otherwise qualified individuals with disabilities, which may include providing reasonable accommodation where appropriate. In general, it is your responsibility to notify your supervisor of the need for accommodation. Upon doing so, your supervisor may ask you for your input or the type of accommodation you believe may be necessary or the functional limitations caused by your disability. Also, when appropriate, we may need your permission to obtain additional information from your physician or other medical or rehabilitation professionals

• Provide guidance and education to the Sutherland team on clarifications, help items, and resolving outstanding AR
• Report monthly denial and rejection trends internally and externally and recommend process improvements to prevent future denials and rejections
• Establish and maintain system parameters that support timely submission of claims to payers resulting in payment maximization that is both efficient and effective.
• Improve operational efficiencies to include OP software performance and assist with automation initiatives
• Independently identify and resolve process shortfalls.
• Actively participate in internal RCM and Sutherland huddles
• Maintain regular contact with RCM Vendor via meetings, email, and OP messages
• Ensure all account reviews are documented in Salesforce and client specific instructions are documented on the client blueprint
• Approve and implement workflow modifications to meet client needs that may have significant financial impact to OP and/or the practice
• Identify at-risk clients and determine actions required to resolve concerns and retain clients
• Maintain expert knowledge of payer guidelines for assigned geographic areas
• Maintain functional knowledge of OP enhancements and improvements.
• Maintain up-to-date awareness of healthcare industry standards and the overall landscape of pediatric medicine
• Complete offboarding process for clients exiting RCM services
  Requirements: