Bancroft · 5 hours ago
Revenue Cycle Data and Systems Specialist
Bancroft is a company focused on promoting respect, equality, and collaboration. They are seeking a Revenue Cycle Data and Systems Specialist who will ensure the integrity and performance of revenue cycle data and technology systems, focusing on optimizing system configuration and supporting reimbursement accuracy.
CommunitiesHealth CareNon ProfitSocial
Responsibilities
Serves as a subject matter expert for revenue cycle EHR systems, clearinghouse, and contracting platforms
Maintains and builds payor code rules, group plan processes, fee schedule alignments, and payer rate structures to ensure accurate charge capture and compliance with payer contracts
Collaborates with IT, Finance, and Operations to align data definitions, ensure consistent reporting, and maintain system security
Assists with system user training, trouble shooting, software testing and implementation, to improve system adoption and accuracy across the revenue cycle team
Identify opportunities for process improvement
Supports implementation and integration projects for new technologies or system enhancements
Assists with Special Projects to support process automation, data validation, and technology optimization initiatives
Completes system maintenance processes such as automation manager, batch service maintenance, duplicates, and voids
Maintains overall knowledge of State and Payer Regulations and Contract Terms
Partner with RCM leadership and cross-functional teams
Monitors and adheres to all compliance standards
Abides by the Bancroft Code of Ethics, Mission Statement, and Vision Statement in promoting ethical behavior, establishing relationships and providing guidance in decision-making situations
Performs other duties as assigned or as necessary. Remain flexible and adaptable in work schedules and work assignments as defined by departmental needs. Remains current with required training certifications, meet state-regulated licensing and regulatory accreditations, and adhere to mandatory requirements
Maintains effective verbal and written communications with colleagues, those served, and their family members and/or guardians when applicable
Maintains a safe and respectful environment, free of abuse, neglect, or exploitation; and does not allow weapons, threats, bullying, or intimidation
Reports any violations to the appropriate individual as soon as the incident occurs
Demonstrates Bancroft’s Core Values (Accountable, Results-Driven, Respectful, Innovative) in the performance of position responsibilities
Qualification
Required
Bachelor's degree required, preferably in business, health care administration or a related field
A minimum of 3 years' in healthcare, systems management or data reporting, all with an emphasis on revenue cycle is preferred
Strong proficiency in Excel, Understanding of RCM metrics such as AR days, denial rates, collections, and net revenue performance
Strong negotiation, verbal and written communication skills. Excellent oral and written communication
Experience using computer and Microsoft tools. Valid driver's license required in incumbent's legal name and current address with no provisional restrictions required
Minimum 18 years of age required
Ability to communicate analytical insights effectively to both technical and non-technical audiences, as well as effective interpersonal, organization, and time management skills
Ability to operate independently, work with confidential and sensitive information, handle stress, and prioritize own workload required
Working knowledge of research and investigative procedures and the ability to effectively interface with a wide range of constituencies
Operative knowledge of MS Office software and Google programs required
In-depth knowledge of payer contracting and negotiation
Leadership in the core values of the organization
Clear, effective communication skill a mature approach to problem-solving for all types of issues
Skills in using computers and computer application
Negotiating skills
Detail orientation
Knowledge of healthcare and payer industry and leading practice standards
Company
Bancroft
Bancroft provides programs and services for individuals with autism, intellectual and developmental disabilities.
Funding
Current Stage
Late StageRecent News
2023-10-11
Business Journals
2023-07-13
Business Journals
2023-02-03
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