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Carle Health · 2 hours ago

Rev Cycle Billing Spec 3- Experience with HomeHealth, Epic, Denials, Follow up and Billing

Champaign, IL

Full-time

Onsite

Mid, Senior Level

$18.33/hr - $29.69/hr

Carle Health is a healthcare system based in Urbana, IL, with a large team dedicated to providing quality care. They are seeking a Revenue Cycle Billing Specialist to manage escalated account activities and ensure optimal revenue collection through various responsibilities including training staff and representing the company in external venues.

Hospital & Health Care

Responsibilities

Must be able to perform essential job functions of Revenue Cycle Account Billing Specialist 2

Assists with developing policies and procedures, training materials and process flows to ensure best practice

Mentors, trains, observes and educates staff for quality assurance

Facilitates maximization of revenue by ensuring correct coding initiative and payer specific guidelines are applied appropriately and claims are appealed as necessary

Assists with daily department flow, ensures appropriate staffing and optimal productivity levels

Handles escalated patient, provider and third party issues in absence of supervisor

Responsible for downloading, reviewing and interpreting payment remittance advice in order to post insurance payments, denials, transfers, and adjustments

Monitors age trial balance reports for assigned business line to optimize collection of accounts receivable

Participates in system testing and development related to system upgrades and process improvements

Prepares and submits quarterly Medicare credit balance report

Gathers requested documentation for Medicare ADR, CERT and RAC audits

Assists in evaluation of billing opportunities related to new technology and/or services

Builds and analyzes management reports to identify patterns and trends and recommends opportunities for improvement

Participates in projects

Conducts team meetings and provides direction to team members

Represents Carle in external venues such as court appearances, fair hearings, meeting with employers, attorneys, insurance companies, community events etc

Qualification

Revenue Cycle ManagementHealthcare Business OperationsEpicDenials ManagementBilling ProcessesTraining DevelopmentQuality AssuranceMentoringCommunication Skills

Required

Associate's Degree

Experience in Healthcare business operations

Proficient in Revenue Cycle Account Billing Specialist 2 responsibilities

Ability to mentor, train, observe and educate staff for quality assurance

Experience in developing policies and procedures, training materials and process flows

Ability to handle escalated patient, provider and third party issues

Experience in downloading, reviewing and interpreting payment remittance advice

Ability to monitor age trial balance reports for assigned business line

Experience in system testing and development related to system upgrades and process improvements

Ability to prepare and submit quarterly Medicare credit balance report

Experience in gathering documentation for Medicare ADR, CERT and RAC audits

Ability to build and analyze management reports to identify patterns and trends

Experience in conducting team meetings and providing direction to team members

Ability to represent Carle in external venues such as court appearances, fair hearings, meetings with employers, attorneys, insurance companies, community events

Benefits

Carle Health offers a comprehensive benefits package for team members and providers.

Company

Carle Health

Glassdoor3.6

Carle Health is a vertically integrated system with a bold but simple mission: to be the trusted partner in all healthcare decisions for everyone who depends on it.

Founded in 1946