Aegis Sciences Corporation · 12 hours ago
Revenue Cycle Specialist II
Nashville, TN
Full-time
Onsite
Senior Level
5+ years expAegis Sciences Corporation is a healthcare organization seeking a Revenue Cycle Specialist II to analyze and optimize financial processes. The role involves improving patient registration, billing, coding, claims submission, and collections while ensuring compliance and maximizing revenue.
BiotechnologyClinical TrialsHealth CareMedical
Responsibilities
Work closely with Revenue Cycle Business Analysts and Revenue Cycle Financial Analysts working claims not limited to but including the following:
Prepare Complex Medical Records Request and review documents for accuracy, completeness, and congruency
Interpret Payer Correspondence and determine next appropriate action
Submit carrier appeals and reconsideration requests in a timely manner based on SOPs or make suggestions to enhance SOP’s
Review and update line-item receipt posting (LIRP) as needed or other posting needs
Work assigned hold codes and determine next actions including, but not limited to, Bad Addresses, Eligibility, and other denial reasons
Maintain accurate tracking of client and referring provider documentation and obtain any missing documentation to ensure accuracy and completeness
Ensure all relevant claims and appeal documentation is uploaded into OnBase
Verify all identified insurance carriers for policy related to prior authorization requirements as needed for claims adjudication
Work collaboratively with other Coding, Billing, Patient Access, and Cash Receipts Specialists as needed
Mentor and train new team members
Lead small-scale projects focused on process optimization
Qualification
Required
High School diploma or GED required; Associate's or Bachelor's Degree in Business, Finance, or related discipline preferred
With a High School diploma, a minimum of five (5) years of experience performing revenue cycle processes in a hospital, laboratory, ambulatory surgery center, or large medical practice with a minimum of two (2) years in denials management required; With a Bachelor's degree, a minimum of two (2) years of finance/accounting experience required
Knowledge of ICD9, ICD10, CPT, and HCPCS coding strongly required
Strong working knowledge of Microsoft Office, including Excel and Outlook
Ability to take direction and follow Standard Operating Procedures with a high degree of accuracy
Strong attention to detail and the ability to work in a fast-paced, team-oriented environment with a focus on communication required
Demonstrated ability to lead initiatives and mentor others
Preferred
Associate's or Bachelor's Degree in Business, Finance, or related discipline preferred
Company
Aegis Sciences Corporation
Founded in 1990, Aegis Sciences Corporation is a forensic toxicology and healthcare laboratory that provides science-driven drug testing and consulting services based in Nashville, TN.
501-1000 employees
Funding
Current Stage
Late StageTotal Funding
$176.6MKey Investors
ABRY PartnersKayne Anderson Growth Capital
2025-06-24Private Equity
2025-06-24Debt Financing· $170M
2020-09-02Grant· $6.6M
Leadership Team
Frank Basile
Chief Executive Officer
David Priestley, CPA
Chief Financial Officer
Recent News
2024-12-10
Company data provided by crunchbase