REMOTE Revenue Protection Specialist jobs in United States
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Trinity Health · 21 hours ago

REMOTE Revenue Protection Specialist

Trinity Health is a healthcare organization seeking a Revenue Protection Specialist. The role involves researching and analyzing information to identify opportunities for performance improvement, collaborating on initiatives, and maintaining compliance with regulatory standards.

DeliveryHealth Care
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H1B Sponsor Likelynote

Responsibilities

Researches, collects & analyzes information
Identifies opportunities, develops solutions, & leads through resolution
Collaborates on performance improvement activities as indicated by outcomes in program efficiency & patient experience
Responsible for distribution of analytical reports
Utilizes multiple system applications to perform analysis, create reports & develop educational materials
Incorporates basic knowledge of TH policies, practices & processes to ensure quality, confidentiality, & safety are prioritized
Demonstrates knowledge of departmental processes & procedures & ability to readily acquire new knowledge
Research & compiles information to support ad-hoc operational projects & initiatives
Synthesizes & analyzes data & provides detailed summaries including graphical data presentations illustrating trends & recommending practical options or solutions while considering the impact on business strategy & supporting leadership decision making
Leverages program & operational data & measurements to define & demonstrate progress, ROI & impacts
Maintains a working knowledge of applicable Federal, state & local laws/regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other policies, procedures & guidelines in order to ensure adherence in a manner that reflects safe, honest, ethical & professional behavior & safe work practices
Develops, monitors, inspects & proposes measures to correct and improve hospital registration performance
Tracks and reports trends to remediate issues and assist with preventive actions for ongoing internal process improvement
Leverages patient access and revenue cycle knowledge to ensure continuous quality improvement
Conducts facility analysis of denials
Prepares and submits review findings, makes recommendations, and works closely with interdepartmental leaders to implement solutions
Proactively facilitates cross-departmental collaboration with clinical departments, Patient Business Service (PBS) center, Payer Strategies, Compliance and other revenue cycle departments to continuously drive strategic denial initiatives and resolution around identified revenue enhancement opportunities
Maintains an understanding of regulatory and payer changes

Qualification

Revenue Cycle ExperienceBillingCodingRegulatory KnowledgeDenials Software TechnologyPerformance ImprovementData AnalysisCollaborationCommunication

Required

High school diploma
Three (3) years of revenue cycle experience
Billing, Coding, PA, Revenue Integrity, collections, etc
Knowledge of insurance and governmental programs, regulations, and billing processes (e.g., Medicare, Medicaid, managed care contracts and coordination of benefits)

Preferred

Certification and membership in AAPC, AHIMA, HFMA, AAHAM, NAHAM strongly preferred
Bachelor's degree in related field, preferred
Understands Revenue Cycle Key Performance Indicators and can identify vulnerabilities related to quality performance
Working knowledge of denials related software technology strongly preferred
Knowledge and experience of Revenue Cycle

Company

Trinity Health

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Trinity Health is one of the largest multi-institutional Catholic health care delivery systems in the nation.

H1B Sponsorship

Trinity Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (9)
2024 (12)
2023 (10)
2022 (9)
2021 (7)
2020 (14)

Funding

Current Stage
Late Stage
Total Funding
$0.02M
Key Investors
Centers for Disease Control and Prevention
2025-10-17Grant· $0.02M

Leadership Team

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Dan Drake
Trinity Health PACE President and CEO
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Eileen Coogan
Pres/CEO Allegany Franciscan Ministries
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Company data provided by crunchbase