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Revenue Cycle Specialist

Revenue Cycle Specialist

Cleveland Area Hospital Holdings IncCleveland, OK, US
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Job Description

Job Description

Description :

CLEVELAND AREA HOSPITAL is an independent, self-managed Critical Access Hospital half an hour west of Tulsa, Oklahoma. As the only hospital in Pawnee County, we are constantly striving to provide the highest level of care by continuously growing and updating our services and equipment. Our facilities include a level IV Trauma Center / ER, Skilled Nursing / Swing Bed program, Respiratory Therapy, C.T., 3D Mammography, a fully equipped Outpatient Rehabilitation Center, 24 / 7 Lab, and a Primary Care Clinic. The organization is a Regional Healthcare Provider in its 10th year of consistent leadership. Continuing the spirit of growth, healing, and service-driven healthcare established when the hospital first opened in 1963, Cleveland Area Hospital is on track to build a new facility, expand our services, and better serve our patients and communities.

  • Are you passionate about patient care?
  • Would you enjoy being an integral part of a team on the verge of new hospital construction?
  • Are you motivated by ongoing improvement and an opportunity to make a measurable impact on rural healthcare in Oklahoma?

POSITION SUMMARY : Under the direction of the Revenue Cycle Manager, the employee in this position is responsible for employee adjustments, private pay collections, customer service, posting charges, answering phones, billing and appeals.

PRINCIPAL JOB DUTIES AND RESPONSIBLITIES :

  • Adhere to all policies of the organization, including (but not limited to) job description, certification / licensure requirements, mission statement, HIPAA, confidentiality standards and patient’s rights.
  • Actively engage and stay up to date with organization’s communications and directives.
  • Daily review of private pay accounts
  • Review statements prior to release
  • Ensures patient receives three statements
  • Reviews daily posting for accuracy
  • Updates job knowledge by participating in educational opportunities; reading professional publications; keeping current on Medicaid billing and reimbursement procedures.
  • Serves and protects the hospital community by adhering to professional standards, hospital policies and procedures, federal, state, and local requirements
  • Accomplishes billing department and hospital mission by completing related results as needed
  • Appeals claims as needed
  • Bills assigned claims in Athena and or Cerner.
  • Reviews claims within Rev-Manager for appropriateness of claim.
  • Answers phone in professional manner
  • Maintains quality results by following standards.
  • Enhances billing department and hospital reputation by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments.
  • Utilizes collection agencies and small claims court to collect accounts by evaluating and selecting collection agencies; determining appropriateness of pursuing legal remedies; testifying for the hospital in court cases.
  • Collects delinquent accounts by establishing payment arrangements with patients; monitoring payments; following up with patients when payment lapses occur.
  • Maintain professional attire.
  • Maintain patient confidentiality at all times.
  • Wear identification badge while on duty.
  • Create detailed notes in the system to reflect all actions performed on account.
  • Preforms assorted task as assigned by supervisor.
  • Assist with Daily deposit as needed.
  • Assist with Payment floor as needed.
  • Set up payment arrangements.
  • Scans EOB’s to Cerner as needed.
  • Works unpostables in Athena as needed.
  • Assists with Medicare bad debt report as needed.
  • Other duties as assigned.

    • Equipment :

    Computer and Printer Fax Machine

    Copy Machine Telephone

    Requirements :

    Educational / Skills Required :

    High school diploma required. Prefer experience in billing, excel and business environments.

    The employee in this position must possess excellent communication skills and organization skills to communicate with patients and staff.

    Experience :

    Two to five years’ experience in Healthcare business office, billing and collections either hospital or Physician’s office.

    Responsibility for Confidential information :

    This position could have access to patient confidential records and must comply with HIPAA regulations as well as Hospital Compliance Policies.

    Supervisory Experience :

    This positon has no supervisory responsibilities.

    Working Conditions :

    Primarily sitting, sometimes standing. Utilizes good hearing, vocal and visual skills. Occasionally requires walking about, bending and stretching. Equipment, boxes, materials, or supplies as lightweight (under 50lds) may require infrequent lifting, pushing or pulling. The incumbent works under good conditions in a clean environment.

    The above statements reflect the general details considered necessary to describe the principal function of the job as identified, and shall not be considered as a detailed description of all work requirements that may be inherent to this position.

    EEO Statement :

    Cleveland Area Hospital / Lake Area Medical Associates is an equal opportunity employer and considers all qualified applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and all other protected classes.

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    Revenue Cycle Specialist • Cleveland, OK, US