Revenue Cycle Specialist

Job Description

Job Description

Why Exela?

Help us revolutionize the way that business around the world gets done. As a member of Team Exela, you’ll join a passionate, creative, and knowledgeable group of experts covering a wide range of industries and business sectors all driven by the same goal : To accelerate digital transformation.

A job at Exela represents an opportunity to join a vibrant community at the forefront of business innovation and to play a valuable role in an ongoing technological revolution.

Exela’s core values of Authenticity, Accountability, and Action guide us to provide exceptional experiences for both our customers and our employees.

Revenue Cycle Reimbursement Specialist

About the Role :

The Revenue Cycle Reimbursement Specialist is responsible for managing day-to-day operations within the healthcare Revenue Integrity Program.

This role is crucial in ensuring that healthcare providers receive appropriate reimbursement for services rendered. The specialist will work closely with payers and healthcare clients to validate and appeal underpayments, ensuring the integrity of the revenue cycle.

Essential Job Responsibilities :

Day-to-Day Operations : Execute daily activities related to the healthcare Revenue Integrity Program.

Reimbursement Processing : Contact respective payers to process additional reimbursement for underpayments.

Validation : Validate the explanations for underpayments and take necessary actions.

Appeal Generation : Generate appeals for underpayments and forward them to the Project Coordinator for approval.

Client Interaction : Interact with appointed contacts at healthcare clients to discuss and resolve reimbursement issues.

Follow-Up : Continuously follow up on underpayments per scheduled daily activities until additional reimbursement is received.

Qualifications :

Experience : Minimum of 3-5 years of experience in a healthcare profession or an equivalent combination of education and relevant experience.

Education : A degree in a related field is preferred; however, equivalent combinations of education and relevant experience will also be considered.

Skills : Strong understanding of healthcare reimbursement processes, excellent communication skills, and the ability to work effectively with clients and payers.

Attributes : Detail-oriented, proactive in follow-up activities, and capable of managing multiple tasks simultaneously.

Pay Disclosure :

The pay range for this position starts at $41,000.00 Annually; however, base pay offered may vary depending on job-related knowledge, skills, and experience.

Bonus opportunities may be provided as part of the compensation package, in addition to a full range of medical, financial, and / or other benefits, dependent on the position offered.

EEO Statement :

Exela is committed to creating a diverse environment and is proud to be an equal opportunity employer. Qualified applicants will be considered for employment without regard to their race, color, creed, religion, national origin, ancestry, citizenship status, age, disability, gender / sex, marital status, sexual orientation, gender identity, gender expression, veteran status, genetic information or any other characteristic protected by applicable federal, state, or local laws.

Exela endeavors to make www.exelatech.com accessible to any and all users. If you need assistance completing the application process, please contact us at [email protected].

Veterans

Exela welcomes job applicants from all walks of life and backgrounds, including those who are transitioning military members, veterans, reservists, National Guard members, military spouses, and their family members.

Individuals will be considered no matter their military rank or specialty.

Pay Transparency Nondiscrimination Provision :

Exela will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant.

Company Description

Exela is a location-agnostic global BPA leader combining industry-specific and multi-industry enterprise software and solutions with decades of experience.

Exela serves a growing roster of more than 4,000 customers throughout 50 countries, including over 60% of the Fortune®100.

Exela’s software and services include multi-industry department solution suites addressing finance, accounting, human capital management, and legal management, as well as industry-specific solutions for banking, healthcare, insurance, and public sectors and over 16,500 employees operating in 21 countries.

For more details please visit http : / / www.exelatech.com /

Company Description

Exela is a location-agnostic global BPA leader combining industry-specific and multi-industry enterprise software and solutions with decades of experience.

Exela serves a growing roster of more than 4,000 customers throughout 50 countries, including over 60% of the Fortune®100.

Exela’s software and services include multi-industry department solution suites addressing finance, accounting, human capital management, and legal management, as well as industry-specific solutions for banking, healthcare, insurance, and public sectors and over 16,500 employees operating in 21 countries.

For more details please visit http : / / www.exelatech.com /