Revenue Cycle Specialist
Location:
Calmont Operations Building
Department:
CBO/Patient Financial Services
Shift:
First Shift (United States of America)
Standard Weekly Hours:
40
Summary:
The Revenue Cycle Specialist is responsible to ensure all transactions at the time of billing are accurate for uninsured patients who have received Good Faith Estimates (GFE) prior to services being rendered in hospital and professional billing. This position will handle questions, complaints and disputes from patients/guarantors related to the No Surprises Act (NSA). Conducts research of charges, coding and GFEs to determine appropriate reimbursement amounts, providing adequate documentation and managing the Federal Independent Resolution (IDR) process.The Cook Childrens Cash Management, Customer Service and Document Control departments function as a part of a Single Billing Office (SBO) that supports all of Cook Childrens Health Care System. The ultimate goal of the SBO is to integrate customer Service and self-pay collection activities across Cook Childrens Medical Center and Cook Childrens Physician Network, providing a single point of contact, a single patient billing statement and increased transparency to guarantors thereby improving the patient collection process and patient experience.
Qualifications:
- High school diploma or equivalent.
- 3 years of experience in hospital and physician revenue cycle (patient access, patient financial services, and finance).
- Ability to type, spell, write or print legibly with accurate data entry skills and use computer and other office equipment.
- Ability to perform complex mathematical calculations and prioritize competing demands.
- Multitasking required. Strong knowledge of medical terminology, such as CPT and diagnosis codes.
Preferred Qualifications:
- Bachelors Degree with 5 years of experience in hospital and physician revenue cycle (patient access, patient financial services, and finance).
- Ability to type, spell, write or print legibly with accurate data entry skills.
- Proficient computer skills, including MS Office (Word, Excel).
- Prior experience of Epic Systems.
- Working knowledge of hospital and clinical healthcare delivery.
About Us:
Cook Children's Medical Center is the cornerstone of Cook Children's, and offers advanced technologies, research and treatments, surgery, rehabilitation and ancillary services all designed to meet children's needs.
Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer.
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Perks and Benefits
Health and Wellness
- Health Insurance
- Health Reimbursement Account
- Dental Insurance
- Vision Insurance
- Life Insurance
- Short-Term Disability
- Long-Term Disability
- FSA
- FSA With Employer Contribution
- HSA
- HSA With Employer Contribution
- Fitness Subsidies
- On-Site Gym
- Pet Insurance
- Mental Health Benefits
Parental Benefits
- Birth Parent or Maternity Leave
- Adoption Assistance Program
- Family Support Resources
- On-site/Nearby Childcare
- Adoption Leave
- Fertility Benefits
- Non-Birth Parent or Paternity Leave
Work Flexibility
- Hybrid Work Opportunities
Office Life and Perks
- Company Outings
- On-Site Cafeteria
- Holiday Events
Vacation and Time Off
- Paid Vacation
- Paid Holidays
- Personal/Sick Days
- Leave of Absence
Financial and Retirement
- Performance Bonus
- Relocation Assistance
- Financial Counseling
- 401(K) With Company Matching
Professional Development
- Tuition Reimbursement
- Promote From Within
- Access to Online Courses
- Lunch and Learns
- Leadership Training Program
- Professional Coaching
Diversity and Inclusion
- Diversity, Equity, and Inclusion Program
- Employee Resource Groups (ERG)