Revenue Cycle Specialist

Job Description

The Revenue Cycle Specialist will work under the general supervision of the Revenue Cycle Supervisor. This position is responsible for ensuring the processing of claims to our payers daily along with working self-pay accounts. Creating payment plans for patients with self-pay balances and posting payments when received via phone along with handling all other tasks as assigned.  This position will also be responsible for researching and correcting billing errors.   

1. Patient Centered Customer Service – Whether directly or indirectly, we work to support the delivery of an excellent patient experience to everyone served by the organization.
2. Caring and Compassion – We provide empathic comfort to those in distress and share kindness in all interpersonal interactions.
3. Respectful Communication – We communicate openly, honestly and without judgment while honoring each individual’s uniqueness and assuming the best of those with whom we interact.
4. Teamwork – We are members of a diverse interdisciplinary team working together to meet a common goal.
5. Accountability – We accept our individual and team responsibilities, and we meet our commitments. We take responsibility for our performance and actions.
6. Customer Safety – We recognize and correct potential hazards to protect our customers and ourselves. 

• Arranges payments, manages accounts, and monitors/tracks delinquent accounts.
• Creates and establishes payment methods with patients for delinquent accounts, tracks payments, and follows up with patients when gaps in payment occur.
• Collects outstanding balances from patients.
• Sends monthly statements to patients.
• Maintains the highest level of confidentiality in work.
• Follows all policies and procedures of clinic.
• Reports any compliance issues to supervisor.
• Participates in job enhancing opportunities such as trainings and seminars.
• Serves CCHC’s clinical population by adhering to all local, state, and federal laws.
• Contributes to team by sharing creative input and challenging ideas.
• Timely filing of insurance claims to clearinghouse or individual insurance companies electronically or via paper.
• Review and correction of claim edits received from clearinghouse.
• Reviews information necessary for insurance claims such as patient, insurance ID, diagnosis and treatment codes and modifiers, and provider information to ensure clean claim submission.
• Regularly meet with supervisor to report issues or obstacles with regards to clean claim billing and to report trends or issues with insurance reimbursement.
• Understanding of claim resubmissions or secondary billing of claims, corrected claims, void and replacement claims, and refiling to insurance.
• Researches and solves billing issues/errors.
• Works on special projects as assigned.
• Performs other related duties as assigned. 

• Able to communicate effectively. Interacts in a friendly, professional manner with a wide range of staff, physicians and public. 

• Plans, prioritizes, and completes delegated task with attention to detail. 

• Ability to multitask and work well under pressure is essential. 

• Minimum of 1 year in a healthcare environment. 

• High school diploma required.

• Ability to research and analyze data. Excellent attention to detail

• Good written and oral communication skills. 

• Epic experience is highly preferred.

• FQHC experience is highly preferred.

• Must demonstrate an above average ability to communicate effectively both orally and written.
• Demonstrates ability to establish and maintain effective internal and external working relationships.
• Must be dependable and conduct him/herself in a professional manner. Functions with minimal direct supervision.
• Demonstrates effective management skills.
• Must demonstrate the ability to exercise sound judgement and discretion.
• Must be eager and willing to train and become certified in coding.
• Willingness to train to become FQHC Certified Coder

The physical demands described here represent those that must be met by an employee to successfully perform the essential functions of this job. All duties and responsibilities are subject to possible modification to reasonably accommodate individuals with disabilities. 

The physical demands associated with this position include but are not limited to: frequent lifting, bending, climbing, stooping, and pulling; frequent repetitive motions; continuous standing and walking; repetitive movement of hands and fingers (typing and/or writing); lifting of greater than 50 pounds. 

The noise level in the work environment is low, consistent with that of a typical office.  

Charlotte Community Health Clinic, Inc. is an Equal Opportunity Employer.  We do not discriminate in any aspect of employment with regard to age, race, sex, national origin, disability, color, marital status, veteran’s status, or religion. 

Company Description

Started in 2000 by a group of committed volunteers, Charlotte Community Health Clinic is a Federally Qualified Health Center (FQHC) that offers high-quality medical, dental, and behavioral health services for children and adults. 

Although we serve all populations, as a FQHC, we have a special purpose of serving the underserved. We work towards a healthy community where all individuals, regardless of ability to pay, have access to affordable, quality, and comprehensive health care. We accept most major health insurance plans, as well as Medicaid and Medicare. For patients without health insurance, we offer a discount program based on income and family size. 

Our organization is growing! At present, we have three standalone sites as well as additional satellite locations. We are thrilled about the expansion of care that our growth allows us to provide. Our goal is to recruit, develop, and retain a team that not only meets the minimum job qualifications, but shares our passion for serving those who need it most.

For more information about us, use the link below:

https://charlottecommunityhealth.org/en/

Benefits

• Medical Insurance
• Dental Insurance
• Vision Insurance
• Short Term & Long Term Disability
• Life Insurance
• 401K Retirement Plan w/ discretionary match
• Paid Time Off (PTO)
• Holiday Pay
• Employee Assistance Program (EAP)