What are the responsibilities and job description for the Revenue Cycle Specialist - Manning - Business Office position at El Rio Health?
Revenue Cycle Specialist - Manning - Business Office
Manning House I, 450 W. Paseo Redondo, Tucson, Arizona, United States of America Req #6314 Saturday, February 1, 2025
Schedule : Monday - Friday 8 : 00am - 5 : 00pm
Salary : $16.50 - $22.10 depending on qualifications
JOB PURPOSE : The Revenue Cycle Specialist as part of a team is responsible for performing at a specialist level administrative and fiscal duties, tasks, and assignments in support of the Business Office Department and its varied operations. The Revenue Cycle Specialist will assist in optimizing the department’s workflow and processes out of the EPIC Electronic Health Record (EHR) system and must be knowledgeable of the organization’s policies, procedures, and business operations. The Revenue Cycle Specialist working closely with management and other revenue cycle paraprofessionals completing recurring administrative revenue cycle duties and tasks, managing cash inflow activities for the organization, as well as supporting resolution of obstacles to billing. The Revenue Cycle Specialist serves as a conduit to identify business partner issues such as disputes with customers and summarizes information so that issues can be resolved. Responding to requests for information, records, and supports the facilitation of billing services and functions, while interfacing with multiple systems, online resources, and software programs. The Revenue Cycle Specialist may work in either a medical receivable or a dental receivable assignment, at a location assigned by management. Performing the functions and requirements for this position follows standardized procedures and policies requiring minimal judgment in their execution and will always remain within the defined scope for the
position.
The Revenue Cycle Specialist works with intermittent supervision and review, and any work problems involving.
departures from standard policies, interpretations, or procedures are presented to the supervisor for resolution.
Essential Job Functions :
- Performs administrative, technical, and fiscal duties, tasks, and assignments supporting Business Office
operations within established periods; meeting established rates of performance for the quality and
quantity of work for the position; demonstrating a level of quality, efficiency, and accuracy in the
employee’s job performance that ensures the highest standards of excellence.
individuals ensuring compliance with all HIPAA and corporate compliance standards, as well as accepted.
confidentiality standards.
not limited to evaluating accuracy of patient financial information, insurance eligibility, verifying covered
and claims follow-up.
management team.
order to support accurate patient account and payer balances, applying correct account adjustments.
based on current CPT, regulatory, and payer specific billing rules.
third-party and patient payments, adjustment, or denials.
insurance coverage and eligibility; obtains proper medical releases as required.
colleagues on projects; provides feedback on processes and newly implemented changes in
order to achieve continued process improvement.
for diversity and multi-culture in all its forms; demonstrates sensitivity, acknowledges varied beliefs,
attitudes, behaviors, and customs; and encourages communication and appreciation of all forms of
diversity.
emails, and inquiries in a timely and effective manner, responds to requests for support providing general.
information in response to inquiries; referring technical inquiries or complaints to the appropriate
department member for resolution.
o Exemplifies “World Class” customer service experience working to resolve complaints and living
the mission, vision, and values of the organization.
employees, internal / external clients or representatives, or patients, successfully conveying and
exchanging information in a positive and effective manner.
Ensures accurate information is maintained for patient accounts and payer balances by posting third party and patient payments, adjustments / denials, and reclassifying charges to correct payers.
that required and entered information is accurate and payer balances are included in patient accounts.
and payer accounts by completing data-entry posting and processing requirements.
Procedural Terminology (CPT) coding.
requirements, standards, regulations, or laws; as well as all organizational policies and procedures related.
to healthcare billing and payment processing.
o to include, the standards and requirements for commercial and managed care insurance
governmental regulations; and commercial or managed care insurance guidelines regarding billing, documentation, and compliance.
receivables billing, coding, and corporate compliance standards, or regulations.
Minimum Education and Experience :
If applicable, equivalent combination of education and experience may be considered, and must be directly related to the functions and responsibilities of the job.
Required Licenses, Certifications, and Registrations
Preferred Education, Experience, Skills, Abilities :
Salary : $17 - $22
