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Healthcare Revenue Cycle Management Specialist

Siskin Children's Institute
Chattanooga, TN Full Time
POSTED ON 3/20/2025
AVAILABLE BEFORE 5/20/2025

Description

Job Title: Healthcare Revenue Cycle Management (RCM) Consultant / Specialist

Location: Chattanooga, TN

Job Type: Part time or Contract


This role involves analyzing financial workflows, ensuring compliance with regulatory standards, and implementing strategies to enhance revenue capture, billing efficiency, and reimbursement accuracy. 

 

Key Responsibilities:

  • Evaluate and improve end-to-end revenue cycle processes, including patient registration, coding, billing, claims processing, collections, and reimbursement.
  • Conduct audits and data analysis to identify inefficiencies, revenue leakage, and compliance risks.
  • Develop and implement best practices to maximize revenue while maintaining regulatory compliance (e.g., HIPAA, Medicare/Medicaid regulations, payer contract requirements).
  • Train and support healthcare staff in revenue cycle functions, including billing, coding, and collections.
  • Monitor payer reimbursement trends, denials, and appeals processes, recommending corrective actions as needed.
  • Provide insights and recommendations on revenue cycle technology solutions, including EHR/EMR systems, billing software, and automation tools.
  • Assist with financial reporting, KPI tracking, and revenue forecasting to enhance operational performance.
  • Ensure adherence to healthcare compliance standards, including fraud prevention, documentation accuracy, and regulatory reporting.

Requirements

 

Qualifications & Skills: 

  • Minimum of 3 years of experience in healthcare revenue cycle management, billing, coding, or consulting.
  • In-depth knowledge of medical billing processes, insurance reimbursement, and healthcare payer contracts.
  • Familiarity with EHR/EMR systems, revenue cycle management software, and data analytics tools.
  • Strong analytical, problem-solving, and project management skills.
  • Excellent communication and training abilities to work effectively with diverse healthcare teams.
  • Certification in Certified Revenue Cycle Representative (CRCR), Certified Professional Coder (CPC), or Certified Healthcare Financial Professional (CHFP) is a plus.

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Job openings at Siskin Children's Institute

Siskin Children's Institute
Hired Organization Address Chattanooga, TN Full Time
Description Siskin Children’s Institute is seeking to fill a Patient Service Representative (PSR) position. This positio...

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