Aegis Sciences Corporation
Revenue Cycle Specialist II
Aegis Sciences Corporation, Nashville, Tennessee, United States, 37247
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Revenue Cycle Specialist II
role at
Aegis Sciences Corporation .
The
Revenue Cycle Specialist II
is responsible for analyzing and optimizing the financial processes within a healthcare organization, including patient registration, billing, coding, claims submission, and collections, by identifying areas for improvement, monitoring key performance indicators (KPIs), and implementing strategies to maximize revenue while adhering to compliance regulations; essentially acting as a data‑driven expert to streamline the revenue cycle and ensure accurate and timely payments from insurance companies and patients.
Responsibilities
Work closely with Revenue Cycle Business Analysts and Revenue Cycle Financial Analysts working claims not limited to but including the following:
Prepare Complex Medical Records Request and review documents for accuracy, completeness, and congruency
Interpret Payer Correspondence and determine next appropriate action
Submit carrier appeals and reconsideration requests in a timely manner based on SOPs or make suggestions to enhance SOP’s
Review and update line‑item receipt posting (LIRP) as needed or other posting needs.
Work assigned hold codes and determine next actions including, but not limited to, Bad Addresses, Eligibility, and other denial reasons.
Maintain accurate tracking of client and referring provider documentation and obtain any missing documentation to ensure accuracy and completeness
Ensure all relevant claims and appeal documentation is uploaded into OnBase
Verify all identified insurance carriers for policy related to prior authorization requirements as needed for claims adjudication
Work collaboratively with other Coding, Billing, Patient Access, and Cash Receipts Specialists as needed
Mentor and train new team members
Lead small-scale projects focused on process optimization
Qualifications
High School diploma or GED required; Associate’s or Bachelor’s Degree in Business, Finance, or related discipline preferred
With a High School diploma, a minimum of five (5) years of experience performing revenue cycle processes in a hospital, laboratory, ambulatory surgery center, or large medical practice with a minimum of two (2) years in denials management required; With a Bachelor’s degree, a minimum of two (2) years of finance/accounting experience required
Knowledge of ICD9, ICD10, CPT, and HCPCS coding strongly required
Strong working knowledge of Microsoft Office, including Excel and Outlook
Ability to take direction and follow Standard Operating Procedures with a high degree of accuracy
Strong attention to detail and the ability to work in a fast‑paced, team‑oriented environment with a focus on communication required
Demonstrated ability to lead initiatives and mentor others
Seniority Level Mid‑Senior level
Employment Type Full‑time
Job Function Accounting/Auditing and Finance
Industries Hospitals and Health Care
Aegis Sciences Corporation is an Equal Opportunity Employer.
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Revenue Cycle Specialist II
role at
Aegis Sciences Corporation .
The
Revenue Cycle Specialist II
is responsible for analyzing and optimizing the financial processes within a healthcare organization, including patient registration, billing, coding, claims submission, and collections, by identifying areas for improvement, monitoring key performance indicators (KPIs), and implementing strategies to maximize revenue while adhering to compliance regulations; essentially acting as a data‑driven expert to streamline the revenue cycle and ensure accurate and timely payments from insurance companies and patients.
Responsibilities
Work closely with Revenue Cycle Business Analysts and Revenue Cycle Financial Analysts working claims not limited to but including the following:
Prepare Complex Medical Records Request and review documents for accuracy, completeness, and congruency
Interpret Payer Correspondence and determine next appropriate action
Submit carrier appeals and reconsideration requests in a timely manner based on SOPs or make suggestions to enhance SOP’s
Review and update line‑item receipt posting (LIRP) as needed or other posting needs.
Work assigned hold codes and determine next actions including, but not limited to, Bad Addresses, Eligibility, and other denial reasons.
Maintain accurate tracking of client and referring provider documentation and obtain any missing documentation to ensure accuracy and completeness
Ensure all relevant claims and appeal documentation is uploaded into OnBase
Verify all identified insurance carriers for policy related to prior authorization requirements as needed for claims adjudication
Work collaboratively with other Coding, Billing, Patient Access, and Cash Receipts Specialists as needed
Mentor and train new team members
Lead small-scale projects focused on process optimization
Qualifications
High School diploma or GED required; Associate’s or Bachelor’s Degree in Business, Finance, or related discipline preferred
With a High School diploma, a minimum of five (5) years of experience performing revenue cycle processes in a hospital, laboratory, ambulatory surgery center, or large medical practice with a minimum of two (2) years in denials management required; With a Bachelor’s degree, a minimum of two (2) years of finance/accounting experience required
Knowledge of ICD9, ICD10, CPT, and HCPCS coding strongly required
Strong working knowledge of Microsoft Office, including Excel and Outlook
Ability to take direction and follow Standard Operating Procedures with a high degree of accuracy
Strong attention to detail and the ability to work in a fast‑paced, team‑oriented environment with a focus on communication required
Demonstrated ability to lead initiatives and mentor others
Seniority Level Mid‑Senior level
Employment Type Full‑time
Job Function Accounting/Auditing and Finance
Industries Hospitals and Health Care
Aegis Sciences Corporation is an Equal Opportunity Employer.
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