Revenue Cycle Specialist I Insurance Follow Up

Position #: 250006YJ
Position: Revenue Cycle Specialist I Insurance Follow Up
UH Facility: University Hospitals
Shift: Days
Status: Full-time
Work Days of Week: M-F

City: Shaker Heights

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JOB DESCRIPTION & QUALIFICATIONS

Description

A Brief Overview

Entry level position responsible for submitting and resolving medical claims of low to moderate complexity. Must remain current with governmental and third party billing, follow-up and appeal requirements for compliant billing and follow-up of both inpatient and outpatient claims for all wholly owned facilities and physician entities including internal and external policy requirements.

What You Will Do

Responds to requests from management, staff, or physicians in a timely and appropriate manner.
Maintains patient and physician confidentiality and professionalism at all times.
Follows department policies and procedures to ensure accurate and timely claim resolution.
Effectively communicates utilizing telephone, form letters, e-mail, or internal correspondence to resolve patient inquiries and insurance issues.
Attends and participates in team meetings.
Utilizes worklists to review and analyze account balances in order to collect payment for medical services rendered.
Utilizes multiple system applications to review, update patient information as well as research and resolve outstanding AR balance.
Assists in the analysis of claims resolution and provides feedback to management for solutions and process improvements.
Performs follow up with insurance companies to ensure appropriate payment on claims, resolve denials, correct claims, and appeal claims.
Acts as a liaison with internal and external customers providing assistance in claims and receivables resolution in a high volume environment.
Contacts patients and guarantors to secure necessary billing information.
Documents accounts with clear and concise verbiage in accordance with departmental procedures.
Reviews and responds to correspondence and inquiries received.
Meets and exceeds team productivity and quality standards.
Performs other related duties as assigned.

Additional Responsibilities

Performs other duties as assigned.
Complies with all policies and standards.
For specific duties and responsibilities, refer to documentation provided by the department during orientation.
Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.

Qualifications

Education

High School Equivalent / GED (Required) and
Associate’s Degree in a related field (Preferred) and
Bachelor’s Degree in a related field, (Preferred)

Work Experience

1+ years of experience in call center, patient registration, scheduling, office, banking, customer service or related medical field using computers. (Required) and
Experience with medical billing software (Preferred)

Knowledge, Skills, & Abilities

Detail-oriented and organized, with good analytical and problem solving ability. (Required proficiency)
Notable client service, communication, and relationship building skills. (Required proficiency)
Ability to function independently and as a team player in a fast-paced environment. (Required proficiency)
Must have strong written and verbal communication skills. (Required proficiency)
Demonstrated ability to use PCs, Microsoft Office suite (including Word, Excel and Outlook), and general office equipment (i.e. printers, copy machine, FAX machine, etc.). (Required proficiency)

Licenses and Certifications

Certification in Medical Billing/Coding from a recognized program, will be accepted in lieu of 1 year of work experience. (Required within 1 Year)
Medical Billing/Coding certification (Preferred)

Physical Demands

Standing Occasionally
Walking Occasionally
Sitting Constantly
Lifting Rarely up to 20 lbs
Carrying Rarely up to 20 lbs
Pushing Rarely up to 20 lbs
Pulling Rarely up to 20 lbs
Climbing Rarely up to 20 lbs
Balancing Rarely
Stooping Rarely
Kneeling Rarely
Crouching Rarely
Crawling Rarely
Reaching Rarely
Handling Occasionally
Grasping Occasionally
Feeling Rarely
Talking Constantly
Hearing Constantly
Repetitive Motions Frequently
Eye/Hand/Foot Coordination Frequently

Travel Requirements

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LOCATION

Working at University Hospitals

Careers at University Hospitals offers opportunities to provide care locally in the Cleveland area with the power to impact healthcare nationwide. As a leader in our industry, our staff share a commitment to Be the Difference in the lives of our patients and our communities, from Northeast Ohio and beyond. Take a look at this video to discover how we’re building an organization for the future, today. Note: video content was obtained prior to the COVID-19 pandemic.

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Contact Us

To contact University Hospitals Human Resources department, or to request a reasonable accommodation, please call 216-767-8900 or send us an email at employment@uhhospitals.org

Equal Employment Opportunity Statement

It is the policy of University Hospitals to provide equal opportunity to all of our employees and applicants for employment. Decisions concerning employment, transfers and promotions or other conditions of employment are all made upon the basis of the best qualified candidate without regard to race, color, national origin, age, religion, veteran status, disability, gender, sexual orientation, gender identity, or marital status in accordance with Federal and Ohio law. A qualified individual with a disability will be considered for employment on the same basis as non- disabled applicants if he/she can perform the essential functions of the job sought, with or without a reasonable accommodation, and without imposing a direct threat to the health or safety of others or him/herself. EEO is the Law

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