Revenue Cycle Specialist
UHS
Summary
The Revenue Cycle Specialist plays a pivotal role in working with IPM Market Leadership to drive consistency in 'front-end' workflows and business processes that will help the Market maximize revenue along with enhanced patient satisfaction. The Specialist is an extension of the IPM Central Billing Office (CBO) but is embedded in the IPM Market to assist with specific tasks that will enhance the overall revenue cycle continuum.
Job description
Key Responsibilities
- Strives to improve and accelerate revenue cycle processes to achieve higher productivity, faster payments, decreased rework, and improved patient service by working with leadership and staff to promote best practices throughout IPM.
- Specific workflows will be trained and enforced along with daily/weekly/monthly metrics to help determine the overall health of the front end revenue cycle.
- Metrics such as eligibility verification, registration accuracy, encounters without charges, charge lag, denials, and TOS/NTOS collections will be captured, shared, and trended.
- Be a visible presence in each IPM Market, working closely with each other as well as the IPM CBO to ensure consistency in process and best practice across all of IPM.
Qualifications
- High School Graduate/GED, Technical School, 2 Years College, or Associates Degree required. Bachelor's degree preferred.
- Experience (3-5 years minimum) working in a healthcare (professional) billing, health insurance or equivalent operations work environment.
- Work experience in a client facing position, project management experience and/or customer service highly desirable.
- Healthcare (professional) billing, broad knowledge of CPT/ICD-10 coding, claim submission requirements and other related industry terminology and practical use.
- Knowledge of registration data requirements and health plan payors.
- Thorough understanding of the revenue cycle and how the various components work together.
- Excellent verbal/written communication skills.
- Strong presentation skills.
- Project Management.
- Strong interpersonal, customer service and organization skills.
- Strong computer literacy skills.
- Must reside in Southern California or Laredo, TX areas.
Requirements
- High School Graduate/GED, Technical School, 2 Years College, or Associates Degree required
- Bachelor's degree preferred
- 3-5 years minimum experience in healthcare (professional) billing, health insurance or equivalent operations work environment
- Work experience in a client facing position, project management experience and/or customer service highly desirable
- Healthcare (professional) billing knowledge
- Broad knowledge of CPT/ICD-10 coding
- Claim submission requirements knowledge
- Knowledge of registration data requirements and health plan payors
- Thorough understanding of the revenue cycle and how the various components work together
- Excellent verbal/written communication skills
- Strong presentation skills
- Project Management
- Strong interpersonal, customer service and organization skills
- Strong computer literacy skills
- Must reside in Southern California or Laredo, TX areas
Benefits
- Competitive Compensation
- Generous Paid Time Off
- Medical, Dental & Vision
- Prescription Drug Plans
- 401(k) Matching
- Discounted Stock Plan
- Career Development Opportunities
- Pet Insurance
Company overview
Universal Health Services, Inc. (UHS) is one of the nation's largest and most respected providers of hospital and healthcare services, operating as a Fortune 300 corporation headquartered in King of Prussia, Pennsylvania. Founded in 1979, UHS has grown into a major healthcare enterprise with approximately 99,000 employees and annual revenues exceeding $14 billion. The company operates through its subsidiaries, managing 29 acute care hospitals, 331 behavioral health facilities, and 60 outpatient and other facilities across 39 U.S. states, Washington D.C., Puerto Rico, and the United Kingdom. UHS provides comprehensive healthcare services including acute care, behavioral health treatment, cancer centers, and ambulatory surgical centers. The company's strategy focuses on building or acquiring high-quality hospitals in rapidly growing markets and investing in advanced medical equipment and skilled personnel to become the leading healthcare provider in each community it serves. UHS is publicly traded on the New York Stock Exchange (NYSE: UHS) and has established a strong reputation for delivering compassionate, high-quality care while maintaining financial stability and operational excellence.