Sr. Revenue Cycle Specialist, Ambulatory

Location
Gaithersburg, MD
Posted
Oct 05, 2021
Closes
Oct 26, 2021
Ref
R-016784
Function
Nurse
Industry
Healthcare
Hours
Full Time
Adventist HealthCare seeks to hire an experienced Senior Revenue Cycle Specialist, Ambulatory who will embrace our mission to extend God's care through the ministry of physical, mental and spiritual healing.

Under the general supervision of the Manager of Revenue Cycle for Ambulatory Services, the Sr. Revenue Cycle Specialist will have primary responsibility for ensuring that charges for services provided are accurately billed to the appropriate insurance companies via electronic and/or paper claim submissions. The Sr. Revenue Cycle Specialist will also be responsible for customer service and patient billing inquiries.

As an Sr. Revenue Cycle Specialist Ambulatory, you will:
• Verifies and corrects insurance information, charges and coding issues for electronic claims and manual corporate billing.
• Ensures that all billing guidelines are followed per the payer billing requirements.
• Contacts insurance companies regarding status of appeals.
• Daily reconciliation and elimination of billing backlogs.
• Follow-up on payment errors, low reimbursement, denials, etc.
• Review EOBs and initiate appeals as necessary.
• Demonstrates working knowledge of coding (CPT, HCPCS, ICD-10, etc) as it relates to billing.
• Responsible for taking and resolving patient billing calls and inquiries.
• Demonstrates an ability to troubleshoot, report to management, and/or initiate resolution of all issues that occur with regard to billing operations.
• Performs analysis, identifies trends, presents opportunity areas, and prioritizes initiatives for performance improvement in a variety of areas, including but not limited to: coding, claim submission, insurance and self-pay collections, refunds and write-off approvals.
• Routine Reporting of Key metrics include: AR days, cash collections, denials, avoidable write-offs, refunds, charge lag, bad debt, etc.
• Coordinates with accounting to ensure accurate and timely month-end financial reports

Qualifications include:
• Bachelor's or Associates degree in Finance, Business, Accounting or equivalent experience and 7 years' experience in this field.
• Certified medical coder a plus.
• Experience with Electronic Health Records Software. eClinical Works experience is desirable.
• Must maintain a high volume of processing without compromising quality and accuracy.

At Adventist HealthCare our job is to care for you. We do this by offering:
• Work life balance through non rotating shifts
• Recognition and rewards for professional expertise
• Free Employee parking
• Competitive comprehensive benefit plans offered (including health, disability, PTO and 403B retirement plan with matching and 3 year vesting)
• 100% Coverage for inpatient care - at Adventist HealthCare facilities
• 100% Coverage for urgent care nationwide - after copay

As a faith-based organization, with over a century of caring for the communities in the Maryland area, Adventist HealthCare has earned a reputation for high-quality, compassionate care. Adventist HealthCare was the first and is the largest healthcare provider in Montgomery County.

If you want to make a difference in someone's life every day, consider a position with a team of professionals who are doing just that, making a difference.

Join the Adventist HealthCare team today! Apply now to be considered or contact afairbanks@adventisthealthcare.com for more information.

Work Schedule:

Monday - Friday 8am-5pm

COVID-19 Vaccination

Adventist HealthCare requires all applicants to be fully vaccinated for COVID-19 before commencing employment. Applicants may be required to furnish proof of vaccination and , if offered, may elect to be vaccinated at a n designated Adventist HealthCare location.

Tobacco and Drug Statement

Tobacco use is a well-recognized preventable cause of death in the United States and an important public health issue. In order to promote and maintain a healthy work environment, Adventist HealthCare will not hire applicants for employment who either state that they are nicotine users or who test positive for nicotine and drug use.

While some jurisdictions, including Maryland, permit the use of marijuana for medical purposes, marijuana continues to be classified as an illegal drug under the federal Controlled Substances Act. As a result, medical marijuana use will not be accepted as a valid explanation for a positive drug test result.

Adventist HealthCare will withdraw offers of employment to applicants who test positive for Cotinine (nicotine) and marijuana. Those testing positive are given the opportunity to re-apply in 90 days, if they can truthfully attest that they have not used any nicotine products in the past ninety (90) days and successfully pass follow-up testing.

Equal Employment Opportunity

Adventist HealthCare is an Equal Opportunity/Affirmative Action Employer. We are committed to attracting, engaging, and developing the best people to cultivate our mission-centric culture. Our goal is to have a welcoming, equitable, and safe place to work and grow for all employees, no matter their background. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected veteran status.

Adventist HealthCare will make reasonable accommodations for applicants with disabilities, in accordance with applicable law. Adventist HealthCare is a religious organization as defined under applicable law; however, it will endeavor to provide reasonable accommodations for applicants' religious beliefs.

Applicants who wish to request accommodations for disabilities or religious belief should contact the Support Center HR Office.

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