Revenue Cycle Specialist
Qualifications
- High school diploma or equivalent
- 3 years of experience in hospital and physician revenue cycle (patient access, patient financial services, and finance)
- Ability to type, spell, write or print legibly with accurate data entry skills and use computer and other office equipment
- Perform complex mathematical calculations and prioritize competing demands
- Multitasking required
- Strong knowledge of medical terminology, such as CPT and diagnosis codes
About the role
The Revenue Cycle Specialist ensures all transactions at the time of billing are accurate for uninsured patients who have received Good Faith Estimates (GFE) prior to services being rendered in hospital and professional billing. This position handles questions, complaints, and disputes from patients/guarantors related to the No Surprises Act (NSA). Conducts research of charges, coding, and GFEs to determine appropriate reimbursement amounts, providing adequate documentation, and managing the Federal Independent Resolution (IDR) process.
Requirements
- Bachelor’s Degree with 5 years of experience in hospital and physician revenue cycle (patient access, patient financial services, and finance)
- Prior experience of Epic Systems
- Working knowledge of hospital and clinical healthcare delivery
Skills
- Medical terminology, including CPT and diagnosis codes
Benefits
The Cook Children’s Cash Management, Customer Service, and Document Control departments function as a part of a Single Billing Office (SBO) that supports all of Cook Children’s Health Care System. The goal of the SBO is to integrate customer service and self-pay collection activities across Cook Children’s Medical Center and Cook Children’s Physician Network, providing a single point of contact, a single patient billing statement, and increased transparency to guarantors thereby improving the patient collection process and patient experience.
Pay
The pay for this position is commensurate with experience.
Schedule
The shift is First Shift (United States of America) with standard weekly hours of 40.
About Us
Cook Children's Medical Center is the cornerstone of Cook Children's, offering advanced technologies, research, treatments, surgery, rehabilitation, and ancillary services tailored to meet children's needs. Cook Children's is an Equal Opportunity Employer and is committed to diversity and inclusion.