Revenue Cycle Specialist - Business Office

About the role

The Revenue Cycle Specialist will work with CLH colleagues and contracted billing agencies regarding the process of collecting and processing of medical claims. This will include timely processing of claims, reimbursement, and assisting in any denied claims.

Responsibilities

• Working with the CLH Department Managers and Administration, as well other appropriate colleagues and/or contracted billing vendors to manage the revenue cycle process for CLH, resolving issues in a timely manner
• Approach problemsolving challenges, having strong attention to detail
• Working collaboratively with CLH colleagues and leadership to audit and analyze revenue cycle activities and provide information regarding any discrepancies
• Routinely evaluating and documenting the revenue capture process for each department and identifying process improvements
• Facilitating the coding and charge master build for all new services
• Carrying out routine, or as requested, claims analysis to verify charge master compliance and identify revenue improvements
• Timely monitoring MCR and Medicaid (MCD) web portals, as well as other payor websites and newsletters regarding changes impacting charging, coding, and billing
• Reviewing and updating CPT, HCPCS, and revenue codes for individual departments and services
• Preparing and conducting educational services to departments and colleagues pursuant to audit findings, regulatory changes and requirements, coding updates, and managed care billing requirement changes
• Conducting routine, or as requested, claims analysis to verify charge master compliance and identify revenue improvements
• Timely monitoring MCR and Medicaid (MCD) web portals, as well as other payor websites and newsletters regarding changes impacting charging, coding, and billing
• Reviewing and updating CPT, HCPCS, and revenue codes for individual departments and services
• Preparing and conducting educational services to departments and colleagues pursuant to audit findings, regulatory changes and requirements, coding updates, and managed care billing requirement changes
• Conducting routine, or as requested, claims analysis to verify charge master compliance and identify revenue improvements
• Timely monitoring MCR and Medicaid (MCD) web portals, as well as other payor websites and newsletters regarding changes impacting charging, coding, and billing
• Reviewing and updating CPT, HCPCS, and revenue codes for individual departments and services
• Preparing and conducting educational services to departments and colleagues pursuant to audit findings, regulatory changes and requirements, coding updates, and managed care billing requirement changes
• Conducting routine, or as requested, claims analysis to verify charge master compliance and identify revenue improvements
• Timely monitoring MCR and Medicaid (MCD) web portals, as well as other payor websites and newsletters regarding changes impacting charging, coding, and billing
• Reviewing and updating CPT, HCPCS, and revenue codes for individual departments and services
• Preparing and conducting educational services to departments and colleagues pursuant to audit findings, regulatory changes and requirements, coding updates, and managed care billing requirement changes
• Conducting routine, or as requested, claims analysis to verify charge master compliance and identify revenue improvements
• Timely monitoring MCR and Medicaid (MCD) web portals, as well as other payor websites and newsletters regarding changes impacting charging, coding, and billing
• Reviewing and updating CPT, HCPCS, and revenue codes for individual departments and services
• Preparing and conducting educational services to departments and colleagues pursuant to audit findings, regulatory changes and requirements, coding updates, and managed care billing requirement changes
• Conducting routine, or as requested, claims analysis to verify charge master compliance and identify revenue improvements
• Timely monitoring MCR and Medicaid (MCD) web portals, as well as other payor websites and newsletters regarding changes impacting charging, coding, and billing
• Reviewing and updating CPT, HCPCS, and revenue codes for individual departments and services
• Preparing and conducting educational services to departments and colleagues pursuant to audit findings, regulatory changes and requirements, coding updates, and managed care billing requirement changes
• Conducting routine, or as requested, claims analysis to verify charge master compliance and identify revenue improvements
• Timely monitoring MCR and Medicaid (MCD) web portals, as well as other payor websites and newsletters regarding changes impacting charging, coding, and billing
• Reviewing and updating CPT, HCPCS, and revenue codes for individual departments and services
• Preparing and conducting educational services to departments and colleagues pursuant to audit findings, regulatory changes and requirements, coding updates, and managed care billing requirement changes
• Conducting routine, or as requested, claims analysis to verify charge master compliance and identify revenue improvements
• Timely monitoring MCR and Medicaid (MCD) web portals, as well as other payor websites and newsletters regarding changes impacting charging, coding, and billing
• Reviewing and updating CPT, HCPCS, and revenue codes for individual departments and services
• Preparing and conducting educational services to departments and colleagues pursuant to audit findings, regulatory changes and requirements, coding updates, and managed care billing requirement changes
• Conducting routine, or as requested, claims analysis to verify charge master compliance and identify revenue improvements
• Timely monitoring MCR and Medicaid (MCD) web portals, as well as other payor websites and newsletters regarding changes impacting charging, coding, and billing
• Reviewing and updating CPT, HCPCS, and revenue codes for individual departments and services
• Preparing and conducting educational services to departments and colleagues pursuant to audit findings, regulatory changes and requirements, coding updates, and managed care billing requirement changes
• Conducting routine, or as requested, claims analysis to verify charge master compliance and identify revenue improvements
• Timely monitoring MCR and Medicaid (MCD) web portals, as well as other payor websites and newsletters regarding changes impacting charging, coding, and billing
• Reviewing and updating CPT, HCPCS, and revenue codes for individual departments and services
• Preparing and conducting educational services to departments and colleagues pursuant to audit findings, regulatory changes and requirements, coding updates, and managed care billing requirement changes
• Conducting routine, or as requested, claims analysis to verify charge master compliance and identify revenue improvements
• Timely monitoring MCR and Medicaid (MCD) web portals, as well as other payor websites and newsletters regarding changes impacting charging, coding, and billing
• Reviewing and updating CPT, HCPCS, and revenue codes for individual departments and services
• Preparing and conducting educational services to departments and colleagues pursuant to audit findings, regulatory changes and requirements, coding updates, and managed care billing requirement changes
• Conducting routine, or as requested, claims analysis to verify charge master compliance and identify revenue improvements
• Timely monitoring MCR and Medicaid (MCD) web portals, as well as other payor websites and newsletters regarding changes impacting charging, coding, and billing
• Reviewing and updating CPT, HCPCS, and revenue codes for individual departments and services
• Preparing and conducting educational services to departments and colleagues pursuant to audit findings, regulatory changes and requirements, coding updates, and managed care billing requirement changes
• Conducting routine, or as requested, claims analysis to verify charge master compliance and identify revenue improvements
• Timely monitoring MCR and Medicaid (MCD) web portals, as well as other payor websites and newsletters regarding changes impacting charging, coding, and billing
• Reviewing and updating CPT, HCPCS, and revenue codes for individual departments and services
• Preparing and conducting educational services to departments and colleagues pursuant to audit findings, regulatory changes and requirements, coding updates, and managed care billing requirement changes
• Conducting routine, or as requested, claims analysis to verify charge master compliance and identify revenue improvements
• Timely monitoring MCR and Medicaid (MCD) web portals, as well as other payor websites and newsletters regarding changes impacting charging, coding, and billing
• Reviewing and updating CPT, HCPCS, and revenue codes for individual departments and services
• Preparing and conducting educational services to departments and colleagues pursuant to audit findings, regulatory changes and requirements, coding updates, and managed care billing requirement changes
• Conducting routine, or as requested, claims analysis to verify charge master compliance and identify revenue improvements
• Timely monitoring MCR and Medicaid (MCD) web portals, as well as other payor websites and newsletters regarding changes impacting charging, coding, and billing
• Reviewing and updating CPT, HCPCS, and revenue codes for individual departments and services
• Preparing and conducting educational services to departments and colleagues pursuant to audit findings, regulatory changes and requirements, coding updates, and managed care billing requirement changes
• Conducting routine, or as requested, claims analysis to verify charge master compliance and identify revenue improvements
• Timely monitoring MCR and Medicaid (MCD) web portals, as well as other payor websites and newsletters regarding changes impacting charging, coding, and billing
• Reviewing and updating CPT, HCPCS, and revenue codes for individual departments and services
• Preparing and conducting educational services to departments and colleagues pursuant to audit findings, regulatory changes and requirements, coding updates, and managed care billing requirement changes
• Conducting routine, or as requested, claims analysis to verify charge master compliance and identify revenue improvements
• Timely monitoring MCR and Medicaid (MCD) web portals, as well as other payor websites and newsletters regarding changes impacting charging, coding, and billing
• Reviewing and updating CPT, HCPCS, and revenue codes for individual departments and services
• Preparing and conducting educational services to departments and colleagues pursuant to audit findings, regulatory changes and requirements, coding updates, and managed care billing requirement changes
• Conducting routine, or as requested, claims analysis to verify charge master compliance and identify revenue improvements
• Timely monitoring MCR and Medicaid (MCD) web portals, as well as other payor websites and newsletters regarding changes impacting charging, coding, and billing
• Reviewing and updating CPT, HCPCS, and revenue codes for individual departments and services
• Preparing and conducting educational services to departments and colleagues pursuant to audit findings, regulatory changes and requirements, coding updates, and managed care billing requirement changes
• Conducting routine, or as requested, claims analysis to verify charge master compliance and identify revenue improvements
• Timely monitoring MCR and Medicaid (MCD) web portals, as well as other payor websites and newsletters regarding changes impacting charging, coding, and billing
• Reviewing and updating CPT, HCPCS, and revenue codes for individual departments and services
• Preparing and conducting educational services to departments and colleagues pursuant to audit findings, regulatory changes and requirements, coding updates, and managed care billing requirement changes
• Conducting routine, or as requested, claims analysis to verify charge master compliance and identify revenue improvements
• Timely monitoring MCR and Medicaid (MCD) web portals, as well as other payor websites and newsletters regarding changes impacting charging, coding, and billing
• Reviewing and updating CPT, HCPCS, and revenue codes for individual departments and services
• Preparing and conducting educational services to departments and colleagues pursuant to audit findings, regulatory changes and requirements, coding updates, and managed care billing requirement changes
• Conducting routine, or as requested, claims analysis to verify charge master compliance and identify revenue improvements
• Timely monitoring MCR and Medicaid (MCD) web portals, as well as other payor websites and newsletters regarding changes impacting