Revenue Cycle Specialist

This is a fully remote position, open to applicants in Illinois.

📋 Description

• Accountable for the recovery of outstanding balances from both commercial insurance and self-pay clients.

• Actively enhancing revenue cycle processes.

• Oversee client business accounts, policy applications, and collection efforts.

• Work an eight-hour shift across five days a week, with availability for additional hours when necessary.

• Overtime may be required.

• Oversee all credit and collection activities related to client accounts.

• Ensure the accuracy of the accounts receivable ledger, including continuous monitoring of aged receivables.

• Stay updated on revenue components such as benefit plans, contract terms, rates, and billing forms and codes.

• Verify the status of claims using telephone, websites, and other available resources.

• Record necessary adjustments for client accounts.

• Identify and suggest adjustments needed for client accounts.

• Engage in collection activities and follow up on balances that deviate from established norms.

• Coordinate collection efforts with external agencies, including court appearances when necessary.

• Ensure consistency in the application of credit policies throughout the revenue cycle—from admission to final account resolution.

• Handle cardholder data securely, adhering to encryption, data storage limitations, and security protocols.

• Participate in mandatory Payment Card Industry (PCI) training, access controls, and regular security assessments, all in line with PCI Data Security Standard (DSS) guidelines.

• Provide feedback and education to departments/internal customers regarding issues that affect revenue flow and capture.

• Prepare appropriate documentation and reports that aid in the fiscal management of the agency.

• Be a part of the Revenue Cycle Team and engage in all team meetings and activities.

• Comprehend and adhere to all principles established by the Rosecrance Corporate Compliance Program and Code of Conduct.

• Execute all responsibilities in alignment with the mission, vision, values, and expectations of Rosecrance.

• Consistently deliver exceptional customer service to every client.

⛳️ Requirements

• High School diploma or GED is required.

• One to two years of experience in healthcare claims processing and collections, or an equivalent mix of education, training, and experience.

• Proficient in computer use within a Windows environment, with knowledge of Microsoft Office products, particularly Excel.

• Sufficient written communication skills to accurately complete required documentation within specified time frames.

• Strong organizational skills are essential.

🏝️ Benefits

• Medical, dental, and vision insurance with multiple plan options to suit your needs.

• 401(k) plan with employer matching and discretionary contributions.

• Group Life Insurance, Long-Term Disability (LTD), and Accidental Death & Dismemberment (AD&D) coverage.

• Tuition assistance and reimbursement for licensure/certification.

• Paid Time Off, sick leave, and bereavement leave.

• Referral program offering up to $1,000 per hire!

• Wellness program, including an on-site gym at select facilities.

• Discounts available at participating retailers.

• Daily pay option through UKG Wallet for financial flexibility.