Revenue Cycle Specialist IV

This is a fully remote position, open to applicants in Arizona, +7 more states.

📋 Description

• Deliver outpatient billing and collections assistance under general supervision.

• Examine and submit claims to various third-party payors.

• Conduct account follow-up procedures.

• Revise account details as necessary.

• Investigate, analyze, and resolve intricate cases and problematic accounts with minimal guidance.

• Interpret regulatory guidelines, payor agreements, and CSHS billing and collections policies.

• Act as a technical resource and subject matter expert for colleagues.

• Assume responsibilities in the absence of the lead and/or supervisor.

• Participate in cross-training for other revenue cycle roles and provide backup support.

⛳️ Requirements

• High school diploma or GED is mandatory.

• College-level coursework in finance, business, or health insurance is preferred.

• At least 5 years of experience in the revenue cycle, including hospital/professional billing and/or collections.

• A minimum of 2 years of coding experience is required.

• CPC certification is highly preferred.

• Capability to manage multiple tasks in a fast-paced environment with competing demands.

• Strong decision-making, conflict resolution, and critical thinking skills.

• Ability to effectively communicate with directors, managers, patients, internal staff, and representatives from outside agencies.

• Excellent detail orientation, analytical, and problem-solving skills.

• Adaptability to changing workflows.

• In-depth knowledge of regulatory and CSHS policies and procedures related to billing and collections.

• Proficient in composing letters, policy statements, procedure manuals, and reports independently.

• Skilled in organizing complex statistical reports, charts, and exhibits into comprehensive documents.

• Capable of working independently with minimal supervision while prioritizing and organizing tasks effectively.

• Approved remote work states include Arizona, California, Colorado, Florida, Georgia, Minnesota, Nevada, Oregon, and Texas.

🏝️ Benefits

• Healthcare coverage.

• Paid time off.

• 403(b) retirement plan.

• Competitive salary packages.

• Health and dental insurance options.

• A dynamic and inclusive working environment.