Revenue Cycle Specialist (Remote Eligible)

Revenue Cycle Specialist (Remote Eligible)

Eureka Springs Hospital (ESH)
Eureka Springs, Arkansas
Rural Emergency Hospital (REH)

Position Summary

The Revenue Cycle Specialist is responsible for stabilizing, rebuilding, and optimizing the end-to-end revenue cycle at Eureka Springs Hospital, a municipally owned Rural Emergency Hospital (REH).

This role will serve as the internal subject matter expert for Oracle CommunityWorks revenue cycle operations, third-party billing oversight, payer reimbursement integrity, and accounts receivable performance.

The ideal candidate is highly analytical, process-driven, and experienced in rural hospital or REH/CAH environments. This individual will work directly with the CEO and CFO to implement a structured revenue recovery plan and establish sustainable, compliant workflows.

Remote work is permitted; however, regular virtual collaboration and occasional onsite presence (if feasible) may be required.

Why This Role Matters

ESH is undergoing a strategic financial and operational transformation. The Revenue Cycle Specialist will:

• Correct revenue leakage
• Ensure REH billing compliance
• Improve cash flow stability
• Oversee third-party vendors
• Rebuild trust in financial reporting
• Protect the hospital’s long-term viability

This is a high-impact, mission-driven position.

Core Responsibilities

1. Revenue Cycle Oversight (End-to-End)

Oversee and optimize the full revenue cycle including:

• Patient registration accuracy
• Insurance verification & eligibility
• Charge capture integrity
• Coding oversight (facility & professional)
• Claim submission workflows
• Clearinghouse processes
• Denials management
• Secondary billing
• Patient statement workflows (RevSpring oversight)
• Accounts receivable follow-up
• Credit balance management

2. Oracle CommunityWorks Revenue Integrity

• Serve as internal Oracle revenue cycle subject matter expert
• Identify build errors related to REH designation
• Ensure correct REH revenue codes and billing configuration
• Validate claim edits, payer mapping, and financial class structure
• Audit charge master alignment
• Collaborate with Oracle support and escalate tickets when needed
• Translate Oracle system language into operational action

3. Accounts Receivable Management

• Analyze AR aging weekly
• Develop targeted AR reduction strategy
• Monitor cash collections trends
• Identify root causes of AR growth
• Oversee denial prevention and appeal strategy
• Produce actionable AR dashboards for CEO/CFO

Target outcomes:

• Reduce >90 day AR
• Improve clean claim rate
• Improve days in AR
• Stabilize monthly cash collections

4. Third-Party Vendor Oversight

Manage and monitor:

• External coders
• Third-party billers (if contracted)
• RevSpring patient statement processes
• Clearinghouse relationships

Responsibilities include:

• Define vendor KPIs
• Conduct monthly performance reviews
• Ensure billing occurs after insurance adjudication
• Validate statement accuracy and itemization
• Ensure EOB reconciliation prior to patient billing

5. REH Regulatory & Compliance Alignment

• Ensure compliance with CMS REH billing requirements
• Monitor facility vs professional charge separation
• Validate correct ED level billing
• Ensure infusion and outpatient services are built properly
• Support audit readiness

6. Reporting & Financial Transparency

• Build monthly revenue cycle performance dashboard
• Report to CEO and CFO on:
• Net collection rate
• Clean claim rate
• Denial rate
• Days in AR
• Cash acceleration
• Identify revenue opportunities
• Provide corrective action recommendations

7. Process Rebuild & Staff Education

• Develop standardized revenue cycle workflows
• Create SOPs for admissions and business office
• Train staff on insurance verification and secondary billing
• Improve front-end accuracy to reduce downstream denials

Required Qualifications

• Minimum 5 years hospital revenue cycle experience
• Experience in rural hospital, CAH, or REH strongly preferred
• Hands-on knowledge of:
• Claim submission
• Denials management
• AR analysis
• Payer reimbursement
• Experience overseeing third-party billing vendors
• Strong understanding of Medicare billing rules
• Proficiency with hospital billing systems (Oracle/Cerner preferred)
• Advanced Excel/data analysis skills
• Ability to work independently in a fast-moving environment

Preferred Qualifications

• Experience with Oracle CommunityWorks
• REH billing knowledge
• RHIA, RHIT, CPC, CPB, CHFP, or similar certification
• Experience stabilizing a distressed revenue cycle operation
• Charge master audit experience

Key Performance Indicators (First 6 Months)

• Reduction in >90 day AR by 15–25%
• Clean claim rate improvement to >90%
• Denial rate reduction
• Clear documentation of revenue cycle workflow map
• Correct REH system configuration validated
• Vendor accountability structure implemented
• Monthly executive revenue dashboard established

Soft Skills Required

• Calm under pressure
• Direct and confident communicator
• Analytical thinker
• Solution-oriented
• Not intimidated by vendor pushback
• Mission-driven and community-focused

Reporting Structure

Reports directly to:

• CEO (strategic oversight)
• CFO (financial alignment)

Works collaboratively with:

• Admissions
• ED leadership
• Infusion services
• Coding vendors
• Oracle support

Compensation

Competitive based on experience.
Remote flexibility available.
Contract-to-hire options may be considered.

Why Join ESH?

Eureka Springs Hospital is redefining rural healthcare as a Community Healthcare Hub. This role offers the opportunity to:

• Lead meaningful financial transformation
• Protect a rural hospital’s future
• Make measurable impact on community access to care
• Work directly with executive leadership

Pay: $38.00 - $57.00 per hour

Benefits:

• Dental insurance
• Employee assistance program
• Health insurance
• Paid time off
• Vision insurance

Work Location: Hybrid remote in Eureka Springs, AR 72632