healthcare revenue cycle specialist

Ensemble Health Partners

<div><div>Thank you for considering a career at Ensemble!</div><div></div><div>
Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.</div><div></div><div>
Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!</div><div></div><div>
O.N.E Purpose:</div><ul><li><div>
Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.</div></li><li><div>
Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.</div></li><li><div>
Striving for Excellence: Execute at a high level by demonstrating our &ldquo;Best in KLAS&rdquo; Ensemble Difference Principles and consistently delivering outstanding results.</div></li></ul><div></div><div>
The Opportunity:</div><div></div><div>
CAREER OPPORTUNITY OFFERING:</div><ul><li>
Bonus Incentives</li><li>
Paid Certifications</li><li>
Tuition Reimbursement</li><li>
Comprehensive Benefits</li><li>
Career Advancement</li></ul><div></div><div>
The salary range for this position is $69,000.00 to $104,100.00. Final offers are based on experience and geo zone.</div><div></div><div>
The Denial Prevention Process Improvement Advisor leads the performance of deep dive analysis on clinical and technical denials for his or her respective client, utilizing multiple analytics tools (including parsed 835 data, Epic BDC records, Access databases/SQL) to identify patterns and trends relative to acute denials. The Denial Prevention Process Improvement Advisor applies high level problem-solving skills to perform root cause analysis on denied accounts as transactions and extrapolates those causes across large volumes identified as denial trends for assigned facilities. The Denial Prevention Process Improvement Advisor then uses process improvement expertise and persuasion skills to guide and influence subject matter experts through assessments of operations and preparation of policies, procedures, and tip sheets that assist in remedying the root cause(s). The Denial Prevention Process Improvement Advisor is client-facing and oversees completion of denial prevention committee reports and summaries for assigned hospitals, attends monthly denial prevention committee meetings, liaises as primary contact for assigned client on revenue cycle related-denials issues, establishes and maintains client relationships to drive best practice implementations, and utilizes sound judgment and experience to aggregate and advance team recommendations for correcting underlying issues impacting denials. This is done in facilitation and addition to an expectation of contributing to the overarching goals of the Payment Integrity Team and Ensemble as a whole.</div><div></div><div>
Essential Job Functions:</div><ul><li>
Provides relevant guidance and works to resolve issues escalated by Revenue Cycle Site Directors, and other participants related to denial prevention</li></ul><ul><li>
Leads monthly Denial Prevention onsite week kick-off and close-out meetings with assigned client leadership, covering necessary information relative to identified trends, progress from prior actions, and next steps.</li></ul><ul><li>
Establishing strong relationships with appropriate stakeholders/committee members, including Finance Leadership, Revenue Cycle, Managed Care, and hospital ancillary department heads</li></ul><ul><li>
Oversees documentation and trends prevention-related findings into defined templates, initiating or creating reports or summaries as needed.</li></ul><ul><li>
Leads reviews using all patient accounting, host, Epic and related systems used across their client to verify and summarize trends concisely and actionably.</li></ul><ul><li>
Aggregates and provides strategic advisory perspective related to process improvement and quality in assessment of the root cause issues creating denials by working with the subject-matter experts and applicable owners to make recommendations to remedy process, system, and education issues.</li></ul><ul><li>
Creates materials and trains denial prevention staff, revenue cycle site directors, committee members, and revenue cycle staff as necessary on denials-related trends and issues impacting their client.</li></ul><ul><li>
Performs other duties as assigned</li></ul><div></div><div>
Required Minimum Education:</div><div>
4 year/ Bachelors Degree</div><div></div><div>
Specialty/Major:</div><div>
Healthcare administration, Business or related discipline</div><div></div><div>
Preferred Education:</div><div>
Graduate Degree (Masters)</div><div></div><div>
Other Knowledge, Skills and Abilities Required:</div><ul><li>Project Work, Intermediate Excel &amp; Access Skills</li></ul><div></div><ul><li><br>
Project Management, Data Analytics</li></ul><div></div><ul><li>Demonstrated advanced usage of AI and the management of teams using AI to lean in to process and technological improvements, to include the exploration, experimentation, and application of AI.</li></ul><div></div><ul><li>This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require.</li></ul><div></div><div>
Licensure/Certification Preferred:</div><ul><li>Certified Specialist Managed Care (CSMC); LEAN Six Sigma Black Belt</li><li>Certified Revenue Cycle Representative: (CRCR)</li></ul><div></div><div>
Join an award-winning company</div><div></div><div>
Five-time winner of &ldquo;Best in KLAS&rdquo; 2020-2022, 2024-2025</div><div>
Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024</div><div>
22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024</div><div>
Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024</div><div>
Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023</div><div>
Energage Top Workplaces USA 2022-2024</div><div>
Fortune Media Best Workplaces in Healthcare 2024</div><div>
Monster Top Workplace for Remote Work 2024</div><div>
Great Place to Work certified 2023-2024</div><ul><li><div>
Innovation</div></li><li><div>
Work-Life Flexibility</div></li><li><div>
Leadership</div></li><li><div>
Purpose + Values</div></li></ul><div></div><div>
Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:</div><ul><li><div>
Associate Benefits &ndash; We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.</div></li><li><div>
Our Culture &ndash; Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.</div></li><li><div>
Growth &ndash; We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.</div></li><li><div>
Recognition &ndash; We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.</div></li></ul><div></div><div>
Ensemble is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble also prohibits harassment of applicants or employees based on any of these protected categories.</div><div></div><div>
Ensemble provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact <div>TA@ensemblehp.com</div>.</div><div></div><div>
This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role&rsquo;s range.</div><div></div><div><div>
EEOC &ndash; Know Your Rights</div><br>
<div>FMLA Rights - English</div></div><div><div>
La FMLA Espa&ntilde;ol</div></div><div><div>
E-Verify Participating Employer</div> (English and Spanish)</div><div><div>
Know your Rights</div></div></div>

Senior Denial Prevention Process Improvement Advisor

Oracle

<div><p>Oracle Health Government Services is seeking a skilled Revenue Cycle Consultant for Workflow Optimization to join our mission-driven organization. In this role, you will be responsible for supporting revenue cycle end users navigating workflow challenges, serving as a trusted advisor that bridges the gap between technical resources, operational staff, and client leadership.. The ideal candidate will have a solid understanding of revenue cycle operations, aconsultant mindset, and a proven ability to translate complex workflow issues into practical, sustainable solutions. You will collaborate with cross-functional teams&mdash;both internal stakeholders and client partners&mdash;so familiarity with revenue cycle metrics, KPIs and terminology is essential.
</p><p>Top skills or competencies to be successful:
</p><ul><li>Comprehensive understanding of end-to-end revenue cycle operations, including patient access, coding, billing, claims, denials management, and reimbursement
</li><li>Demonstrated ability to analyze workflow challenges, think creatively, and develop practical solutions that resonate with frontline users
</li><li>Strong interpersonal and communication skills, with experience engaging diverse stakeholder groups including clinical staff, operational leaders, and technical teams
</li><li>Ability to build trust quickly with end users and serve as a reliable, approachable resource for ongoing support
</li><li>Experience facilitating workflow reviews, end-user sessions, and cross-functional working groups
</li><li>Comfort working in dynamic, client-facing environments with competing priorities and varying levels of technical proficiency among end users
</li><li>Detail-oriented with strong documentation and organizational skills
</li></ul><p>Education, certifications, or experience (preferred/required):
</p><ul><li>Bachelor's degree in Health Information Management, Healthcare Administration, Business, or a related field; equivalent experience considered
</li><li>Minimum of 8 years of experience in revenue cycle operations, consulting, or a related healthcare role
</li><li>Prior experience in a client-facing or advisory capacity strongly preferred
</li><li>Familiarity with major revenue cycle platforms required, with a preference of Millennium experience.
</li><li>Experience supporting workflow design, optimization, or implementation within a healthcare setting preferred
</li><li>Relevant certifications such as CRCR (Certified Revenue Cycle Representative) or RHIA/RHIT a plus
</li><li>Required travel up to 50%
</li><li>US Citizenship is required with an ability to obtain and maintain a government security clearance.</li></ul></div>
<br><div><p>Responsibilities :
</p><ul><li>Serve as the primary workflow subject matter expert for revenue cycle end users across internal teams and client organizations
</li><li>Coordinate between technical resources, revenue cycle operations staff, and client leadership to identify, assess, and resolve workflow challenges
</li><li>Evaluate existing revenue cycle workflows and recommend modifications that improve accuracy, efficiency, and end-user adoption
</li><li>Develop and maintain accurate, up-to-date workflow documentation for all revenue cycle processes
</li><li>Provide consistent end-user support through a structured combination of scheduled office hours and onsite presence
</li><li>Serve as an escalation resource for complex or time-sensitive workflow concerns, facilitating timely resolution across stakeholder groups
</li><li>Partner with technical teams to ensure that system configurations and build decisions align with operational workflow needs
</li><li>Monitor the effectiveness of workflow changes over time, gathering feedback from end users and making iterative improvements as needed
</li><li>Build strong working relationships with client leaders and staff to proactively surface workflow gaps before they impact operations
</li><li>Support organizational change by guiding end users through workflow transitions with clear communication and hands-on assistance</li></ul></div>

Revenue Cycle Consultant- Workflow Optimization

Mercyhealth

<div><b>Essential Duties and Responsibilities</b><br>
<ul><li>
Interpret and understand coverage and benefit limitations by having a comprehensive understanding of benefits and state requirements for multiple markets.</li><li>
Identify trends and suggest and develop efficiencies in the revenue cycle through review and trending of payer contracts and reimbursement trends.
</li><li>Research and trends denials from payors.</li><li>
Reads through healthcare contracts and contract language and ensures proper contract workflows.
</li><li>Researches remittances and Explanation of Benefits (EOBs) for complete accurate payments or denials.</li><li>
Work with payers to understand specific reasons for variances and/or denials and measures to prevent future denials.</li><li>
Research payer policies and requirements and utilize knowledge to determine whether an appeal is required and to get claims overturned.</li><li>
Develop sound and well-supported appeal arguments, where an appeal is warranted.</li><li>
Submits corrected claims and appeals.</li><li>
Coordinates appeals with clinical or coding areas within the revenue cycle.
</li><li>Requests appropriate adjustments, when required.</li><li>
Provide training and guidance to team members on market specific issues by providing feedback to management on claims and provider issues, and updating client business rules.</li><li>
Partner with Reimbursements team to assist in completing all other tasks as necessary to ensure accurate and timely internal turnaround times.</li></ul><br>
<b>
Culture of Excellence Behavior Expectations</b><p><br>
To perform the job successfully, an individual should demonstrate the following behavior expectations:
<br>
<br>
Quality - Follows policies and procedures; adapts to and manages changes in the environment; Demonstrates accuracy and thoroughness giving attention to details; Looks for ways to improve and promote quality; Applies feedback to improve performance; Manages time and prioritizes effectively to achieve organizational goals.<br>
<br>
Service - Responds promptly to requests for service and assistance; Follows the Mercyhealth Critical Moments of service; Meets commitments; Abides by MH confidentiality and security agreement; Shows respect and sensitivity for cultural differences; and effectively communicates information to partners; Thinks system wide regarding processes and functions.<br>
<br>
Partnering - Shows commitment to the Mission of Mercyhealth and Culture of Excellence through all words and actions; Exhibits objectivity and openness to other's views; Demonstrates a high level of participation and engagement in day-to-day work; Gives and welcomes feedback; Generates suggestions for improving work: Embraces teamwork, supports and encourages positive change while giving value to individuals.<br>
<br>
Cost - Conserves organization resources; Understands fiscal responsibility; Works within approved budget; Develops and implements cost saving measures; contributes to profits and revenue.</p><b><br>
Education and Experience</b><p><br>
Associate's degree in finance, business, or healthcare administration and 3 years' experience working in revenue cycle, denials management and contract management required. 5 years of experience in lieu of degree.</p><b><br>
Certification and Licensure</b><p><br>
N/A</p><b><br>
Skills and Abilities</b><br>
Knowledge of healthcare reimbursement programs, coding, and billing preferred.<br>
<b>Special Physical Demands</b><p><br>
The Special Physical Demands are considered Essential Job Functions of the position with or without reasonable accommodations.<br>
While performing the duties of this job, the employee is frequently required to sit; use hands to handle, finger, feel; reach, talk and hear. The employee is occasionally required to stand and walk. This is light work exerting up to 25 pounds of force occasionally. Specific vision abilities required by this job include constant close vision. Frequent ability to adjust focus. Prolonged sitting. Manual dexterity needed to operate telephone and keyboard.</p><b><br>
Level of Supervision</b><p><br>
N/A</p><b><br>
Supervises</b><p><br>
N/A</p><p></p><p><b>
PAY RANGE:</b></p><p></p>
$21.00 - $31.50<p></p><p>
Mercyhealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identify, national origin, disability, or protected veteran status.</p><p></p><p>
Mercyhealth offers competitive pay and a comprehensive benefits package including:
</p><p></p><ul><li><p>Medical, Dental, Vision</p></li><li><p>
Life &amp; Disability Insurance</p></li><li><p>
FSA/HSA Options</p></li><li><p>
Generous, accruing paid time off</p></li><li><p>
Paid Parental and caregiver leave</p></li><li><p>
Career advancement and educational opportunities</p></li><li><p>
Tuition and certification reimbursement</p></li><li><p>
Certification Reimbursement</p></li><li><p>
Well-being Programs</p></li><li><p>
Employee Discounts</p></li><li><p>
On-Demand Pay</p></li><li><p>
Financial Education</p></li><li><p>
Annual recognition/awards events</p></li><li><p>
Partner appreciation days</p></li><li><p>
Family entertainment/attractions discount</p></li><li><p>
Community service/improvement opportunities</p></li></ul><p></p><p>
Click here for more details regarding Mercyhealth Careers Benefit Information.</p><p></p><p>
At Mercyhealth, we don&rsquo;t simply hire people, we empower employee-partners who are passionate about making lives better. As an integrated health system, we deliver exceptional, coordinated across seven hospitals, 85 primary and specialty clinics, and a team of over 7,500 professionals serving northern Illinois and southern Wisconsin.</p><p></p><p>
Mercyhealth has been nationally recognized for our commitment to our people and culture, including:
</p><p></p><ul><li><p>#1 in the nation on AARP's Best Employers for Workers Over 50</p></li><li><p>
One of Working Mother magazine's 100 Best Companies for Working Mothers</p></li><li><p>
A Top 50 Company and Top 10 Nonprofit for Executive Women</p></li></ul></div><p></p>

Revenue Cycle Reimbursement Analyst 1

Providence

<div><p><b>Description</b></p>
<p>Providence is calling for Senior Charge Description Master Specialist - FT/Day</p>
<p>As a member of the PSJH System Revenue Integrity Chargemaster (RICDM) Dept. team, the Senior CDM Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided. The Senior CDM Specialist acts as the liaison between the Hospital ministry and the PSJH System Revenue Integrity/Chargemaster (RI/CDM Department), and researches CDM maintenance requests for adherence to the PSJH System standard CDM in a timely manner. The Senior CDM Specialist responds to Hospital ministry inquiries regarding Chargemaster issues and is responsible for the training of Hospital ministry staff regarding the CDM Maintenance process, coding updates and charge capture improvement. The Senior CDM Specialist acts as a resource to other CDM Specialists in the research and resolution of requests in a timely manner; and is responsible for the training and skill development of the CDM Specialists to maximize available tools for chargemaster compliance. The Senior CDM Specialist coordinates the daily CDM maintenance workflow between the PSJH System and the Ministries and monitors the alignment of the individual ministries to the PSJH System's standard CDM. The Senior CDM Specialist is responsible for the documentation of all policies and procedures regarding CDM Maintenance and charge process; and is responsible for training Specialists to evaluate department charge processes to improve charge capture and coding compliance. The Senior CDM Specialist also coordinates with Hospital ministry, IS, Clinical Informatics and Integration personnel on technology projects impacting charge entry, charge dictionaries, and charge interfaces.</p>
<p>Providence caregivers are not simply valued &ndash; they&rsquo;re invaluable. Join our team at Revenue Cycle Business Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.</p>
<p><b>Required Qualifications:</b></p>
<ul><li>Bachelor&rsquo;s Degree in Healthcare, Nursing, Sciences, Finance, Accounting or other related field of study, or equivalent educ/experience</li>
<li>Driving may be necessary as part of this role. Caregivers are required to comply with all state laws and requirements for driving. Caregivers will be expected to provide proof of driver license and auto insurance upon request.</li>
<li>Min 5 years Hospital chargemaster experience, including the use of CDM Maintenance software and experience with inpatient and outpatient billing requirements (UB-04) and CMS Medicare reimbursement methodology. Knowledge of CPT, HCPCS and ICD10 coding principles.</li>
<li>3 years operational performance improvement and/or project management experience.</li>
<li>5 years experience working with Hospital EMR related to Chargemaster, preferably Epic EAP</li>
<li>3 years experience with CDM Maintenance tools/software such as Craneware, Vitalware, nThrive.</li>
<li>5 years experience with Hospital charging practices.</li>
</ul><p><b>Preferred Qualifications:</b></p>
<ul><li>Coding experience.</li>
</ul><p><b>Salary Range by Location:</b></p>
<ul><li>AK: Anchorage: Min: $40.11, Max: $62.27</li>
<li>AK: Kodiak, Seward, Valdez: Min: $41.81, Max: $64.91</li>
<li>California: Humboldt: Min: $40.98, Max: $64.88</li>
<li>California: All Northern California - Except Humboldt: Min:$46.91, Max: $72.82</li>
<li>California: All Southern California - Except Bakersfield: Min: $41.81, Max: $64.91</li>
<li>California: Bakersfield: Min: $40.11, Max: $62.27</li>
<li>Idaho: Min: $35.69, Max: $55.41</li>
<li>Montana: Except Great Falls: Min: $32.29, Max: $50.13</li>
<li>Montana: Great Falls: Min: $30.59, Max: $47.49</li>
<li>New Mexico: Min: $32.29, Max: $50.13</li>
<li>Nevada: Min: $41.81, Max: $64.91</li>
<li>Oregon: Non-Portland Service Area: Min: $37.39, Max: $58.05</li>
<li>Oregon: Portland Service Area: Min: $40.11, Max: $62.27</li>
<li>Texas: Min: $30.59, Max: $47.49</li>
<li>Washington: Western - Except Tukwila: Min: $41.81, Max: $64.91</li>
<li>Washington: Southwest - Olympia, Centralia &amp; Below: Min: $40.11, Max: $62.27</li>
<li>Washington: Tukwila: Min: $41.81, Max: $64.91</li>
<li>Washington: Eastern: Min: $35.69, Max: $55.41</li>
<li>Washington: South Eastern: Min: $37.39, Max: $58.05</li>
</ul><p><b>Why Join Providence?</b></p>
<p>Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.</p>
<p>Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons.</p>
<p><b>About Providence</b></p>
<p>At Providence, our strength lies in Our Promise of &ldquo;Know me, care for me, ease my way.&rdquo; Working at our family of organizations means that regardless of your role, we&rsquo;ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.</p>
<p>Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.</p>
<p>Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.</p>
<p>Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.</p>
<p><b>About the Team</b></p>
<p>Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.</p>
<p>Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.</p>
<p><b>Requsition ID:</b> 420156
</p><p><b>Company:</b> Providence Jobs
</p><p><b>Job Category:</b> Patient Financial Services
</p><p><b>Job Function:</b> Revenue Cycle
</p><p><b>Job Schedule:</b> Full time
</p><p><b>Job Shift:</b> Day
</p><p><b>Career Track:</b> Business Professional
</p><p><b>Department:</b> 4001 SS RC CHARGE DECR MSTR
</p><p><b>Address:</b> OR Portland 4400 NE Halsey St
</p><p><b>Work Location:</b> Providence Health Plaza (HR) Bldg 1-Portland
</p><p><b>Workplace Type:</b> On-site
</p><p><b>Pay Range:</b> $See Posting - $See Posting
</p><p>The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.</p></div><p></p>

Senior Charge Description Master Specialist - FT/Day

Women's Care

<div><p>Women&rsquo;s Care, founded in 1998, is a leading women&rsquo;s healthcare group in the United States, dedicated to providing the highest quality of care for women through their reproductive years and beyond. With 100+ locations and over 400 OB/GYNs and specialists across the country, Women&rsquo;s Care provides comprehensive patient care in obstetrics, gynecology, gynecologic oncology, urogynecology, gynecologic pathology, breast surgery, genetic counseling, maternal fetal medicine, laboratory services, and fertility.
</p><p></p><p>The Regional RCM (Revenue Cycle Management) Liaison is responsible for facilitating and managing communication between operational teams, leadership, and the RCM department. This role serves as the primary point of contact for all RCM related matters. The Regional RCM Liaison ensures process consistency, identifies areas for improvement, and collaborates with operational staff to drive successful outcomes. This position requires a proactive and collaborative individual who can manage tasks efficiently, maintain strong relationships with internal stakeholders, and support the development and execution of process improvements.
</p><p></p><ul><li>Serve as the primary point of contact for all RCM-related matters including payment posting, AR follow-up, charge entry, coding (where applicable), and questions related to collections, pending claims, credentialing, and insurance enrollment.</li><li>
Address and resolve inquiries regarding claims submission, delays, and patient access issues (e.g., scheduling standards, insurance verification, patient collections).</li><li>
Provide support and guidance for operational staff regarding all aspects of the revenue cycle.</li><li>
Create and present monthly RCM metrics to leadership, highlighting key performance indicators and areas of success and opportunities for improvement.</li><li>
Compile bi-weekly reports for the Director of RCM and the CRO, tracking unit-specific issues, and escalating concerns when necessary.</li><li>
Coordinate monthly meetings with the Director of RCM and the CRO to review month-end results, providing detailed presentations for each unit's performance.</li><li>
Build and maintain positive relationships with operational staff and leadership, promoting a cooperative and solution-oriented work environment.</li><li>
Collaborate with assigned units and other Regional RCM Liaisons to identify opportunities for training, process improvement, and workflow optimization.</li><li>
Conduct at minimum monthly site visits to assigned units to provide ongoing support and maintain strong partnerships.</li><li>
Organize and schedule training sessions, ensuring the necessary documentation and materials are prepared to support RCM staff onboarding and development.</li><li>
Continuously evaluate and recommend changes to operational procedures and workflows to improve efficiency and effectiveness.</li><li>
Share best practices and educate staff on process improvements to address identified areas of underperformance.</li><li>
Ensure clear, professional, and consistent communication across all teams and stakeholders.</li><li>
Document all unit site visits and interactions thoroughly, ensuring alignment and coordination of engagement efforts.</li><li>
Identify and troubleshoot concerns, escalating issues according to established protocols when necessary.</li><li>
Think creatively to resolve challenges and drive continuous improvements in RCM operations.</li><li>
Triage concerns appropriately, ensuring efficient issue resolution while minimizing disruptions to the workflow.</li><li>
Work closely with operational and RCM stakeholders to develop and execute process improvement initiatives.</li><li>
Ensure effective communication and education on quality metrics, provider performance, and compliance.</li><li>
Demonstrate and embody the Women&rsquo;s Care mission and core values.</li><li>
Compliance with all HIPAA rules, regulations, and guidelines.</li><li>
Other duties as assigned.</li></ul><p><b>
Qualifications:</b></p><p>
</p><ul><li>Bachelor&rsquo;s degree in Business, Healthcare Administration, or related field preferred.</li><li>
Minimum 2 years of proven experience in revenue cycle management, healthcare RCM / operations, or an equivalent combination of education and experience.</li><li>
Strong knowledge of payment posting, AR follow-up, charge entry, claims submission, insurance verification and authorization.
</li><li>Excellent communication, organizational, and interpersonal skills.</li><li>
Ability to build productive relationships with cross-functional teams and leadership.</li><li>
Experience in data analysis and report generation.</li><li>
Proficiency in Microsoft Office Suite and other relevant software tools.</li><li>
Ability to work independently, manage multiple tasks, and prioritize effectively.</li><li>
Detail-oriented with a commitment to continuous improvement and problem-solving.</li><li>
2 years EMR experience is required; eCW and Phreesia experience strongly preferred.
</li><li>Willing and able to travel up to 75% within assigned region.</li><li>
Ability to perform frequent site visits and interact with staff and leadership in assigned units.</li><li>
Ability to work in a fast-paced environment and manage competing priorities.</li><li>
Must be dependable, reliable, and punctual.
</li></ul><p></p><p><b>WHY JOIN WOMEN'S CARE?
</b></p><p><b>We Offer:</b></p><ul><li>
Competitive compensation package</li><li>
Health, dental, and vision benefits</li><li>
Paid time off and paid holidays</li><li>
401k plan
</li><li>An opportunity to make a difference in patients' lives every day!</li></ul><p>
</p><p>At Women&rsquo;s Care, we believe that our success is built on a foundation of strong, shared values. These values guide our actions, shape our culture, and define who we are as an organization.
</p><ul><li>Communication &amp; Collaboration
</li><li>Transparency</li><li>
Accountability &amp; Integrity
</li><li>Patient Care &amp; Innovation</li><li>
Excellence</li><li>
Respect</li></ul><p>
With the commitment of our employees, we remain true to our mission of providing unparalleled healthcare services to women every day.</p></div>

Regional RCM Liaison

Texas Health Resources

<div><div><p><b>Patient Account Representative II</b></p><p><i>
Fast-paced, high-volume clinic looking for a top skilled Patient Account Rep II</i></p><p>
</p><p></p><p><b>Office location:</b> 612 East Lamar Arlington, Texas 76010</p><p><b>
Work environment:</b><b> </b>Remote Contact Center &ndash; onsite training may be required</p><p><b>
Work hours:</b> Full-time, 40 hours weekly; Flexible Schedule once training is completed</p><p>
</p><p><b>Department Highlights:</b></p><p>
</p><ul><li><p>Remote Flexibility with Structured Guidance</p></li><li><p>
Positive work/life balance</p></li><li><p>
Bonus Opportunities</p></li></ul><p>
</p></div><p></p><div><p><b>Here&rsquo;s What You Need:</b></p><ul><li> High School Diploma or equivalent (REQUIRED)</li><li> Two years of Healthcare Revenue Cycle Accounts Receivable experience, healthcare or related organization (REQUIRED)</li></ul><ul><li><p>
Authorization and Appeal Knowledge (PREFERRED)</p></li><li><p>
Carrier Website functionality and analytical skills (PREFERRED)</p><p>
</p></li></ul><p></p><p><b>What You Will Do:</b></p><p>
</p><ul><li> Verify validity of account balances by researching, reviewing and ensuring accuracy of payment and adjustment posting.</li><li> Contact payors, networks, patients, employers and other responsible parties to acquire timely and accurate/expected payment on assigned Accounts Receivable inventory.</li><li> Take necessary steps needed to acquire and provide information needed for claims that have a zero payment</li><li> Process rebills and other system actions, as needed</li><li> Understand and apply appropriate system discounts</li></ul><p>
</p><p></p><p><b>Additional perks of being a Texas Health employee:</b></p><ul><li> Benefits include 401k, PTO, medical, dental, Paid Parental Leave, flex spending, tuition reimbursement, Student Loan Repayment Program as well as several other benefits.</li><li> Delivery of high quality of patient care through nursing education, nursing research and innovations in nursing practice.</li><li> Strong Unit Based Council (UBC).</li><li> A supportive, team environment with outstanding opportunities for growth.</li></ul><p>
</p><p></p><p><b>Entity Highlights:</b></p><p>
At Texas Health Resources, our mission is &ldquo;to improve the health of the people in the communities we serve.&rdquo; We are one of the largest faith-based, nonprofit health systems in the United States with a team of more than 23,000 employees of wholly owned/operated facilities plus 2.200 employees of consolidated joint ventures in the greater Dallas/Fort Worth area. Our career growth and professional development opportunities are top-notch and our benefits are equally outstanding.</p><p>
</p><p></p><p>Explore our Texas Health careers site for info like Benefits, Job Listings by Category, recent Awards we&rsquo;ve won and more.</p><p>
</p><p><b><i>Do you still have questions or concerns?</i></b><b><i> </i></b>Feel free to email your questions to recruitment@texashealth.org.
</p><p></p><p>#LI-RE1</p></div></div>

Patient Account Rep II - Collections - FullTime, Days

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Regional RCM Liaison

Patient Account Rep II - Collections - FullTime, Days