revenue cycle consultant

Reliant Healthcare Group

<div><ul><li><b>This is NOT a remote position</b></li></ul><br>
<p></p>
<p>
Healthcare Billing &ndash; ABA Therapy | Pediatric Therapy | Private Duty Nursing (PDN)</p><br>
<p></p>
<p><b>
Location:</b> Katy, TX</p>
<p><b>
Job Type:</b> Full-Time</p>
<p><b>
Reports To:</b> Revenue Cycle Manager</p><br>
<p></p>
<p><b>
Job Overview</b></p>
<p>
We are seeking an experienced Senior Revenue Cycle Specialist (RCM) to support advanced billing and revenue cycle operations for ABA therapy, pediatric therapy (OT/PT/SLP), and Private Duty Nursing (PDN) services. This is a hands-on, non-supervisory role focused on complex claims, authorizations, denials, and assigned RCM projects.</p><br>
<p></p>
<p><b>
Key Responsibilities</b></p>
<ul>
<li>Execute end-to-end revenue cycle management: eligibility, authorizations, billing, AR follow-up, and collections</li>
<li>Handle complex billing for ABA services, pediatric therapy, and PDN</li>
<li>Submit and track claims with Medicaid, Medicaid MCOs, and commercial insurance</li>
<li>Manage denials, appeals, underpayments, and payer escalations</li>
<li>Monitor authorized units, frequency, and payer compliance</li>
<li>Work assigned accounts receivable (AR) and aging buckets</li>
<li>Support billing audits, payer reviews, and documentation requests</li>
<li>Own assigned RCM projects (workflow optimization, payer setup, EMR clean-up)</li>
<li>Collaborate with intake, scheduling, and clinical teams</li>
<li>Provide reporting and insights to the RCM Manager</li></ul><br>
<p></p>
<p><b>
Required Experience</b></p>
<ul>
<li>4+ years in healthcare revenue cycle, medical billing, or AR</li>
<li>Direct experience with ABA billing, therapy billing, or PDN billing a plus</li>
<li>Strong knowledge of Medicaid, MCOs, and commercial payors</li>
<li>Experience with authorizations, denials management, and appeals</li>
<li>Ability to work independently on complex billing issues</li>
<li>High attention to detail and strong problem-solving skills</li></ul><br>
<p></p>
<p><b>
Preferred Experience</b></p>
<ul>
<li>Multi-clinic or multi-service healthcare experience</li>
<li>ABA authorization and treatment plan billing knowledge</li>
<li>EMR / billing system experience</li>
<li>Bachelor&rsquo;s degree (preferred, not required)</li></ul><br>
<p></p>
<p><b>
What We Offer</b></p>
<ul>
<li>Competitive pay based on experience</li>
<li>Stable, growth-focused healthcare organization</li>
<li>Exposure to multiple service lines (ABA, therapy, PDN)</li>
<li>Professional development and advancement opportunities</li>
<li>Benefits including PTO, health insurance, paid holidays , and 401K</li></ul></div><p></p>

Senior Revenue Cycle Specialist (RCM)

Cedars-Sinai Medical Center

<p></p><div><div><div><div><p><b>Job ID</b> 16108</p>
<p><b>Location</b> Torrance, California, United States
</p><p><b>Job Category</b> Patient Financial Services
</p><p><b>Date posted</b> 04/11/2026</p></div></div><p></p><div><br>
<div></div>
</div></div><div><h2 class="jobSectionHeader"><b>Job Description</b></h2><p>
Align yourself with an organization that has a reputation for excellence! Cedars Sinai was awarded the National Research Corporation&rsquo;s Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We also were awarded the Advisory Board Company&rsquo;s Workplace of the Year. This annual award recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. We provide an outstanding benefit package that includes health care, paid time off and a 403(B). Join us! Discover why U.S. News &amp; World Report has named us one of America&rsquo;s Best Hospitals.</p><p><b>
What will I be doing in this role?</b></p><p>
The Revenue Cycle Analyst is responsible for the development, assessment and quantification of trends. This will require direct working relationships with management and key staff members, in addition to key members of Finance and Medical Network and Medical Center Departments. The primary duties of this role include:</p><ul><li>
Analyzing trends to determine where variances are occurring and develop reports to assess these variances.</li><li>
Summarizing information, data, and recommendations, and preparing presentation materials. May present findings to management.</li><li>
Making recommendations based upon overall analysis to effectively monitor areas of opportunity/risk.</li><li>
Creating/developing regular and ad-hoc reports.</li><li>
Payor Policy analysis and review.</li><li>
Denial and Revenue Cycle trending.</li><li>
Using independent judgment to resolve issues.</li><li>
Completing complex/special assignments.</li></ul><h2 class="jobSectionHeader"><b>
Qualifications</b></h2><p><b>
Requirements:</b></p><ul><li>
High School Diploma or GED required. Bachelor's degree in finance, economics, business or a related field preferred.</li><li>
A minimum of 1 year of proven experience as an analyst (revenue cycle, data, financial, business, or related) preferred.</li><li>
A minimum of 3 years of proven experience in billing and collections revenue cycle experience required.</li><li>
Experience in Healthcare delivery systems with knowledge of CPT/HCPC, ICD-10 coding, clearinghouse, EDI claims and remittance advice processing, and Epic Revenue Cycle Applications (i.e. ADT/Prelude, Cadence, Resolute PB or HB) highly preferred.</li></ul><p><b><br>
Why work here?</b></p><p><br>
We take pride in hiring the best employees. Our dedicated staff reflects the culturally and ethnically diverse community we serve. They are proof of our dedication to creating a dynamic, inclusive environment that fuels innovation and the gold standard of patient care we strive for.</p>
</div><div><div><div><b>Req ID</b> 16108</div>
</div><div><div><b>Working Title</b> Revenue Cycle Analyst (Remote)</div>
</div><div><div><b>Department</b> CSRC PB - Group 3 CSMCF</div>
</div><div><div><b>Business Entity</b> Cedars-Sinai Medical Center</div>
</div><div><div><b>Job Category</b> Patient Financial Services</div>
</div><div><div><b>Job Specialty</b> Revenue Integrity</div>
</div><p></p><div><div><b>Overtime Status</b> EXEMPT</div>
</div><div><div><b>Primary Shift</b> Day</div>
</div><div><div><b>Shift Duration</b> 8 hour</div>
</div><div><div><b>Base Pay</b> $77,022.40 - $119,392.00</div></div></div></div><p></p>
<br><div><div><h3 class="jobSectionHeader"><b>Diversity and Inclusion at Cedars-Sinai</b></h3>
<div>
We are caretakers and innovators committed to the pursuit of equitable healthcare. But health equity is not possible without representation. Our commitment to diversity goes beyond demographics or checking boxes. Our people must reflect the diverse identities, experiences and geographies of the communities and patients we serve &ndash; because that&rsquo;s what our patients, colleagues and communities deserve <b>Quality Care and Research&mdash;For All, By All</b>.</div>
</div><div><h3 class="jobSectionHeader"><b>Our compensation philosophy</b></h3>
<div>We offer a competitive compensation package for our employees. The base pay range shown generally applies to the greater Los Angeles area and may vary based on work location. Our range takes into account the wide range of factors that are considered in making compensation decisions, including knowledge/skills: relevant experience and training, education/certifications/licensure; and other business and organizational factors. The base pay range does not include any incentive payments that may be applicable to a role. <b>Pay Transparency Non-Discrimination Provision (PDF) </b>.
</div></div><div><h3 class="jobSectionHeader"><b>Cedars-Sinai is an Equal Employment Opportunity employer.</b></h3>
<p>
Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law. If you need a reasonable accommodation for any part of the employment process, please contact us by email at <b>Applicant_Accommodation@cshs.org</b> and let us know the nature of your request and your contact information. Requests for accommodation will be considered on a case-by-case basis. Please note that only inquiries concerning a request for reasonable accommodation will be responded to from this email address.</p>
<p>
Cedars-Sinai will consider for employment qualified applicants with criminal histories, in accordance with the Los Angeles Fair Chance Initiative for Hiring.</p>
<p>
At Cedars-Sinai, we are dedicated to the safety, health and wellbeing of our patients and employees. This includes protecting our patients from communicable diseases, such as influenza (flu). For this reason, we require that all new employees receive a flu vaccine based on the seasonal availability of flu vaccine (typically during September through April each year) as a condition of employment, and annually thereafter as a condition of continued employment, subject to medical exemption or religious accommodation. For the same reason, you may also be required to receive other vaccines as a condition of employment. Cedars-Sinai reserves the right to make modifications to its required list of vaccines as required by law and/or policy.</p></div></div><div></div>

Revenue Cycle Analyst (Remote)

Knowtion Health

<div><p>Are you seeking an exciting opportunity to join a passionate, growing, and dynamic team of professionals who support patients?</p>
<p>The IDR Analyst serves as a subject matter expert responsible for managing a specific client&rsquo;s Out of Network inventory, leveraging strong project management and revenue cycle skills to identify trends and patterns that support the strategic submission of IDR disputes aimed at maximizing reimbursement for Knowtion Health.</p>
<p><b>What&rsquo;s Attractive to the Right Candidate?</b></p>
<ul><li>Knowtion Health is a growing firm in a growing industry. Our status as a leader in this industry means that we have the resources to invest in the business and to innovate.</li>
<li>Our business is intensely competitive and is constantly evolving. We quickly identify new challenges and develop solutions, so you won&rsquo;t simply be doing what was done last year. Our new employees are frequently pleased and surprised by how quickly we make decisions and adapt to market conditions.</li>
<li>Knowtion Health culture is inviting and competitive, embracing challenge and celebrating accomplishment; dedicated colleagues striving to provide quality results that have lasting impact.</li>
</ul>
<p><b>The Opportunity:</b></p>
<ul><li>Submit Open Negotiation letters and IDR Disputes for federal and state processes</li>
<li>Analyze insurance cards and EOBs to determine if a claim is Self Funded or Fully Funded</li>
<li>Run reports to identify trends and patterns within claims inventory to drive workflow including any bulk account actions that can be applied to the inventory (Example: non-viable IDR submissions)</li>
<li>Manage relationships with Out of Network payers to establish a claim settlement process where applicable</li>
<li>Analyze data to identify areas for improvement within inventory for billing, claim reimbursement, and follow-up processes</li>
<li>Validate analytics using data from client systems</li>
<li>Review insurance companies&rsquo; payment patterns and denials to identify any trends and irregularities.</li>
<li>Reconcile inventory including payments, adjustments and returned accounts as needed</li>
<li>Present IDR findings in a clear and concise manner to clients and internal stakeholders</li>
<li>Work closely with product management and implementation teams regarding any new operational analytic enhancements which may be needed for one or many clients.</li>
</ul>
<p><b>What you bring:</b></p>
<ul><li>Bachelor's Degree or equivalent experience
</li><li>3+ years of experience in hospital revenue cycle analytics preferred or equivalent experience in hospital accounts receivable claims management</li>
<li>Experience in reviewing insurance cards, EOBs, and claims data
</li><li>Knowledge of Revenue Cycle and different Revenue Cycle systems/applications</li>
</ul>
<p>The above statements are intended to provide the general nature and level of work being performed by most people assigned to the position. They are not intended to be an exhaustive list of all responsibilities, duties and requirements.</p>
<p>This position is remote and requires a dedicated, distraction-free work space at home. We offer a competitive benefits package including medical, dental, vision, life insurance, short term disability, long term disability, paid holidays, 401k, and a generous PTO policy.</p>
<p>Knowtion Health gives priority to applicants located in the following states: AL, AR, AZ, FL, GA, ID, IN, KS, ME, MI, MO, MS, NC, NM, OK, PA, SC, TN, TX, VA, WI, WV</p>
<p><b>Photo Identification and Image Capture Notice</b></p>
<p>As part of our hiring process, candidates are required to present a valid government-issued photo ID during screening and/or interviews.</p>
<p>We may also capture a photograph during the screening or interview process for identity verification, security, and record-keeping purposes. All identification documents and images will be handled in accordance with applicable privacy laws and accessed only by authorized personnel.</p>
<p>By proceeding with your application, you acknowledge and consent to this process.</p></div>

Revenue Cycle IDR Analyst

Medical Software Solutions. Inc.

<p>We are seeking a highly skilled and versatile professional to join our team as a Business Analyst in the Revenue Cycle Management (RCM) business domain. In this role, you will be responsible for providing business analysis and RCM expertise and act as liaison between IT and operation teams. If you are a self-motivated individual with a strong background in Revenue Cycle Management, and can independently work in a high-pressure environment, we encourage you to apply.</p><p><i><b>Responsibilities</b></i>:</p><p>- Collaborate with cross-functional teams, including developers, testers, business stakeholders, and subject matter experts, to gather requirements, define project scope, and manage expectations.</p><p>- Monitor and track project progress, identify risks, and implement mitigation strategies to ensure successful project delivery.</p><p>- Communicate effectively with stakeholders and provide regular project status updates to executives.</p><p>- Foster a collaborative and agile work environment, promoting transparency, open communication, and continuous improvement.</p><p><i><b>Requirements</b></i>:</p><p>- Proven experience as a Business Analyst, preferably within the Revenue Cycle Management (RCM) industry.</p><p>- Hands-on experience with Azure DevOps, including the Creation of typical User Stories with Acceptance Criteria and Definitions of Done, managing backlogs, and user stories</p><p>- Demonstrated ability to manage multiple projects simultaneously and prioritize tasks effectively to meet deadlines.</p><p>- Excellent business analysis skills, with the ability to gather and document requirements, perform gap analysis and propose effective solutions.</p><p>- Exceptional communication and interpersonal skills, with the ability to effectively collaborate with cross-functional teams and stakeholders at all levels.</p><p>- Experience with business analysis tools (e.g., Visio, Lucid chart) is a plus.</p><p>- Familiarity with RCM processes, including billing, coding, claims management, and revenue optimization is a plus.</p><p>- Basic understanding of SQL and Testing is a plus.</p><p>Job Type: Full-time</p><p>Benefits:</p><ul><li>Dental insurance</li><li>Flexible schedule</li><li>Health insurance</li><li>Paid time off</li><li>Vision insurance</li></ul><p>Education:</p><ul><li>Bachelor's (Preferred)</li></ul><p>Work Location: In person</p>

Revenue Cycle Management (RCM) Business Analyst

<p></p><div><div><div><div><p><b>Job ID</b> 16372</p>
<p><b>Location</b> Los Angeles, California, United States
</p><p><b>Job Category</b> Patient Financial Services
</p><p><b>Date posted</b> 04/11/2026</p></div></div><p></p><div><br>
<div></div>
</div></div><div><h2 class="jobSectionHeader"><b>Job Description</b></h2><p>
Align yourself with an organization that has a reputation for excellence! Cedars Sinai was awarded the National Research Corporation&rsquo;s Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We also were awarded the Advisory Board Company&rsquo;s Workplace of the Year. This annual award recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. We provide an outstanding benefit package that includes health care, paid time off and a 403(B). Join us! Discover why U.S. News &amp; World Report has named us one of America&rsquo;s Best Hospitals.</p><b>
What will you be doing in this role?</b><p>
Under general supervision and following established practices, policies, and guidelines, provides commercial collections support to Patient Financial Services, performing duties which may include reviewing and resubmitting claims to third party payors, performing account follow-up activities, updating information on account, etc.. Positions at this level require advanced knowledge in specialized functions and a full understanding of the revenue cycle. Incumbents work independently and have strong customer service, analytic and problem-solving skills, and are able to understand, interpret and explain payor contracts and CSMC billing and collections policy and practices. Incumbents may assist other team members.</p><p>
This position may be cross-trained in other revenue cycle functions and provide back-up coverage. The Revenue Cycle Specialist II:</p><ul><li>
Participates in department meetings and provides feedback to management on how to improve department processes. Adheres to instructions, verbal and written, to achieve desired results.</li><li>
Adheres to documentation standards of the department and properly uses activity codes. Correctly enters data in fields. Maintains acceptable levels of speed and accuracy.</li><li>
Effectively monitors assigned work queues and workload, ensuring resolve of accounts in a timely and accurate manner. Takes initiative on issues and/or problems by escalating them to supervisor.</li><li>
Exemplifies high standards of professionalism, responsibility, accountability and ethical behavior.</li><li>
Processes incoming correspondence, based on reason code, timely and accurately.</li><li>
Ensures information on the account is complete and accurate. Adheres to payment timeline protocol.</li><li>
Adheres to payment timeline protocol and assists other team members with resolution of accounts when needed.</li><li>
Demonstrates detailed knowledge of Cedars-Sinai core patient accounting systems and/or department specific systems and uses them effectively and efficiently.</li></ul><h2 class="jobSectionHeader"><b>
Qualifications</b></h2><h2 class="jobSectionHeader"><b>
Requirements:</b></h2><ul><li>
High school diploma or GED required.</li><li>
A minimum of two years of experience in hospital or professional billing and/or collections experience required. Four years&rsquo; experience or more preferred.</li><li>
Ability to read, write, understand and speak effectively in English</li><li>
Experience with Medicare, Medi-Cal and other commercial payors a plus.</li><li>
Hospital revenue cycle experience preferred.</li><li>
Basic computer and navigation skills. Experience with MS office, Web/Vs, Emdeon and CS-Link preferred.</li><li>
Working knowledge and understanding of regulatory and CSHS policies and procedures preferred.</li><li>
Basic understanding of HIPAA and other privacy information guidelines preferred.</li><li>
Ability to perform relevant business math (including addition, subtraction, multiplication and division)</li><li>
Good verbal and written communication skills.</li><li>
Keyboard and data entry proficiency.</li><li>
Ability to handle multiple tasks in a fast paced and high-volume environment with conflicting demands on time and attention. Ability to prioritize and organize work to complete assignments in a timely, accurate manner.</li><li>
Professional and courteous demeanor.</li></ul><h2 class="jobSectionHeader"><b>
Experience we are seeking:</b></h2><ul><li>
Hospital revenue cycle experience preferred.</li><li>
Basic computer and navigation skills. Experience with MS office, Web/Vs, Emdeon and CS-Link preferred.</li><li>
Working knowledge and understanding of regulatory and CSHS policies and procedures preferred.</li><li>
Basic understanding of HIPAA and other privacy information guidelines preferred.</li><li>
Ability to perform relevant business math (including addition, subtraction, multiplication and division)</li><li>
Good verbal and written communication skills.</li><li>
Keyboard and data entry proficiency.</li><li>
Ability to handle multiple tasks in a fast paced and high-volume environment with conflicting demands on time and attention. Ability to prioritize and organize work to complete assignments in a timely, accurate manner.</li><li>
Professional and courteous demeanor.</li></ul><h2 class="jobSectionHeader"><b>
Why work here?</b></h2><p>
We take pride in hiring the best employees. Our dedicated staff reflects the culturally and ethnically diverse community we serve. They are proof of our dedication to creating a dynamic, inclusive environment that fuels innovation and the gold standard of patient care we strive for.</p>
</div><div><div><div><b>Req ID</b> 16372</div>
</div><div><div><b>Working Title</b> Revenue Cycle Specialist II</div>
</div><div><div><b>Department</b> CSRC PB - Group 4 Faculty</div>
</div><div><div><b>Business Entity</b> Cedars-Sinai Medical Center</div>
</div><div><div><b>Job Category</b> Patient Financial Services</div>
</div><div><div><b>Job Specialty</b> Patient Billing</div>
</div><p></p><div><div><b>Overtime Status</b> NONEXEMPT</div>
</div><div><div><b>Primary Shift</b> Day</div>
</div><div><div><b>Shift Duration</b> 8 hour</div>
</div><div><div><b>Base Pay</b> $24.00 - $35.23</div></div></div></div><p></p>
<br><div><div><h3 class="jobSectionHeader"><b>Diversity and Inclusion at Cedars-Sinai</b></h3>
<div>
We are caretakers and innovators committed to the pursuit of equitable healthcare. But health equity is not possible without representation. Our commitment to diversity goes beyond demographics or checking boxes. Our people must reflect the diverse identities, experiences and geographies of the communities and patients we serve &ndash; because that&rsquo;s what our patients, colleagues and communities deserve <b>Quality Care and Research&mdash;For All, By All</b>.</div>
</div><div><h3 class="jobSectionHeader"><b>Our compensation philosophy</b></h3>
<div>We offer a competitive compensation package for our employees. The base pay range shown generally applies to the greater Los Angeles area and may vary based on work location. Our range takes into account the wide range of factors that are considered in making compensation decisions, including knowledge/skills: relevant experience and training, education/certifications/licensure; and other business and organizational factors. The base pay range does not include any incentive payments that may be applicable to a role. <b>Pay Transparency Non-Discrimination Provision (PDF) </b>.
</div></div><div><h3 class="jobSectionHeader"><b>Cedars-Sinai is an Equal Employment Opportunity employer.</b></h3>
<p>
Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law. If you need a reasonable accommodation for any part of the employment process, please contact us by email at <b>Applicant_Accommodation@cshs.org</b> and let us know the nature of your request and your contact information. Requests for accommodation will be considered on a case-by-case basis. Please note that only inquiries concerning a request for reasonable accommodation will be responded to from this email address.</p>
<p>
Cedars-Sinai will consider for employment qualified applicants with criminal histories, in accordance with the Los Angeles Fair Chance Initiative for Hiring.</p>
<p>
At Cedars-Sinai, we are dedicated to the safety, health and wellbeing of our patients and employees. This includes protecting our patients from communicable diseases, such as influenza (flu). For this reason, we require that all new employees receive a flu vaccine based on the seasonal availability of flu vaccine (typically during September through April each year) as a condition of employment, and annually thereafter as a condition of continued employment, subject to medical exemption or religious accommodation. For the same reason, you may also be required to receive other vaccines as a condition of employment. Cedars-Sinai reserves the right to make modifications to its required list of vaccines as required by law and/or policy.</p></div></div><div></div>

Revenue Cycle Specialist II

Vital Care Infusion Services, LLC

<div><div><b>Recognized as a &ldquo;Best Place to Work Modern Healthcare&rdquo; &ndash; Join a team where people come first.</b> At Vital Care, we are committed to creating an inclusive, growth-focused environment where every voice matters.</div>
<div></div><div>Vital Care (www.vitalcare.com) is the premier pharmacy franchise business with franchises serving a wide range of patients, including those with chronic and acute conditions. Since 1986, our passion has been improving the lives of patients and healthcare professionals through locally-owned franchise locations across the United States. We have over 100 franchised Infusion pharmacies and clinics in 35 states, focusing on the underserved and secondary markets. We know infusion services, and we guide owners along the path of launch, growth, and successful business operations.</div>
<div></div><div>What we offer:</div>
<ul><li>Comprehensive medical, dental, and vision plans, plus flexible spending, and health savings accounts.</li>
<li>Paid time off, personal days, and company-paid holidays.</li>
<li>Paid Paternal Leave.</li>
<li>Volunteerism Days off.</li>
<li>Income protection programs include company-sponsored basic life insurance and long-term disability insurance, as well as employee-paid voluntary life, accident, critical illness, and short-term disability insurance.</li>
<li>401(k) matching and tuition reimbursement.</li>
<li>Employee assistance programs include mental health, financial and legal.</li>
<li>Rewards programs offered by our medical carrier.</li>
<li>Professional development and growth opportunities.</li>
<li>Employee Referral Program.</li>
</ul>
<div></div><div><b><i>Job Summary:</i></b></div>
<div>The primary function of the Revenue Cycle System Administrator is to oversee and monitor the continued development of revenue cycle systems to ensure the successful delivery and effectiveness of the support provided to franchise partners across the Vital Care network.</div>
<div></div><div><b><i>Duties/Responsibilities:</i></b></div>
<div><ul><li>Assist with maintenance of revenue cycle-related functionality within CareTend and Waystar.</li>
<li>Manage RCM-related Help Desk tickets.</li>
<li>Develop controls and manage access to payer web portals.</li>
<li>Oversee payer enrollments for ACH payments and electronic remit feeds.</li>
<li>Oversee payer enrollments within Waystar.</li>
<li>Specify users and user access levels for Waystar.</li>
<li>Perform other related duties as assigned.
</li>
</ul><div></div><div><b><i>Required Skills/Abilities:</i></b></div>
<div><ul><li>Strong time management and organizational skills with attention to detail and ability to prioritize multiple tasks.</li>
<li>Highly effective communicator with superior listening, understanding, speaking, and writing skills.</li>
<li>Self-starter with a positive attitude and ability to work in a rapidly changing environment.</li>
<li>Must be able to communicate issues and offer suggestions to management for process improvement.</li>
<li>Excellent problem-solving skills.</li>
<li>Excellent organizational skills.</li>
<li>Ability to work remotely.</li>
</ul>
<div></div><div><b><i>Education and Experience:</i></b></div>
<div><ul><li>Associate degree Preferred.</li>
<li>CareTend, CPR+, or equivalent experience.</li>
<li>Previous experience in the home infusion industry required.</li>
</ul>
<div></div><div><div><b><i>Physical Requirements:</i></b></div>
<div><ul><li>Sitting: Prolonged periods of sitting are typical, often for the majority of the workday.</li>
<li>Keyboarding: Frequent use of a keyboard for typing and data entry.</li>
<li>Reaching: Occasionally reaching for items such as files, documents, or office supplies.</li>
<li>Fine Motor Skills: Precise movements of the fingers and hands for tasks like typing, using a mouse, and handling paperwork</li>
<li>Visual Acuity: Good vision for reading documents, computer screens, and other detailed work.</li>
</ul>
</div></div><div></div><div>Be part of an organization that invests in you! We are reviewing applications for this role and will contact qualified candidates for interviews.<br>
<br>
Vital Care Infusion Services is an equal-opportunity employer and values diversity at our company. We do not discriminate on the basis of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans&rsquo; status, or any other basis protected by applicable federal, state, or local law.<br>
<br>
Vital Care Infusion Services participates in E-Verify.</div>
<div></div><div>This position is full-time. The salary range for this position is $56,318-$75,255.</div></div></div></div></div>

Revenue Cycle Systems Administrator

Parkland Health

<div>Location: Main Hospital Bldg - 1st Flr<br>
<br>
Shift: Monday - Friday 10:30pm - 7:00am<br>
<br>
Primary Purpose
<br>
Supervise all processes related to the financial and operational functions within the Patient Financial Services (PFS) division to include all facets of PFS including both front and back end supervision.<br>
<br>
Minimum Specifications
<br>
<br>
Education<br>
<ul><li>
Must have a High School Diploma or GED equivalent.</li><li>
Prefer an Associate's degree in Business Administration.</li></ul><br>
Experience<br>
<ul><li>
Must have a minimum of six (6) years' experience in patient registration, financial clearance, patient access, accounts receivable or revenue integrity within the past 10 years.</li></ul><br>
Equivalent Education and/or Experience<br>
<ul><li>
May have an equivalent combination of education and/or experience in lieu of specific education and/or experience as stated above.</li></ul><br>
Certification/Registration/Licensure<br>
<ul><li>
None</li></ul><br>
Skills or Special Abilities<br>
<ul><li>
Advanced knowledge of healthcare A/R, collections, insurance, pre-authorizations, pre-registration, registration, financial counseling, and appeals</li><li>
Advanced understanding of Compliance Guidelines</li><li>
Advanced knowledge of healthcare reimbursement methodologies</li><li>
Advanced knowledge of the hospital based operations related to the revenue cycle including Health Information Management, Patient Access, Clinical Quality/case Management, Management Information Systems, Accounting and Finance</li><li>
Excellent written and verbal communication and interpersonal skills</li><li>
Ability to prioritize work demands and meet deadlines</li><li>
Demonstrate ability to hire and lead a cohesive team to optimal results</li><li>
Understanding of HIPAA and FDCPA compliance and regulations</li><li>
Proficient in PC/Systems including the Internet and MS office applications</li><li>
Must demonstrate a working knowledge of personal computers and other standard office equipment</li><li>
Must be able to demonstrate a working knowledge with regard to the software application used in the assigned area.</li><li>
Must have the ability to teach and instruct in a manner that others can comprehend and retain information</li><li>
Must understand managed care and insurance contractual arrangements</li><li>
Must possess deductive reasoning and rational thinking skills</li><li>
Must be detail oriented and have sharp analytical skills to address complex issues relating to managed care contracts, state and federal agency contracts, funding programs and budgetary constraints</li><li>
Must demonstrate a positive demeanor and a professional approach to dealing with patients as well as internal and external customers</li><li>
Must be able to relate to different cultures, backgrounds and individuals of all sorts with an unbiased demeanor and open mind</li><li>
Must be professional in appearance at all times</li></ul><br>
Responsibilities<br>
<ul><li>
Selects, trains, motivates, supervises and evaluates employees. Makes recommendations for disciplinary actions up to and including termination. Responsible for ensuring maximum utilization of individual and group capabilities from the entire team. Responsible for Time and Labor editing to ensure all employee records are accurate and reflect actual time worked. Ensures employees are knowledgeable and current on all policies, procedures and laws pertaining to their job description.</li><li>
Must be able to travel to all Parkland facilities and work any and all shifts as necessary. Provides daily support/mentoring/training to new hires as well as existing Revenue Cycle staff. Provides assistance in managing escalated issues as needed. Assists in preparation for both short and long range planning recommendations for all departments in PFS.</li><li>
Must possess skills to audit, monitor and track productivity. Review patient accounts and financial files to ensure appropriate funding program sources are pursued. The application process must be completed accurately within the guidelines set forth. Routinely performs quality checks to ensure employees are exhibiting good stewardship over funds allocated for programs.</li><li>
Functions as a work leader providing operational support and demonstrates the ability to perform each task as efficiently and effectively as top performing team members. Must be able to perform every job task within the realm of job responsibilities under his/her leadership. Performs as back up to staff absences and vacancies, as necessary. Requires an understanding of reporting staff's duties.</li><li>
Performs quality assurance reviews toward meeting standards related to quality and quantity of work and providing feedback to staff regarding strengths and weaknesses. Provides individual feedback to staff regarding the quality and efficiency of his/her performance. Proposes and implements procedural and system changes for enhancing the staff's productivity, quality and efficiency.</li><li>
Clear understanding of Revenue Cycle Management and Regulatory Agencies required. Provides direction and monitoring to ensure compliance with government regulations, HIPAA standards and payor billing requirements. Responsible for the monitoring of daily activity and completion of reporting on all key point indicator measures.</li><li>
Actively involved in day to day operations of the department and maintain a professional, courteous, respectful and positive working relationship with patients, families, visitors and employees alike.</li><li>
Acts as part of the management team to ensure that the group is meeting all operational goals Interfaces with external entities such as third party payors, regulatory agencies and other health care institutions, vendors, patients and families.</li></ul><br>
Job Accountabilities<br>
<ul><li>
Identifies ways to improve work processes and improve customer satisfaction. Makes recommendations to supervisor, implements, and monitors results as appropriate in support of the overall goals of the department and Parkland.</li><li>
Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices.</li><li>
Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and federal, state, and private health plans. Seeks advice and guidance as needed to ensure proper understanding.</li></ul><br>
<b>
Requisition ID:</b> 986261</div>

Supervisor of Revenue Cycle

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