revenue cycle consultant

Jackson Health System

<div>Location: Jackson Business Cooperate Office; River Landings
Shift: Hybrid; 8:30am- 4:30 pm
Miami, FL Full-Time RCM - Value Alignment Group (VAG)
Summary 
The Revenue Cycle Vendor Analyst's primary responsibility will be to ensure that all vendors across revenue cycle department are functioning as expected against the contractual terms. This position will be responsible to manage SLA's, performance metrics and find opportunities for improving an optimizing performance. The role is responsible for ensuring that efforts comply with healthcare regulations (such as HIPAA), align with the organization's financial goals, and optimize the process for patient accounts. The Revenue Cycle Vendor Analyst will analyze vendor performance, resolve disputes, invoice reconciliation, ensure compliance, and work to enhance the overall efficiency of the process. The Revenue Cycle Vendor Analyst is responsible for participation in the analysis, design, implementation, and follow-up of a variety of large-scale revenue cycle projects utilizing computer systems. Participates in all phases of projects, including but not limited to: planning, designing, developing, testing, implementing, training, and troubleshooting. Position requires exercise of independent judgment as incumbents will have access to sensitive and personally identifiable information. Incumbent will also have access to detailed and aggregated revenues, expenses, patient information which must be handled with utmost diligence and high levels of responsibility. 
 
Responsibilities 
<ul><li>Develop and maintain strong relationships with external agencies, ensuring alignment with the healthcare system's goals.</li><li>
Serve as the primary point of contact for agencies to resolve issues and ensure ongoing communication.</li><li>
Responsible for managing the vendor invoicing process, including invoice reconciliation, applying basic accounting principles to ensure accurate and timely payments.</li><li>
Ensure that agencies comply with legal, regulatory, and contractual requirements, including HIPAA and other healthcare industry standards.</li><li>
Track and analyze the performance of agencies against defined KPIs (e.g., rates, patient satisfaction, dispute resolution).</li><li>
Prepare regular reports on the status of performance, identifying trends, opportunities for improvement, and areas of concern.</li><li>
Ensure agencies are adhering to healthcare regulations and internal policies related to patient data protection, billing, and practices.</li><li>
Conduct regular audits of vendor operations to ensure compliance with industry regulations and standards.</li><li>
Analyze data to identify inefficiencies, trends, and opportunities for improvement in the process.</li><li>
Collaborate with internal stakeholders to prioritize strategies and address delays in the process.</li><li>
Identifies process improvement opportunities and supports efforts to leverage revenue cycle applications to their fullest potential.
</li><li>Reviews and analyzes system data and key performance indicators to meet or exceed operational goals.
</li><li>Supports the development and delivery of user training; assist with development and implementation of strategic goals.
</li><li>Assists in the implementation of new system software and/or modifications. Participates in all appropriate system installations.
</li><li>Assists in the management of projects alongside SME's and IT. Analyze changes and enhancements to software in order to determine impacts on existing systems/processes.
</li><li>Works closely with Patient Access, Case Management, HIM, CBO, Revenue Integrity, and other areas in a consultative capacity to support accurate and timely billing of patient account receivables.
</li><li>Has a thorough understanding of third party payer requirements for patient services. Interprets data from denials management program to develop denial prevention strategies.
</li><li>Produces ad-hoc reports and maintains proficiency in understanding revenue cycle workflows; identifies systemic issues and makes recommendations for improvements to the Revenue Cycle leadership team.
</li><li>Remains current with trends, regulatory requirements, and business strategies related to the revenue cycle.
</li><li>Represents Revenue Cycle as part of the team that evaluates, tests, and implements custom or vendor supplied business-oriented software according to user specifications.
</li><li>Maintains a significant level of expertise and proficiency in the utilization of the patient registration, scheduling, clinical and patient accounting systems. Completes assignments within deadlines and works according to project schedules.</li><li>
Performs all other related job duties as assigned.</li></ul> 

 
Experience
Generally, requires 3 to 5 years of related experience. 
 
 
Education
Bachelor's degree in related field is strongly preferred. 
Skill 
Familiarity with healthcare financial management systems, patient billing, and insurance verification systems. Previous experience working with agencies in a healthcare or medical billing environment. Ability to analyze, organize and prioritize work accurately while meeting multiple deadlines. Ability to communicate effectively in both oral and written form. Ability to handle difficult and stressful situations with professional composure. Ability to understand and follow instructions. Ability to exercise sound and independent judgment. Knowledge and skill in use of job appropriate technology and software applications. Proficiency in MS Office applications, including but not limited to, Excel, Word, PowerPoint, Visio etc. Knowledge of complex data modeling, data analytics, data querying programs is required. Adequate training will be provided to qualified internal JHS candidates. 
Credentials 
Valid license or certification is required as needed, based on the job or specialty.
Unit Specific Credential
Working Conditions
Physical Requirements - Job function is sedentary in nature and requires sitting for extended periods of time. Function may require frequent standing or walking. Must be able to lift or carry objects weighing up to 20 pounds. Jobs in this group are required to have close visual acuity to perform activities such as: extended use of computers, preparing and analyzing data and analytics, and other components of a typical office environment. Additional information and provision requests for reasonable accommodation will be provided by the home unit/department in collaboration with the Reasonable Accommodations Committee (RAC). 
 
Environmental Conditions - Jobs in this group are required to function in a fast paced environment with occasional high pressure or emergent and stressful situations. Frequent interaction with a diverse population including team members, providers, patients, insurance companies and other members of the public. Function is subject to inside environmental conditions, with occasional outdoor exposures. Possible exposure to various environments such as: communicable diseases, toxic substances, medicinal preparations and other conditions common to a hospital and medical office environment. May wear Personal Protective Equipment (PPE) such as gloves or a mask when exposed to hospital environment outside of office. Reasonable accommodations can be made to enable people with disabilities to perform the described essential functions. Additional information and provision requests for reasonable accommodation will be provided by the home unit/department in collaboration with the Reasonable Accommodations Committee (RAC).</div>

Revenue Cycle Vendor Analyst

Physician Care Coordination Consultants (PC3)

<div>Description:

Job Classification:<ul><li>This is an exempt position under the Fair Labor Standards Act (FLSA) and is not eligible for overtime pay.</li></ul>
Our Mission:
Our mission is to drive financial wellness in healthcare organizations so more patients can receive the care they need.
Our Vision:
Our vision is a future where we help healthcare organizations thrive in a complex ecosystem by clearing a path to financial health.
Our Culture:
We are committed to creating a workplace where every member feels valued, empowered, and inspired to contribute their best. Together we will foster a culture that promotes work-life balance and celebrates community engagement, personal achievements, milestones, and special occasions.
Values:
Integrity &ndash; We do what&rsquo;s right, no matter what.
Innovation &ndash; We use a harmonious blend of data, tech, and a human-centric approach.
Compassion &ndash; We understand the stress of healthcare organizations and their patients.
Determination &ndash; Our mission is our guiding force.
Partnership &ndash; We build enduring relationships through listening, communication and accountability.
Dignity &ndash; We have significant pride in each other and our work. 
Job Summary:
The Revenue Specialist will demonstrate behavior that supports PC3&rsquo;s mission, culture, and values. The successful candidate will play a crucial role in optimizing the financial health of the client by identifying and successfully resolving, recovering, and preventing potential loss of revenue due to claim payment issues. They must have experience in a healthcare environment and with the insurance and revenue cycle industry and be well versed in CPT medical codes and denial reason codes.
The Revenue Specialist will take necessary follow-up actions, including appealing denied claims with appropriate documentation and justification, identify and correct billing issues related to denials and claim rejections, dispute underpayments, audits, recoupments, report trends, and actively participate in process improvement projects when necessary. The specialist&rsquo;s persistence helps recover revenue that might otherwise be lost due to claim denials. For this reason, the Revenue Specialist must stay informed about healthcare regulations, privacy laws, and insurance policies and ensure billing practices align with legal requirements and must adhere to compliance standards and regulations related to medical billing and coding.
This position reports directly to the Director of Revenue Strategy.
Supervisory Responsibilities:
This position has no direct supervisory responsibilities.
Duties/Responsibilities:<ul><li>
Manage denials, appeals, audits, and other revenue cycle functions.</li><li>
Review accounts pre-service for adherence to payor guidelines including but not limited to validating correct coding, reviewing payor policies, and obtaining prior authorization.</li><li>
Coordinating with insurance providers and resolving claim denials or discrepancies.</li><li>
Effectively communicating with patients and insurance companies is essential for successful collections.</li><li>
Work product and performance are required to meet quality standards established by PC3 partners.</li><li>
Analyze data and trends to identify opportunities for process improvement.</li><li>
Participate in process reviews and implementation for clients.</li><li>
Maintain confidentiality of patient information in accordance with HIPAA guidelines.</li><li>
Attend educational sessions including but not limited to webinars, online resources, in-person conferences, and other educational opportunities to stay up to date on revenue cycle functions as necessary.</li><li>
Other duties as assigned.</li></ul>
Requirements:

Knowledge/Skills/Abilities:<ul><li>
Knowledge of healthcare regulations, accreditation standards, and payer requirements.</li><li>
Strong computer skills and working knowledge of the Electronic Medical Records (EMRs).</li><li>
Requires communication skills to communicate clearly and concisely verbally and in writing with clients, peers, payers, physicians, and ancillary departments.</li><li>
Knowledge/experience utilizing the Epic software system and/or other billing platforms.</li><li>
Proficient in Microsoft Office applications.</li><li>
Strong interpersonal and organizational skills.</li></ul>
Education and Experience:<ul><li>
High school diploma</li><li>
LPN or RT preferred</li><li>
3 Years Revenue Cycle experience.</li><li>
Familiarity with the insurance industry.</li><li>
Applied knowledge of CPT, ICD &amp; DRG coding systems.</li></ul>
Physical Requirements:<ul><li>
Prolonged periods of sitting at a desk and working on a computer.</li><li>
Must be able to lift up to 15 pounds at times.</li></ul></div>

Revenue Cycle Specialist

Aspen Dental

<div>The Aspen Group (TAG) is one of the largest and most trusted retail healthcare business support organizations in the U.S. and has supported over 20,000 healthcare professionals and team members with close to 1,500 health and wellness offices across 48 states in four distinct categories: dental care, urgent care, medical aesthetics, and animal health. Working in partnership with independent practice owners and clinicians, the team is united by a single purpose: to prove that healthcare can be better and smarter for everyone. TAG provides a comprehensive suite of centralized business support services that power the impact of five consumer-facing businesses: Aspen Dental, ClearChoice Dental Implant Centers, WellNow Urgent Care, Chapter Aesthetic Studio, and AZPetVet. Each brand has access to a deep community of experts, tools and resources to grow their practices, and an unwavering commitment to delivering high-quality consumer healthcare experiences at scale.
As a reflection of our current needs and planned growth we are very pleased to offer a new opportunity to join our dedicated team as a Revenue Cycle Management Specialist.
Essential Responsibilities<ul><li>
RCM Specialists care for the people who care for our patients by performing insurance adjudication, customer service, and patient collection job functions that require superior service and attention to detail.</li><li>
Bring better care to the front lines by supporting the execution and achievement of functional areas and company goals.</li><li>
Partners with internal departments to resolve issues related to all tasks and assignments supporting the business.</li><li>
Point of contact for internal and external customer inquiries, which entails contacting insurance companies and/or addressing patient inquiries.</li><li>
Uses software and company systems to source, obtain, process, audit and analyze standard data reporting and presenting.</li><li>
Plans, organizes, and executes tasks and activities with urgency and in accordance with managers&rsquo; delegated assignments.</li><li>
Responds to and resolves issues related to claim adjudication, patient and billing inquiries, while seeking managers guidance for non-routine inquiries or escalated concerns.</li><li>
May be required to meet position related productivity and quality standards.</li><li>
Other duties as assigned.</li></ul>
Requirements/Qualifications<ul><li>
Level: High School diploma or equivalent</li><li>
Job related/Industry experience preferred</li><li>
Excellent verbal and written communication skills</li><li>
Excellent organizational and time management skills</li><li>
Excellent problem solving/analysis collaboration</li><li>
Self-motivated individual with strong attention to detail</li><li>
Leadership experience preferred</li></ul>
A generous benefits package that includes paid time off, health, dental, vision, and 401(k) savings plan with match
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Hourly pay range: $19-22/hr</div>

Revenue Cycle Management Specialist

Graham Regional Medical Center

<div>Description:

ORGANIZATIONAL DESCRIPTION
The Revenue Cycle Specialist assists with various financial tasks, specifically payment and collections, for the hospital.
INTERACTION
Primarily Interacts with: administration, providers, employees, clinical and non-clinical departments, patients, and insurance companies.
ESSENTIAL FUNCTIONS<ul><li>
Work with providers and patients as necessary for enrollment, patient financials, or eligibility and authorization.</li><li>
Obtain appropriate demographic and insurance/billing information from the patient and ensure accurate data entry.</li><li>
Verify patient eligibility and/or benefits; follow up with the patient and their health plan to determine if the patient is covered.</li><li>
Complete or obtain insurance verifications and obtain authorizations or referrals as required.</li><li>
Engage directly with patients to explain their bills, resolve billing inquiries, and collect payments or set up payment plans for outstanding balances, ensuring a positive customer service experience.</li><li>
Research any payment discrepancies.</li><li>
Work queues are in the appropriate module.</li><li>
Handle denials and appeals of claims.</li><li>
Post payments received and make financial adjustments as appropriate.</li><li>
Post in the General Ledger and Accounts Receivable system.</li><li>
Pull the explanation of benefits electronically and process accordingly.</li><li>
Pick up mail from the post office and process incoming mail daily.</li><li>
Uploads EMS mail into the Digitech FTP</li><li>
Scan all the supporting documentation.</li><li>
Upload correspondence and payments to Ditech daily.</li><li>
Maintain records for the financial department on a cash flow spreadsheet.</li><li>
Distribute payment receipts to the appropriate department managers.</li><li>
Prepare the bank deposit daily and take it to the bank.</li><li>
Send out the daily cash log.</li><li>
Create client invoices and send out the bills monthly.</li><li>
Process refunds.</li><li>
Balance petty cash daily.</li><li>
Pull bank deposit transactions daily from the banks.</li><li>
Upload reports daily to the appropriate FTP.</li><li>
Create reports as required.</li><li>
Process charity care applications.</li><li>
Run reports monthly and process them.</li><li>
Process worker compensation and MVA accounts.</li><li>
Process the payroll deduction report received from HR biweekly.</li><li>
Process and send billing records.</li><li>
Assist with special projects as assigned.</li><li>
Maintain the confidentiality of patient information in compliance with HIPAA.</li><li>
Provide exemplary customer service.</li><li>
Cooperate with other personnel to achieve departmental objectives and maintain good employee relations, inter-departmental objectives, and infection control policies.</li><li>
Cordially demonstrate timeliness and professionalism in appearance, communications, and actions during all interactions and with all individuals and entities.</li><li>
Solve practical problems, dealing with a variety of issues, and interpret a variety of instructions furnished in written and oral form.</li><li>
Attend meetings as required.</li><li>
Perform other duties as requested or assigned.</li></ul>
ABILITY TO USE EQUIPMENT, TOOLS, MATERIALS, MACHINES: Computer, telephone, facsimile machine, copier, scanner, printer, calculator, and other standard office equipment.
Requirements:

EDUCATION/EXPERIENCE/SKILLS/ABILITIES
Education:<ul><li>
Minimum High School diploma or GED required.</li><li>
College-level coursework in accounting or related field preferred.</li></ul>
Experience:<ul><li>
Two years of similar experience required in a healthcare setting.</li><li>
Experience with and understanding of medical and insurance terminology required.</li></ul>
Personal Job-Related Skills / Abilities:<ul><li>
Must be able to adapt quickly to changing situations.</li><li>
Ability to analyze information and make decisions using reasonable and logical judgment.</li><li>
Excellent command / highly proficient in spoken and written English; bilingual in Spanish preferred.</li><li>
Intermediate computer skills, including but not limited to: Microsoft Office &ndash; in particular Excel, electronic medical documentation, and email.</li><li>
Strong mathematical skills required.</li><li>
Must be able to adequately and quickly learn new software programs and serve as a Super User.</li><li>
Must be committed to quality and patient safety at all times.</li><li>
Must be able to communicate face-to-face and/or over the telephone.</li><li>
Must be able to work independently, and flexibly, and as a part of a multidisciplinary team.</li><li>
Must be able to manage several interruptions throughout the shift.</li><li>
Must have strong interpersonal and communication skills, verbal and written.</li><li>
Must have strong time management skills.</li><li>
Must be able to work under pressure while interacting in a helpful, courteous manner with a high degree of patient contact.</li><li>
Sufficient hearing, vision and dexterity to perform duties safely.</li></ul>
 Physical and Mental Requirements:
Physical:
<ul><li>Activity Up to %: Walking 25; Squatting 10; Standing 25; Pulling 10; Kneeling 10; Reaching 35; Sitting 80; Lifting up to30 lbs 20; Pushing 10; Wrist/Finger Movements 90; Bending 25; Climbing 10
</li></ul>Mental:
<ul><li>Stress Level Moderate to High</li></ul><ul><li>
Individual position core competencies:</li><li>
Quality</li><li>
Service Excellence</li><li>
Compassion</li><li>
Professionalism</li><li>
Fiscal Responsibility</li></ul>
Required education within first 60 days (if employee is from outside organization).<ul><li>
GrahamRMC Orientation</li><li>
Department Orientation</li></ul><ul><li>
Continuing/Annual Education and Training:</li><li>
Falling Star Program</li><li>
Safety Storm Program</li></ul>
 5. Supervision
Employees Supervised: __No__
ADA REQUIREMENTS
An &lsquo;X&rsquo; under the most appropriate category is marked and describes any extreme or hazardous working conditions that the job has to work under:<ul><li>
 Frequency of Condition</li></ul>
Condition 1-33% + Description
Extreme Heat X
Extreme Cold X
Extreme Swings in Temperature X
Extreme Noise X
Working Outdoors X
Mechanical Hazards X
Electrical Hazards X
Explosive Hazards X
Fume/Odor Hazards X
Dust/Mite Hazards X
Chemical Hazards X
Toxic Waste Hazards X
Radiation Hazards X
Wet Hazards X
Heights X
34-66% + Description
-
67%+ Description
Working Indoors X
OSHA Classification:<ul><li>
Identify with a check the OSHA Job Category that describes this job. The intent is to enhance worker protection by identifying any risk in the performance of routine and reasonably anticipated job-related functions.</li></ul>
__X__ Category III: Tasks that involve no exposure to blood, body fluids or tissues and Category I tasks are not a condition of employment.
The normal work routine involves no exposure to blood, body fluids or tissues (although situations can be imagined or hypothesized under which anyone, anywhere might encounter potential exposure to body fluids). Persons who perform these duties are not called upon as part of their employment to perform or assist in emergency medical care or first-aid or to be potentially exposed in some other way. Tasks that involve handling implements or utensils, use of public or shared bathroom facilities or telephone and personal contacts such as handshaking are Category III tasks.</div>

Sherloq Solutions

<div>About SHERLOQ Solutions
Established in 1916, SHERLOQ began as a member-owned cooperative in Tampa, Florida. The founding mission was to facilitate the sharing of credit information, promote the equitable principles in trade and give back to the community. Over 100 years later, SHERLOQ continues as a vibrant company serving hospitals, healthcare systems, physician practices and utilities nationwide. 
Position Summary
This position will require the employee to effectively communicate between healthcare providers and health insurance payers to expedite claim resolution. 
Essential Duties and Responsibilities<ul><li>
Resolve healthcare claims through verbal or online inquiries to health insurance payers.</li><li>
Effectively navigate and utilize healthcare provider systems, billing platforms, and payer websites.
</li><li>Verify patient, insurance, billing and claim submission information for accuracy.</li><li>
Eligibility inquiries and coordination of benefits research including reaching out to the patient when necessary.</li><li>
Analyze payer denials and appropriately respond to secure claim reimbursement.</li><li>
Provide information to the Billing &amp; Appeals Specialists on claims that require written appeals.</li><li>
Track trends in payer underpayments, coding issues and denials and report to leadership for escalation.</li><li>
Recognize basic coding denials and request appropriate action for correction or dispute.</li><li>
Check insurance payments for accuracy and compliance with contract discount.</li><li>
Research missing payments and secure documents needed for posting.</li><li>
Demonstrated ability to remain patient, professional &amp; effective in high pressure and high-volume environments.</li><li>
Meet or exceed daily, weekly and monthly performance goals, deadlines and objectives.</li><li>
Perform other related duties as assigned.</li></ul>
Abilities<ul><li>
Excellent verbal and written communication skills.</li><li>
Excellent interpersonal and negotiation skills.</li><li>
Organized with attention to detail.</li><li>
Ability to read and interpret insurance explanation of benefits.</li><li>
Ability to problem solve and think critically to identify trends.</li><li>
Demonstrated proficiency in Microsoft 365 (Teams, Outlook, OneDrive, SharePoint) within a cloud-based, collaborative environment.</li></ul>
Experience and Education<ul><li>
High school graduate or equivalent required.</li><li>
Three (3) years of healthcare industry experience required.</li><li>
One (1) year of healthcare claims billing, insurance collections, coding, and/or denials management required.</li><li>
Specific healthcare payer experience may be required (e.g., Medicare or state-specific payers).</li><li>
Obtain HFMA CRCR or AAHAM CRCS accreditation within two years of employment and maintain certification in good standing.</li></ul>
Pay Range: $18+ per hour
Schedule: Monday- Friday 8am-5pm
We value our employees and offer a comprehensive benefits package including medical insurance, 401(k), paid time off, paid holidays, tuition reimbursement, and additional supplemental benefits. 
 
SHERLOQ is an Equal Opportunity Employer and considers all qualified applicants without regard to race, color, religion, sex, national origin, disability, or veteran status.
If you feel this is the right opportunity for you, we encourage you to apply. We look forward to meeting you!</div>

Specialist, Insurance Revenue Cycle

Boston Scientific

<div>Additional Location(s): N/A
Diversity - Innovation - Caring - Global Collaboration - Winning Spirit - High Performance
At Boston Scientific, we&rsquo;ll give you the opportunity to harness all that&rsquo;s within you by working in teams of diverse and high-performing employees, tackling some of the most important health industry challenges. With access to the latest tools, information and training, we&rsquo;ll help you in advancing your skills and career. Here, you&rsquo;ll be supported in progressing &ndash; whatever your ambitions.
About this role:
Boston Scientific&rsquo;s TheraSphere Associate is a transitional role to prepare candidates to become a Sales Consultant within the Interventional Oncology Division. The TheraSphere Associate will be assigned by Region to an existing territory in which there is potential to convert and grow the business. TheraSphere Associates will be held accountable to delivering exceptional service through team driven directives, revenue impact, clinical education needs, and execution of new business opportunities that reflect the company&rsquo;s strategy and priorities. The role works collaboratively with the Regional Manager and territory consultant to provide support and drive sales revenue at identified accounts. Each TheraSphere Associate will report directly to a Regional Sales manager. Additionally, TheraSphere Associates may be required to work outside their primary assignments as required by business conditions. 
Your responsibilities will include:<ul><li>
Build strong customer relationships through routine visits, product demonstrations, educational programs, product in-services, procedural observation, and problem resolution. Relationships will be established with Physicians, Nurses, Technicians, Materials Management, Nuclear Medicine, Hospital Administration, and Infection Control.</li><li>
Procedural support in a competitive environment.</li><li>
Work seamlessly with Sales Consultant allowing them increased selling time.</li><li>
Takes on revenue-generating projects and goals to support account ownership</li><li>
Work closely with Sales Consultants and Region Sales Managers to evaluate business conditions and sales trends.</li><li>
Assist in developing quarterly/annual business plans to achieve revenue targets.</li><li>
Provide timely updates to Regional Manager on ongoing business activities, competitive conditions, industry trends, etc.</li><li>
Manage expense budget and promotional budget within the guideline. Maintain Sales Rep Assigned Inventory (SRAI).</li><li>
Timely completion of required training as assigned</li><li>
Follow compliance regulations</li><li>
Execute quarterly and off-cycle inventory counts</li><li>
Maintain accurate records of sales and secure purchase orders</li><li>
Submit any required administrative paperwork in a timely manner.</li><li>
Conduct all sales activities according to Travel &amp; Entertainment (T&amp;E) guidelines, Advanced Policies, and Integrity Policies.</li><li>
Occasional weekends, trade shows, internal meetings and/or meeting participation, committed travel 30-40%</li></ul> 
Minimum qualifications:<ul><li>
Minimum of 2 years plus of relevant business experience</li><li>
BA/BS in a business discipline, AA with plans for completion of BA/BS, or equivalent experience required</li><li>
Documented sales success</li><li>
Self-starter, solution oriented, team player, proven leadership qualities while accepting direction</li><li>
Strategic thinker (with the ability to recognize their contribution to the big picture)</li><li>
Able to build and maintain strong customer relationships</li><li>
Must be energetic, enthusiastic, determined and goal-oriented</li><li>
Excels in a fast-paced, competitive environment</li></ul> 
Requisition ID: 630547 
The anticipated annualized base amount or range for this full time position will be $60,000., plus variable compensation governed by the Sales Incentive Compensation Plan (which includes certain annual non-discretionary incentives based on predetermined objectives) as well as the value of core and optional benefits offered at BSC, which can be reviewed at www.bscbenefitsconnect.com. Actual compensation will be commensurate with demonstrable level of experience and training, pertinent education including licensure and certifications, and other relevant business or organizational needs. 
For MA positions: It is unlawful to require or administer a lie detector test for employment. Violators are subject to criminal penalties and civil liability. 
Boston Scientific transforms lives through innovative medical technologies that improve the health of patients around the world. As a global medical technology leader for more than 45 years, we advance science for life by providing a broad range of high-performance solutions that address unmet patient needs and reduce the cost of healthcare. Our portfolio of devices and therapies helps physicians diagnose and treat complex cardiovascular, respiratory, digestive, oncological, neurological and urological diseases and conditions. Learn more at www.bostonscientific.com and follow us on LinkedIn. 
Boston Scientific maintains a prohibited substance free workplace. Pursuant to Va. Code &sect; 2.2-4312 (2000), Boston Scientific is providing notification that the unlawful manufacture, sale, distribution, dispensation, possession, or use of a controlled substance or marijuana is prohibited in the workplace and that violations will result in disciplinary action up to and including termination. 
Please be advised that certain US based positions, including without limitation field sales and service positions that call on hospitals and/or health care centers, require acceptable proof of COVID-19 vaccination status. Candidates will be notified during the interview and selection process if the role(s) for which they have applied require proof of vaccination as a condition of employment. Boston Scientific continues to evaluate its policies and protocols regarding the COVID-19 vaccine and will comply with all applicable state and federal law and healthcare credentialing requirements. As employees of the Company, you will be expected to meet the ongoing requirements for your roles, including any new requirements, should the Company&rsquo;s policies or protocols change with regard to COVID-19 vaccination. 
Among other requirements, Boston Scientific maintains specific prohibited substance testing requirements for safety-sensitive positions. This role is deemed safety-sensitive and, as such, candidates will be subject to a drug test as a pre-employment requirement. The goal of the drug testing is to increase workplace safety in compliance with the applicable law.</div>

TheraSphere Associate Representative - Chicago

Boston Children's Hospital

<div><div><div><div>The Revenue Integrity Specialist supports Boston Children&rsquo;s Hospital&rsquo;s surgical and clinical practices by helping ensure accurate billing, appropriate charge capture, and strong compliance across the revenue cycle. This role focuses on identifying revenue opportunities, reducing denials, and minimizing financial and regulatory risk. The specialist works closely with clinical departments and the Revenue Integrity team to interpret billing rules, analyze data, and implement process improvements that strengthen revenue performance and compliance. 
 
Key Responsibilities<ul><li>
Analyze Epic revenue cycle and usage reports to identify billing errors, trends, and revenue opportunities</li><li>
Monitor and resolve work queue issues, correcting charge errors and ensuring timely resolution</li><li>
Review clinical department billing, coding, and charging workflows to ensure accurate revenue capture and compliance with payer and government regulations</li><li>
Analyze denial data to identify root causes and implement corrective action plans</li><li>
Provide education, guidance, and training to clinical departments on charge capture, coding, and billing best practices</li><li>
Support interpretation and implementation of billing and coding rule changes (government and payer updates)</li><li>
Develop and execute work plans to improve revenue cycle performance and reduce avoidable denials</li><li>
Partner with Revenue Integrity team members to use reporting tools and dashboards to monitor compliance and financial risk</li><li>
Assist in maintaining consistent charge capture practices and supporting ongoing compliance efforts across departments</li></ul> 
Minimum Qualifications<ul><li>
Strong understanding of healthcare revenue cycle operations</li><li>
Ability to analyze billing, coding, and reimbursement data</li><li>
Experience working with managed care contracts and payer rules</li><li>
Knowledge of Medicare, Medicaid, and third-party billing guidelines</li><li>
Ability to identify root causes of billing errors and implement solutions</li><li>
Strong analytical, problem-solving, and critical thinking skills</li><li>
Ability to work collaboratively with clinical, financial, and operational teams</li><li>
Excellent written and verbal communication skills</li></ul> 
Education<ul><li>
High School Diploma or GED required</li><li>
Bachelor&rsquo;s Degree preferred</li></ul> 
Experience<ul><li>
Minimum of 1 year of experience in a hospital or healthcare billing environment required</li><li>
Experience with revenue cycle, charge capture, denial management, or coding preferred</li></ul> 
Schedule 
Full time- remote 
 
Boston Children&rsquo;s Hospital Benefits 
Boston Children&rsquo;s Hospital offers competitive compensation and unmatched benefits including flexible schedules, affordable health, vision and dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) Retirement Savings Plan, Pension, tuition and certain license and certification reimbursement, cell phone plan discounts, and discounted T-passes. Experience the benefits of passion and teamwork.</div> 
</div><div>Status
<div>Full-Time</div>
</div><div>Regular, Temporary, Per Diem
<div>Regular
</div></div><div>Standard Hours per Week
<div>40
</div></div><div>Pay Range
<div>$58676.80-$93901.60 Annual</div>
</div><div>Office/Site Location
<div>Boston</div>
</div><div>Job Posting Category
<div>Administration</div>
</div><div>Remote Eligibility
<div>Full-Time Remote</div></div></div></div><div></div>

Revenue Integrity Specialist- Remote

Search 2493+ Revenue cycle consultant jobs near you this June. New roles added regularly across leading industries. Apply today.

2493 revenue cycle consultant jobs Near Me

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Revenue Integrity Specialist- Remote