revenue cycle coordinator

Array Behavioral Care

<div>Array Behavioral Care is the nation's leading virtual psychiatry and therapy practice. As the leading mental health provider, Array is on a mission to transform access to quality, timely behavioral health care through innovative telepsychiatry solutions and services that span the entire care continuum, from the hospital to the home. Array partners with an extensive network of hospitals, health systems, community healthcare organizations, and payors to improve access and deliver the highest quality of care to patients. 
ABOUT THE ROLE
The Revenue Cycle Management Patient Services Coordinator is responsible for delivering responsive, high-quality support to both internal and external stakeholders through phone, email, and billing systems. This position plays a key role in maintaining efficient revenue cycle operations by supporting accounts receivable activities, addressing workflow issues, and ensuring accurate and timely processing of billing related tasks. The Revenue Cycle Management Patient Services Coordinator will bring strong communication skills, attention to detail, and problem-solving abilities, and will work closely with revenue cycle staff, clinicians, and administrative teams to ensure a smooth and effective billing experience for patients and providers. 
WHAT YOU&rsquo;LL DO<ul><li>
Assist in maintaining best practice in the Revenue Cycle Management Process</li><li>
Provide support for patients and clinicians when identifying issues or breakdowns in the billing workflow</li><li>
Work in KeyCare Demographic and insurance queues by reviewing and processing demographic and insurance information within KeyCare to ensure patient records are accurate and up to date. Validate insurance coverage, correct data discrepancies, and escalate issues that may impact claim submission.</li><li>
Refile claims to the payers, document trends and identify root cause to ensure success of first appeal.</li><li>
Collaborate with billing, coding, and administrative staff to research denials, determine root causes, and take appropriate corrective actions. Support the resolution of payer discrepancies to recover revenue, prevent future issues, and maintain compliant billing practices.</li><li>
Manage incoming payer, patient, and vendor correspondence and take appropriate action on each. Ensure that all communications are accurately indexed and accessible for audit, follow-up, and documentation purposes.</li><li>
Assist in verifying collector activity and refund batches for accuracy, ensuring that adjustments, write-offs, and patient or payer refunds are calculated properly and supported by necessary documentation.</li><li>
Respond to patient inquiries with professionalism and clarity, providing support related to billing questions, account balances, payment options, and insurance coverage. Maintain empathetic, service-oriented communication while ensuring compliance with privacy and confidentiality standards.</li><li>
Follow all standard operating procedures and ensure any workflow changes are appropriately documented in a revised version on Microsoft 365 once approved.</li><li>
Other duties as needed</li></ul>
WHAT WE&rsquo;RE LOOKING FOR<ul><li>
Working knowledge of the practices, procedures, and concepts of healthcare revenue cycle, preferably behavioral healthcare</li><li>
Ability to relate and communicate positively, effectively, and professionally with internal and external stakeholders</li><li>
Preferred 1 years&rsquo; experience in revenue cycle management, patient financial services, and health information systems</li><li>
Work calmly and respond courteously under pressure</li><li>
Collaborate and accept direction</li><li>
Exhibits strong verbal and written communication and demonstrates excellent customer service skills</li><li>
Ability to be adaptable, working with challenging and demanding tasks and customers</li><li>
Ability to quickly evaluate and prioritize tasks in a fast-paced environment</li><li>
Demonstrate detail-orientation and superior time management skills</li><li>
Proficiency in MS Office (Word, Excel, PowerPoint), with strong data entry skills</li><li>
Knowledge in EMR Applications (Athena, Mahler)</li></ul> 
POSITION LOGISTICS<ul><li>100% remote position</li><li>Reports to VP, Revenue Cycle</li></ul> 
COMPENSATION AND BENEFITS<ul><li>
The pay range for this role is $17 - $22 an hour. This information reflects the anticipated salary range for this position using current market data. The final offer will be determined based on an individual's skills, years of experience, education, capacity, licenses, and other job-related factors permitted by law.</li><li>
Medical, dental, and vision insurance, employer paid life &amp; long-term disability insurance, additional voluntary benefits include short-term disability, voluntary employee, spousal and child life insurance, accident, critical illness, hospital, or confinement insurance and flexible spending accounts (FSA) and health savings account (HSA) contributions</li><li>
15 days of accrued PTO annually, plus 8 paid holidays and 3 floating holidays</li><li>
401k</li></ul>
Beware of fraudulent job postings and messages from scammers impersonating Array Behavioral Care employees and Recruiters. The only valid email addresses from Array Behavioral Care will be firstname.lastname@arraybc.com and we will not ask you to download an app onto your phone in order to conduct your interview.</div>

Revenue Cycle Management Patient Services Coordinator

ArchWell Health

Job Summary: 
The Revenue Cycle Specialist provides support of all aspects of Revenue Cycle Services and is responsible for supporting the efficiency and effectiveness of revenue cycle operations including vendor and MA plan partner collaboration to meet service level agreements and key performance indicators. The Revenue Cycle Specialist will assist in developing new and emerging approaches for our business processes, projects, and initiatives which will include deliverables that drive financial profitability and meet or exceed margin thresholds. This position reports to the Revenue Cycle Director and will be responsible for supporting the day-to-day revenue cycle operations. This role will collaborate with our clinical, operations and IT teams to drive results.
 
Duties/Responsibilities: 
<ul>
<li>Support rapidly growing outsourced billing and coding teams, and identify ideal operating process flows as needed for scalability and optimization</li>
<li>Assist in developing strong internal processes and documented workflows in support of the revenue cycle, and ensure appropriate integration with field operations</li>
<li>Continually seek ways to improve the delivery and support of revenue cycle activities and provide recommendations for changes to proactively identify process improvement and eliminate barriers to success</li>
<li>Provide eligibility and insurance verification support to centers</li>
<li>Investigate and resolve issues related to patient coverage, effective dates, and missing enrollment information by contacting insurance companies, patients, and other departments. Maintain accurate patient demographic and insurance data in EHR</li>
<li>Confirm member co-pays, deductibles, coinsurance are accurately captured and collected</li>
<li>Support all aspects of coding and billing to ensure legal and compliance standards</li>
<li>Conduct internal audits of billing and coding practices. Provide regular cadence reporting to compliance.</li>
<li>Ensure adherence to CMS and payer specific regulations</li>
<li>Assist in building strong relationships with key stakeholders including finance and accounting, IT and field clinical operations.</li>
<li>Assist in the development of training materials and deliver in person training as needed to our field personnel as we open new centers</li>
<li>Occasional travel will be required (5-10%)</li>
</ul>
Required Skills/Abilities: 
<ul>
<li>Deep understanding of revenue cycle functions and requirements in a complex, multi-state setting</li>
<li>Possess excellent communication skills, both written and oral</li>
<li>Proven performance results, decision making and judgement</li>
<li>Experience with external vendors and outsourced billing staff</li>
<li>Extensive knowledge of eClinicalWorks strongly preferred</li>
</ul>
Education and Experience: 
<ul>
<li>Associate’s degree required</li>
<li>3+ years of revenue cycle experience in physician office setting</li>
<li>Coding certification (CPC, COC, CCS, CCA, CPB, CBCS) required or completed within 6 months of hire</li>
<li>Experience with capitated reimbursement models strongly preferred</li>
<li>Embodies and serves as a role model of ArchWell Health’s Values:</li>
<li>Be compassionate</li>
<li>Strive for excellence</li>
<li>Earn trust</li>
<li>Show respect</li>
<li>Stay resilient</li>
<li>Always do the right thing</li>
</ul>
About ArchWell Health: 
At ArchWell Health, we’re creating a community of caring designed to help our members stay healthy and engaged. By focusing on a strong provider-patient relationship, routine wellness, and staying active, our members enjoy a higher level of care and better quality of life after the age of 60. Everything we do is for seniors. We believe seniors should be heard, listened to, and given ample time by their physicians to live well later in life.
 Our value-based care model is designed to prevent illnesses while keeping members healthy and happy in every aspect of their life. We deliver best-in-class primary care at comfortable, accessible neighborhood centers where older adults can feel at home and become part of a vibrant, wellness-focused community. We’re passionate about caring for older adults and united by the belief that caring has the power to change everything for our members.
 
ArchWell Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to their race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected classification.
 
Last Updated: November 2025

Finance - Revenue Cycle Specialist

Maryville, Inc

Job Title: Revenue Cycle SpecialistLocation: South New Jersey Department: Finance / Revenue Cycle Reports To: CFO FLSA Status: ExemptPosition SummaryThe Revenue Cycle Specialist is responsible for supporting the full revenue cycle process for a nonprofit behavioral health organization, including client billing, claims submission, payment posting, and follow-up on outstanding accounts. This role ensures timely and accurate reimbursement from Medicaid, Medicare, and commercial payers while maintaining compliance with federal, state, and payer-specific regulations.In addition, this position supports EMR system maintenance related to billing functions and plays a key role in identifying revenue cycle issues, conducting root cause analysis, and contributing to process improvements that enhance overall financial performance.Key ResponsibilitiesBilling &amp; Claims Management<ul><li>Prepare and submit accurate claims to Medicaid, Medicare, and commercial insurance payers</li><li>Verify client insurance eligibility and benefits prior to service billing</li><li>Review documentation to ensure billing compliance with payer requirements</li><li>Correct and resubmit denied or rejected claims in a timely manner</li></ul>Accounts Receivable &amp; Collections<ul><li>Monitor accounts receivable and follow up on unpaid or underpaid claims</li><li>Work claim denials and underpayments, identifying trends and recurring issues</li><li>Communicate with payers regarding claim status and reimbursement issues</li><li>Maintain AR aging within organizational benchmarks</li></ul>Payment Posting &amp; Reconciliation<ul><li>Post insurance and client payments accurately and timely</li><li>Reconcile daily deposits and payment reports</li><li>Identify discrepancies and resolve payment issues</li></ul>EMR System Support &amp; Maintenance (Revenue Cycle Focus)<ul><li>Maintain accurate client demographic, insurance, and billing information within the EMR system</li><li>Perform routine audits of EMR data to ensure billing accuracy and compliance</li><li>Identify and correct data entry errors that impact claims submission and reimbursement</li><li>Assist with system updates, billing configuration changes, and payer setup as needed</li><li>Collaborate with IT or EMR vendors to troubleshoot billing-related system issues</li><li>Support staff with EMR billing workflows and best practices</li></ul>Root Cause Analysis &amp; Process Improvement<ul><li>Analyze claim denials, payment delays, and billing errors to determine root causes</li><li>Track and report trends in denials, rejections, and accounts receivable performance</li><li>Recommend and implement corrective actions to prevent recurring issues</li><li>Collaborate with clinical, intake, and administrative teams to improve documentation and workflow processes</li><li>Assist in developing and updating revenue cycle policies and standard operating procedures</li><li>Support continuous quality improvement initiatives to enhance efficiency, accuracy, and reimbursement rates</li></ul>Compliance &amp; Documentation<ul><li>Ensure compliance with Medicaid, Medicare, and State of New Jersey billing regulations</li><li>Maintain accurate and complete billing records</li><li>Support internal and external audits as needed</li></ul>Collaboration<ul><li>Work closely with clinical, intake/admissions, and finance teams to resolve billing issues</li><li>Educate staff on documentation requirements impacting reimbursement</li><li>Support organization-wide initiatives to strengthen revenue cycle performance</li></ul>QualificationsEducation &amp; Experience<ul><li>Bachelor&rsquo;s degree preferred (Healthcare Administration, Business, or related field)</li><li>5+ years of experience in healthcare billing, preferably in behavioral health or substance use treatment</li><li>Experience with Medicaid billing in New Jersey strongly preferred</li></ul>Knowledge, Skills &amp; Abilities<ul><li>Strong understanding of revenue cycle processes (billing, AR, collections)</li><li>Experience working within EMR/EHR systems (behavioral health platforms preferred)</li><li>Ability to analyze data, identify trends, and recommend process improvements</li><li>Knowledge of CPT, HCPCS, and ICD-10 coding basics</li><li>Attention to detail and strong organizational skills</li><li>Ability to manage multiple priorities and meet deadlines</li><li>Strong communication and problem-solving skills</li></ul>Preferred Qualifications<ul><li>Experience working in a nonprofit or community-based healthcare setting</li><li>Knowledge of New Jersey Medicaid (NJ FamilyCare) billing requirements</li><li>Experience with EMR systems such as Smart Care, Kipu</li><li>Certification such as Certified Billing and Coding Specialist (CBCS) or similar</li></ul>Work Environment<ul><li>Office-based or hybrid work environment</li><li>May require occasional overtime to meet billing deadlines</li></ul>Pay: $57,500.00 - $70,000.00 per yearBenefits:<ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Employee assistance program</li><li>Employee discount</li><li>Health insurance</li><li>Health savings account</li><li>Life insurance</li><li>Paid time off</li><li>Professional development assistance</li><li>Tuition reimbursement</li><li>Vision insurance</li></ul>Application Question(s):<ul><li>Revenue Cycle experience required greater than 3 years</li><li>EMR implementation experience greater than 3 years</li></ul>Ability to Commute:<ul><li>Voorhees, NJ 08043 (Preferred)</li></ul>Work Location: Hybrid remote in Voorhees, NJ 08043

Revenue Cycle Specialist

Emory Healthcare

<div>Overview:

Be inspired. Be rewarded. Belong. At Emory Healthcare.
At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide:<ul><li>
Comprehensive health benefits that start day 1</li><li>
Student Loan Repayment Assistance &amp; Reimbursement Programs</li><li>
Family-focused benefits</li><li>
Wellness incentives</li><li>
Ongoing mentorship, development, and leadership programs</li><li>
And more</li></ul>
Description: JOB DESCRIPTION: This position supports and coordinates clinic revenue cycle functions that include charge capture, coding, and edit/denial management; provides recommendations to optimize resources and aligning them with best-in-class performance metrics in specific categories of revenue cycle (productivity, compliance, accuracy, effectiveness, timeliness, and efficiency). The role is responsible for meeting and exceeding operational work flow, productivity and results standards related to the above functions. Coordinates and aligns the resources deployed to revenue cycle functions across the clinical specialty in an effort to build consistency of work flow and optimize resource usage. The position also organizes, manages, and monitors the performance productivity of revenue cycle. Supervises staff, providing work assignments, performance feedback and corrective action as necessary. Hires and trains new employees. Works with manager to formulate a plan for professional development. Attends educational in-services as appropriate. Supervises daily revenue cycle operations in assigned clinical specialty and monitors revenue cycle metrics for area of responsibility. Provides data and reports as required by management. Works with physicians to ensure consistent coding and documentation practices are followed . Trains staff as appropriate on revenue cycle activities, coding, billing and reimbursement practices. Acts as a resource to clinical specialty's staff on matters pertaining to revenue cycle.
 
 
MINIMUM QUALIFICATIONS: High School diploma or equivalent with four (4) years of revenue cycle experience, preferably in physician billing, coding, and/or medical management; OR any combination of equivalent education and experience; OR successful completion of the TEC Operations Development Program (ODP). Preferred skills: Coding certificate through nationally recognized organization (AAPC, AHIMA, etc.): CCS-P, CPC, RHIA, RHIT, CCS, CPC-H; Advanced knowledge of medical terminology, anatomy and physiology, billing regulations, Medicare &amp; NCCI guidelines, insurance coverage limitations and managed care protocols preferred; and/or GE Centricity Business experience preferred. Successful completion of the AAPC ICD-10 Proficiency Assessment.
 
 
PHYSICAL REQUIREMENTS: 1-10 lbs 0-33% of the work day (occasionally), negligible 34-66% of the workday (frequently), negligible 67-100% of the workday (constantly). Lifting 10 lbs max, carrying of small articles such as dockets, ledgers, files, small tools, occasional standing &amp; walking, frequent sitting, close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks.
 
 
ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure, Bio-hazardous waste. chemicals/gases/fumes/vapors, communicable diseases, electrical shock, floor surfaces, hot/cold temperatures, indoor/outdoor conditions, latex, lighting patient care/handling injuries, radiation, shift work, travel may be required, use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks. Additional Details:
<div>
Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.</div><div></div><div> 
Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare&rsquo;s Human Resources at careers@emoryhealthcare.org. Please note that one week's advance notice is preferred.</div></div>

Revenue Cycle Operations Supervisor

Texas Oncology

<div>Overview:<div></div><div> 
The US Oncology Network is looking for a Revenue Cycle Supervisor to join our team at Texas Oncology. This full-time position will support the Urology Department at our 506 Graham #150 clinic in Tomball, Texas with weekly travel to Tomball, The Woodlands, and Willowbrook locations. Typical work week is Monday through Friday, 7:45a - 5:00p.</div><div></div><div> 
As a part of The US Oncology Network, Texas Oncology delivers high-quality, evidence-based care to patients close to home. Texas Oncology is the largest community oncology provider in the country and has approximately 530 providers in 280+ sites across Texas, our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Our mission is still the same today&mdash;at Texas Oncology, we use leading-edge technology and research to deliver high-quality, evidence-based cancer care to help our patients achieve &ldquo;More breakthroughs. More victories.&rdquo; &reg; in their fight against cancer. Today, Texas Oncology treats half of all Texans diagnosed with cancer on an annual basis.</div><div></div><div> 
The US Oncology Network is one of the nation&rsquo;s largest networks of community-based oncology physicians dedicated to advancing cancer care in America. The US Oncology Network is supported by McKesson Corporation focused on empowering a vibrant and sustainable community patient care delivery system to advance the science, technology, and quality of care.</div><div> 
Join a Team That Invests in Your Future</div><div>
At Texas Oncology, we recognize the long-term impact of our people and are committed to rewarding performance and potential. That&rsquo;s why select roles may be eligible to participate in our Long-Term Incentive Plan (LTIP): an incentive program designed to attract, retain, and reward top talent.</div><div></div><div> 
What is the Long-Term Incentive Plan (LTIP)?</div><div>
Long-Term Incentive Plan (LTIP): is an incentive program that typically vests over a three-year period and is tied to both individual performance and the operational success of Texas Oncology. Awards are discretionary and based on your position, performance, and potential for future career growth at Texas Oncology. Awards are reviewed and approved during the annual compensation review. LTIP awards are subject to your continued employment through the award payment date, and are governed by the written terms and conditions of the LTIP document.</div><div></div> 
What does the position do?
Supervises the day to day revenue cycle operations in order to maximize the collection of medical services payments and reimbursements from patients, insurance carriers, financial aide, and guarantors. Supports and adheres to the US Oncology Compliance Program, to include Code of Ethics and Business Standards, and US Oncology's Shared Values.
Responsibilities:

The essential duties and responsibilities:<ul><li>
Supervises the daily business functions of the patient visit from point of entry to accurate adjudication of the patients' accounts. Scope of responsibilities includes appointment scheduling, insurance eligibility processes; charge processing; claim submission and processing; payment processing; collections and accounts receivable management; denial management; reporting of results and analysis; concurrent and retrospective auditing; proper coding; credentialing; customer services relative to revenue cycle; training and development relative to revenue cycle; analytics, and all other revenue cycle management activities. Resolves escalated and unique revenue cycle issues.</li><li>
Responsible for quality work, meeting deadlines, and adherence to the Practices Standard Operating Procedures (SOPs); regularly audits staffs work to ensure compliance.</li><li>
Monthly, prepares revenue cycle financial analysis, including aged accounts. Monitors and assesses business metrics in order to refine processes and improve Guides individuals and teams toward priorities; clarifies roles and responsibilities of others; coordinates resources to meet objectives. Cascades goals down to staffs annual objectives.</li><li>
Champions new initiatives; acts as a catalyst of change and stimulates others to change; paves the way for needed changes; manages implementation effectively. Steps forward to address difficult issues; puts self on the line to deal with important problems; takes ownership and accountability.</li><li>
Develops, implements, and maintains the Practice's revenue cycle training materials. Conducts training of SOPs, systems, metrics, government regulations, and etc.</li><li>
Responsible for the overall coordination of front office duties to include scheduling, check-in, and co-pay/co-insurance collection.</li><li>
Attracts high caliber people, accurately assesses strengths and development needs of employees; provides timely, specific feedback and helpful coaching; provides challenging assignments and opportunities for development. Responsible for interviewing, recommending hires, assessing performance, recommending salary changes, and progressive discipline. Enforces adherence to the Practice's and US Oncology policies.</li><li>
Other duties as requested or assigned.</li></ul>
Qualifications:

The ideal candidate for the position will have the following background and experience:
<ul><li>Associates degree in Finance, Business or equivalent OR four years revenue cycle experience required.</li><li>
At least four (4) years of medical revenue cycle work experience required with a consistent track record of achieving metrics.
</li><li>Two years experience managing, delegating, and following up on work priorities of others is strongly desired.
</li><li>Individual must have strong knowledge of medical insurance billing and collections with CPT, ICD9, and HCPC coding and medical terminology, as well as an overall understanding of managed care products (HMO, PPO, etc).
</li><li>Proficiency in Microsoft Office (Outlook, Excel, Word, and PowerPoint).</li></ul> 
Physical Demands:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is required to be present at the employee site during regularly scheduled business hours and regularly required to sit or stand and talk or hear. Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range. 
Work Environment:
The work environment may include exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations and other conditions common to an oncology/hematology clinic environment. Work will involve in-person interaction with co-workers and management and/or clients. Work may require minimal travel by automobile to office sites.</div>

Supv, Revenue Cycle

Innovive Health

FLSA Classification: Non-Exempt
 Department: Finance
 Reports To: Sr. Manager of Revenue Cycle
 Direct Reports: N/A
 
POSITION SUMMARY: 
The Revenue Cycle Associate supports a high performing Revenue Cycle Department. The individual filling this position will be an ambitious hands-on problem solver and effective communicator that will support the achievements of the team. The role may include but is not limited to the following: following up on denials and collections, posting payments, or any other projects as needed.
 
RESPONSIBILITIES: 
<ul>
<li>Processes payments and denials within 48 business hours of receipt from insurers.</li>
<li>Documents denial reasons within the EMR using clear, concise language.</li>
<li>Reconciles the Cash Posting Journal/Deposits Report from each of our EMRs to the bank deposits.</li>
<li>Ability to comprehend and work with various payers’ remittance advices/explanations of benefits.</li>
<li>Understands the reason for denials or partial payments on remittance advices/explanations of benefits.</li>
<li>Research denials and partial payments to determine if further action is needed.</li>
<li>Research payers’ payment policies when necessary.</li>
<li>Contacts payers and patients to obtain payment on outstanding accounts.</li>
<li>Navigates through software systems efficiently.</li>
<li>Notifies appropriate parties if payment is not received or payer fails to respond.</li>
<li>Records information about financial status of accounts and status of collection efforts.</li>
<li>Prepares collections reports.</li>
<li>Requests timely adjustments and write offs.</li>
<li>Assists with related special projects and perform other related duties as assigned by management.</li>
<li>Adheres to all home health care regulations including CMS and multiple state Medicaid programs.</li>
<li>Adheres to agency’s policies and procedures.</li>
<li>Performs other duties as assigned.</li>
</ul>
COMPETENCIES: 
<ul>
<li>Oral Communication - Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings.</li>
<li>Written Communication - Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Able to read and interpret written information.</li>
<li>Analytical - Synthesizes complex or diverse information; Collects and researches data; Uses intuition and experience to complement data; Designs workflows and procedures.</li>
<li>Problem Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem solving situations; Uses reason even when dealing with emotional topics.</li>
<li>Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments.</li>
<li>Teamwork - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed.</li>
</ul>
REQUIRED QUALIFICATIONS: 
<ul>
<li>Associate’s degree in business or 1-2 years of related work experience.</li>
<li>Intermediate level in Microsoft Office, Excel, Word, and Outlook</li>
<li>Ability to perform diversified clerical functions and intermediate level accounting procedures</li>
</ul>
PREFERRED EDUCATION AND EXPERIENCE: 
<ul>
<li>Previous experience using HealthWyse</li>
<li>Previous experience with the MassHealth Provider Online Service Center (POSC)</li>
</ul>
PHYSICAL DEMANDS AND OFFICE ENVIRONMENT: 
<ul>
<li>Occasionally required to stand.</li>
<li>Occasionally required to walk.</li>
<li>Frequently required to sit.</li>
<li>Continually required to use hands and fingers.</li>
<li>Occasionally required climb, balance, bend, stoop, kneel or crawl.</li>
<li>Occasionally required to lift/push light weights (less than 25 pounds).</li>
</ul>
TRAVEL REQUIREMENTS: 
<ul>
<li>Ability to travel locally by car to office(s), events, meetings, etc., as needed (approximately 5% or less of the time).</li>
</ul>
Innovive Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Revenue Cycle Associate

Mercyhealth

<div>Essential Duties and Responsibilities 
<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> 

Culture of Excellence Behavior Expectations 
To perform the job successfully, an individual should demonstrate the following behavior expectations:
 
 
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. 
 
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. 
 
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. 
 
Cost - Conserves organization resources; Understands fiscal responsibility; Works within approved budget; Develops and implements cost saving measures; contributes to profits and revenue. 
Education and Experience 
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. 
Certification and Licensure 
N/A 
Skills and Abilities 
Knowledge of healthcare reimbursement programs, coding, and billing preferred. 
Special Physical Demands 
The Special Physical Demands are considered Essential Job Functions of the position with or without reasonable accommodations. 
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. 
Level of Supervision 
N/A 
Supervises 
N/A
PAY RANGE:
$21.00 - $31.50
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.
Mercyhealth offers competitive pay and a comprehensive benefits package including:
<ul><li>Medical, Dental, Vision</li><li>
Life &amp; Disability Insurance</li><li>
FSA/HSA Options</li><li>
Generous, accruing paid time off</li><li>
Paid Parental and caregiver leave</li><li>
Career advancement and educational opportunities</li><li>
Tuition and certification reimbursement</li><li>
Certification Reimbursement</li><li>
Well-being Programs</li><li>
Employee Discounts</li><li>
On-Demand Pay</li><li>
Financial Education</li><li>
Annual recognition/awards events</li><li>
Partner appreciation days</li><li>
Family entertainment/attractions discount</li><li>
Community service/improvement opportunities</li></ul>
Click here for more details regarding Mercyhealth Careers Benefit Information.
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.
Mercyhealth has been nationally recognized for our commitment to our people and culture, including:
<ul><li>#1 in the nation on AARP's Best Employers for Workers Over 50</li><li>
One of Working Mother magazine's 100 Best Companies for Working Mothers</li><li>
A Top 50 Company and Top 10 Nonprofit for Executive Women</li></ul></div>

Revenue Cycle Reimbursement Analyst 1

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