Senior Revenue Cycle Specialist

Title: Senior Revenue Cycle Specialist (Hybrid), Day Shift, Ambulatory Revenue Cycle

Location: Gaithersburg United States

Job Description:

Support Center

If you are a current Adventist HealthCare employee, please click this link to apply through your Workday account.

Adventist HealthCare seeks to hire an experienced Senior Revenue Cycle Specialist for our Ambulatory department who will embrace our mission to extend God's care through the ministry of physical, mental, and spiritual healing.

As a Senior Revenue Cycle Specialist, you will:

• Verifies and corrects insurance information, charges, and coding issues for electronic claims and manual corporate billing.
• Ensures that all billing guidelines are followed per the payer billing requirements.
• Contact insurance companies regarding the status of appeals.
• Daily reconciliation and elimination of billing backlogs.
• Follow up on payment errors, low reimbursement, denials, etc.
• Review EOBs and initiate appeals as necessary.
• Demonstrates working knowledge of coding (CPT, HCPCS, ICD-10, etc) as it relates to billing.
• Responsible for taking and resolving patient billing calls and inquiries.
• Demonstrates an ability to troubleshoot, report to management, and/or initiate resolution of all issues that occur with regard to billing operations.
• Performs analysis, identifies trends, presents opportunity areas, and prioritizes initiatives for performance improvement in a variety of areas, including but not limited to: coding, claim submission, insurance and self-pay collections, refunds, and write-off approvals.
• Routine Reporting of Key metrics includes: AR days, cash collections, denials, avoidable write-offs, refunds, charge lag, bad debt, etc.
• Coordinates with accounting to ensure accurate and timely month-end financial reports

Qualifications include:

• Ability to effectively problem-solve and manage processes
• Ability to work independently and handle a multi-task environment.
• Ability to actively participate on a team, supporting other team members and offering assistance to others as needed.
• Strong customer service skills, both on the telephone and face-to-face contact.
• Strong organizational and interpersonal skills.
• Must have the ability to guard confidential information (HIPAA).
• Bachelor's or Associate's degree in Finance, Business, Accounting, or equivalent experience, and 7 years of experience in this field.
• Certified medical coder a plus
• Experience with Electronic Health Records Software. Experience with eClinicalWorks is desirable.
• Must maintain a high volume of processing without compromising quality and accuracy.

Work Schedule:

Employment Type: Full-time

Hours per Week: 40 hours/week

Typical Daily Schedule: 8:30 am- 5 pm Monday through Friday

Shift Type: Day Shift- Hybrid Schedule

Holiday Requirements: Follow the company holiday calendar

Pay Range:

$24.41 - $34.18

If the salary range is listed as $0 or if the position is Per Diem (with a fixed rate), salary discussions will take place during the screening process.

Under the Fair Labor Standards Act (FLSA), this position is classified as:

United States of America (Non-Exempt)

At Adventist HealthCare our job is to care for you.

We do this by offering:

• Work life balance through nonrotating shifts

• Recognition and rewards for professional expertise

• Free Employee parking

• Medical, Prescription, Dental, and Vision coverage for employees and their eligible dependents effective on your date of hire

• Employer-paid Short & Long-Term Disability, Basic Life Insurance and AD&D, (short-term disability buy-up available)

• Paid Time Off

• Employer retirement contribution and match after 1-year of eligible employment with a 3-year vesting period

• Voluntary benefits include flexible spending accounts, legal plans, and life, pet, auto, home, long term care, and critical illness & accident insurance

• Subsidized childcare at participating childcare centers

• Tuition Reimbursement

• Employee Assistance Program (EAP) support

As a faith-based organization, with over a century of caring for the communities in the Maryland area, Adventist HealthCare has earned a reputation for high-quality, compassionate care. Adventist HealthCare was the first and is the largest healthcare provider in Montgomery County.

If you want to make a difference in someone's life every day, consider a position with a team of professionals who are doing just that, making a difference.

Join the Adventist HealthCare team today, apply now to be considered!

COVID-19 Vaccination

Adventist HealthCare strongly recommends all applicants to be fully vaccinated for COVID-19 before commencing employment. Applicants may be required to furnish proof of vaccination.

Tobacco and Drug Statement

Tobacco use is a well-recognized preventable cause of death in the United States and an important public health issue. In order to promote and maintain a healthy work environment, Adventist HealthCare will not hire applicants for employment who either state that they are nicotine users or who test positive for nicotine and drug use.

While some jurisdictions, including Maryland, permit the use of marijuana for medical purposes, marijuana continues to be classified as an illegal drug under the federal Controlled Substances Act. As a result, medical marijuana use will not be accepted as a valid explanation for a positive drug test result.

Adventist HealthCare will withdraw offers of employment to applicants who test positive for Cotinine (nicotine) and marijuana. Those testing positive are given the opportunity to re-apply in 90 days, if they can truthfully attest that they have not used any nicotine products in the past ninety (90) days and successfully pass follow-up testing. ("Nicotine products" include, but are not limited to: cigarettes, cigars, pipes, chewing tobacco, e-cigarettes, vaping products, hookah, and nicotine replacement products (e.g., nicotine gum, nicotine patches, nicotine lozenges, etc.).

Equal Employment Opportunity

Adventist HealthCare is an Equal Opportunity/Affirmative Action Employer. We are committed to attracting, engaging, and developing the best people to cultivate our mission-centric culture. Our goal is to have a welcoming, equitable, and safe place to work and grow for all employees, no matter their background. AHC does not discriminate in employment opportunities or practices on the basis of race, ethnicity, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, pregnancy and related medical conditions, protected veteran status, or any other characteristic protected by law.

Adventist HealthCare will make reasonable accommodations for applicants with disabilities, in accordance with applicable law. Adventist HealthCare is a religious organization as defined under applicable law; however, it will endeavor to provide reasonable accommodations for applicants' religious beliefs.

Applicants who wish to request accommodations for disabilities or religious belief should contact the Support Center HR Office.