Supports revenue cycle functions for hospital and/or physician practices through advanced responsibilities in billing, collections, cash posting, and customer service.
The role involves financial documentation, compliance with payer requirements, and internal coordination across departments. This position also demonstrates leadership, trains staff, and contributes to continuous improvement efforts.
Essential functions
- Accurately processes patient accounts through billing, collections, and payment posting.
- Works complex A/R, claim rejections, edits, and follow-up tasks across systems.
- Files appeals, reconsideration requests, and manages payer correspondence.
- Identifies and reconciles overpayments and unidentified payments.
- Coordinates with other departments to resolve billing, denial, or cash application issues.
- Supports claim submission, including secondary billing as necessary.
- Provides training to new or existing team members.
- Assists in identifying process improvements to streamline operations and reduce denials or call volume.
- Demonstrates initiative and leadership in daily responsibilities and projects.
- Participates in A/R clean-up and revenue recovery initiatives.
- Maintains required productivity and accuracy standards.
Requirements & Qualifications
Qualifications
- High School Diploma or GED equivalent.
- Relevant licensure and practices obtained within the timeframe required by facility policy.
- Two years of previous hospital and/or physician business office experience preferred.
Knowledge, skills, and abilities
- Strong verbal and written communication skills.
- Ability to work independently and provide team leadership.
- High level of customer service and interpersonal interaction.
- Proficient in general accounting and bookkeeping.
- Thorough understanding of billing regulations, medical terminology, and payer guidelines.
- Proficient with Microsoft Office applications, including Excel, Word, and Outlook.
- Experience with systems such as Epic and SSI preferred.
- Ability to operate a 10-key pad efficiently for cash posting functions.
- Able to analyze root causes of errors or delays to improve efficiency.
- Demonstrates professionalism, ownership, and a commitment to quality.
Location
Tennessee, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
1 week ago