Revenue Cycle Coordinator Job at Robert Half (Cleveland)

Revenue Cycle Management Specialist

Senior Accountant specializing in Revenue Cycle Management with solid background...

Location

United States , San Antonio

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Bachelor's degree in Accounting, Finance, or related field
CPA or Master's degree preferred
Minimum 5 years of accounting experience
At least 2 years in revenue cycle management within healthcare or clinical research environment
Strong background in oncology clinical trials including sponsor/grant billing, contract management, and regulatory compliance
Proven ability to work with large, complex datasets and clinical trial management systems
Advanced skills in Excel
Experience with ERP and CRM systems preferred
Excellent analytical, problem-solving, and communication skills

Job Responsibility

Oversee and manage all aspects of revenue cycle related to oncology clinical trial operations including billing, collections, accounts receivable, and reconciliation
Work closely with clinical research coordinators, principal investigators, sponsors, and finance teams to ensure timely and accurate setup and invoicing of clinical trial projects
Analyze revenue streams, grants, and contracts for compliance with regulatory standards and company policies
Monitor, report, and resolve billing discrepancies and reimbursement issues
Ensure revenue is properly recognized according to GAAP and healthcare accounting guidance
Prepare month-end and year-end closing activities for clinical trial revenue accounts
Conduct periodic audits of clinical trial revenue processes and identify process improvement opportunities
Support external and internal audits related to clinical research billing and revenue recognition
Maintain current knowledge of relevant regulations affecting oncology revenue cycle and clinical billing practices
Prepare and present financial reports, analysis, and forecasting related to clinical trial operations to leadership

What we offer

Medical, vision, dental, life and disability insurance
401(k) plan
Free online training

Application System Analyst Lead - Converge Revenue Cycle

The Information Services Lead is responsible for leading and coordinating the ef...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

Associates or Bachelor’s degree preferred with a focus in healthcare, business, or information systems
Ability to present complex data in meaningful method, i.e., charts, graphs
Ability to adjust to and implement change
Problem Solving skills
Multitasking skills
Work as a team member
Proficient in Microsoft applications including Word, Excel, and PowerPoint
Excellent customer service skills
Highly effective written and verbal communication and interpersonal skills to establish working relationships that foster optimal quality teamwork and education
Strong organizational skills in managing multiple priorities

Job Responsibility

Acts as primary representation in phases of implementation including build, configuration, testing, go-live support, and optimization
Serves as escalation for the focus area in the support and optimization of team activities
Demonstrates leadership for team to consistently provide strong, high-quality outcomes to end users and stakeholders
Ensures team members adhere to quality standards
Demonstrates an expert level of application understanding, and applies expertise to help meet customer goals and outcomes and set standards
Able to influence operational and clinical project outcomes
Coaches team members to tackle new problems using experimentation, including successes and failure experiences
Inspire creative problem solving beyond standard recommendations and practice
Applies expert level understanding of assigned clinical/business operations, processes, and workflows
and accurately documents, discusses, and identifies dependencies with project team members and stakeholders

Fulltime

Patient Financial Specialist

The associate is responsible for the duties and services that are of a support n...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

HS Diploma or equivalent years of experience required
Post HS education preferred
1-3 years of experience preferred
Experience working within a multi-facility hospital business office environment preferred
College education, previous Insurance Company claims experience, and/or health care billing trade school education may be considered in lieu of formal hospital experience
Experience working with inpatient and outpatient billing requirements of UB-04 and HCFA 1500 billing forms preferred
Experience with Medicare & Medicaid billing processes and regulations preferred
Understanding of Medicare language
Knowledge in locating and referencing CMS and/or Medicare Regulations preferred

Job Responsibility

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
Performs Revenue Cycle functions in a manner that meets or exceeds CHRISTUS Health's key performance metrics
Ensures PFS departmental quality and productivity standards are met
Collects and provides patient and payor information to facilitate account resolution
Maintains an active working knowledge of all Government Mandated Regulations as it pertains to claims submission
Responsible to perform the necessary research in order to determine proper governmental requirements prior to claims submission
Responds to all types of account inquires through written, verbal, or electronic correspondence
Maintains payor-specific knowledge of insurance and self-pay billing and follow-up guidelines and regulations for third-party payers
Maintains working knowledge of all functions within the Revenue Cycle
Responsible for professional and effective written and verbal communication with both internal and external customers in order to resolve outstanding questions for account resolution

Fulltime

Patient Financial Specialist

The associate is responsible for the duties and services that are of a support n...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

HS Diploma or equivalent years of experience required
1-3 years of experience preferred
Experience working within a multi-facility hospital business office environment preferred
College education, previous Insurance Company claims experience, and/or health care billing trade school education may be considered in lieu of formal hospital experience
Experience working with inpatient and outpatient billing requirements of UB-04 and HCFA 1500 billing forms preferred
Experience with Medicare & Medicaid billing processes and regulations preferred
Understanding of Medicare language
Knowledge in locating and referencing CMS and/or Medicare Regulations preferred

Job Responsibility

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
Performs Revenue Cycle functions in a manner that meets or exceeds CHRISTUS Health's key performance metrics
Ensures PFS departmental quality and productivity standards are met
Collects and provides patient and payor information to facilitate account resolution
Maintains an active working knowledge of all Government Mandated Regulations as it pertains to claims submission
Responds to all types of account inquires through written, verbal, or electronic correspondence
Maintains payor-specific knowledge of insurance and self-pay billing and follow-up guidelines and regulations for third-party payers
Responsible for professional and effective written and verbal communication with both internal and external customers
Compliant with all CHRISTUS Health, payer, and government regulations
Exhibits a strong working knowledge of CPT, HCPCS, and ICD-10 coding regulations and guidelines

Fulltime

Avp, revenue cycle management (eor)

The Associate Vice President of Revenue Cycle Management is responsible for deve...

Location

United States , Seal Beach

Salary:

115000.00 - 135000.00 USD / Year

Aveanna Healthcare

Expiration Date

Until further notice

Requirements

A Bachelor’s degree from a recognized college or university or at least seven (7) years of management experience in Revenue Cycle Management-related functions (Authorization, Eligibility, Billing, Payment Application, third-party AR Management, Denials Prevention/Appeals, and Credits/Refunds) within a progressive healthcare environment
Excellent written, verbal communication and interpersonal skills
Time management and organizational skills
Self-directed with the ability to work with various stakeholders and teams
Ability to make quality, independent decisions as well as the ability to collaborate effectively to make decisions with other leaders
Superior analytical and problem-solving skills
Ability to work effectively and efficiently under tight deadlines, high volumes and multiple interruptions
Proficiency with Microsoft Office (Word, PowerPoint, & Excel)
Ability to adhere to confidentiality standards and professional boundaries at all times
Must be able to travel

Job Responsibility

Develop ongoing thought leadership and the strategic vision for Revenue Cycle Management that will be shared with Revenue Cycle and overall corporate leadership
Oversee all RCM functions including Billing, Payment Application, third-party and patient AR Management, Denials Prevention/Appeals, Credits/Refunds
Develop, implement, and manage efficient and effective operational policies, processes and performance monitoring across all RCM related functions
Lead the establishment and implementation of KPIs for RCM operations
Responsible for measurement and reporting ongoing financial and operational performance
Ensure the implementation of action plans where performance does not meet expectations
Review KPI expectations annually and adjust appropriately
Recognize areas of excellence
Identify potential process improvements throughout RCM and lead the design and implementation as required
Ensure RCM employees comply with established policies, processes, compliance and quality assurance programs

What we offer

Comprehensive health, dental, vision, 401(k) match
Opportunities for advancement
Thorough training
Flexible schedules
Electronic charting
Access to a clinical supervisor 24/7
Tuition Reimbursement
Advancement opportunities
Weekly pay via multiple payment options
Employee Connection Groups

Fulltime

Revenue Cycle Coding Analyst

The Revenue Cycle Coding Analyst responds to and/or coordinates responses for co...

Location

United States , Phoenix

Salary:

26.76 - 39.81 USD / Hour

American Nursing Care

Expiration Date

Until further notice

Requirements

AA/AS degree in Health Care Administration, or related field, or equivalent work experience required
3 years experience working in healthcare revenue cycle
Strong background and understanding of ICD-10 and CPT/HCPCS
CPC - Certified Professional Coder or CCS or CCS-P - Certified Coding Specialist

Job Responsibility

Responds to and/or coordinates responses for coding related denials from Finance, Clinic Operations, or other stakeholder departments
Conduct Root Cause Analysis related to Revenue Cycle performance and coding denials. Summarize and Present findings
Lead or Participate in action plan for correction or process improvement
Collaborate with Business Office and Clinic Ops management to assess business needs related to revenue cycle and assist with identifying existing system enhancements or new technology to meet those needs
Collaborate with Coding leadership to educate staff on denials and changes to payer policies that affect reimbursement
Monitor Revenue Cycle KPI for assigned Group/Regional Market to identify issues impacting Revenue Cycle Performance
Point of Contact for Group/Regional specific partners from Finance and Clinic Ops to address/understand Revenue Cycle trends and data

What we offer

medical
prescription drug
dental
vision plans
life insurance
paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually)
tuition reimbursement
retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings

Fulltime

Patient Financial Specialist

The associate is responsible for the duties and services that are of a support n...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

HS Diploma or equivalent years of experience required
Post HS education preferred
1-3 years of experience preferred
Experience working within a multi-facility hospital business office environment preferred
College education, previous Insurance Company claims experience, and/or health care billing trade school education may be considered in lieu of formal hospital experience
Experience working with inpatient and outpatient billing requirements of UB-04 and HCFA 1500 billing forms preferred
Experience with Medicare & Medicaid billing processes and regulations preferred
Understanding of Medicare language
Knowledge in locating and referencing CMS and/or Medicare Regulations preferred

Job Responsibility

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
Performs Revenue Cycle functions in a manner that meets or exceeds CHRISTUS Health's key performance metrics
Ensures PFS departmental quality and productivity standards are met
Collects and provides patient and payor information to facilitate account resolution
Maintains an active working knowledge of all Government Mandated Regulations as it pertains to claims submission. Responsible to perform the necessary research in order to determine proper governmental requirements prior to claims submission
Responds to all types of account inquires through written, verbal, or electronic correspondence
Maintains payor-specific knowledge of insurance and self-pay billing and follow-up guidelines and regulations for third-party payers. Maintains working knowledge of all functions within the Revenue Cycle
Responsible for professional and effective written and verbal communication with both internal and external customers in order to resolve outstanding questions for account resolution
Meets or exceeds customer expectations and requirements, and gains customer trust and respect
Compliant with all CHRISTUS Health, payer, and government regulations

Fulltime

Senior Trainer – Business Training (Payer Services)

We are looking for a dedicated and experienced Senior Trainer to join our team, ...

Location

India , Chennai

Salary:

Not provided

Access Healthcare LLC

Expiration Date

Until further notice

Requirements

Minimum 6 years of work experience
Strong understanding of compliance requirements and payer services processes
Exceptional communication and presentation skills
Ability to conduct engaging and effective training sessions
Strong organizational skills and attention to detail
Ability to work collaboratively with different teams and stakeholders
A proactive approach to problem-solving and process improvement
In-depth knowledge of the Revenue Cycle Management (RCM)
Knowledge on Payer workflows like Enrollment, Claims Adjudication, Appeals and Grievances, Payment Integrity & Authorization
Expertise on Payer terminologies (Related to Medicare Advantage programs ) and concepts like Credentialing, Authorization, Out of network and In Network concepts & Subrogation.

Job Responsibility

Develop comprehensive training materials covering the general concepts of Payer Services with a focus on preprocess training
Manage the onboarding process, including system collection, OIG, whitelisting URLs, and ARC orientation training
Conduct client specific orientation sessions to ensure new hires are fully integrated into the company culture and processes
Deliver compliance courses for all employees to ensure adherence to regulatory requirements
Prepare training content for Maintenance of Certification (MOC) and train client partners, ensuring successful assessment closure
Provide client-specific process training for new hires, ensuring they understand all relevant procedures and policies
Offer on-the-job training (OJT) support to new hires, facilitating their transition into their roles
Develop and conduct weekly training sessions based on new updates and error trends
Conduct weekly refresher courses, coaching, and feedback sessions to maintain high performance levels
Maintain extensive knowledge of all processes and sub-processes within Payer Services

Revenue Cycle Coordinator

Robert Half

Location:
United States , Cleveland

Category:
Finance

Contract Type:
Employment contract

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:
March 26, 2025

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Location:United States , Cleveland

Category:Finance

Contract Type:Employment contract

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:March 26, 2025

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