Top 11 Revenue cycle specialist Jobs in Chardon, Oh

Senior Revenue Cycle Precert Specialist Ophthalmology
University Hospitals —Cleveland, OH
- $18.76 - $29.34 an hour
- 5 years
- High school diploma or GED
- Senior level
Revenue Cycle Manager (FQHC Experience)
Medic Management Group LLC —Beachwood, OH
- Full-time
- Hybrid work
- Microsoft Outlook
- Customer service
- HIPAA
Pharmacy Support Liaison - Patient Engagement Team (Hybrid)
University Hospitals —Warrensville Heights, OH
- $22.22 - $34.76 an hour
- Medical office experience
- Mid-level
- 3 years
Business Office Manager
Daughters of Miriam Center for Nursing & Rehabilitation —Beachwood, OH
- Full-time
- Skilled nursing facility
- Mid-level
Quick Apply
Benefits & Prior Authorization Specialist
Jewish Family Service Association of Cleveland —Pepper Pike, OH
- From $26 an hour
- Part-time
- Word processing
- Medical office experience
- HIPAA
Quick Apply
2d
Accounts Receivable Support Specialist
Wingspan Care Group —Shaker Heights, OH
- 8 hour shift
- Microsoft Outlook
- Word processing
- HIPAA
- 403(b) matching
- Paid holidays
Quick Apply
4h
Inpatient Coding Educator (Remote)
University Hospitals —Shaker Heights, OH
- $62,733 - $98,114 a year
- Remote
- Research
- Mid-level
- Mentoring
Accounts Receivable Supervisor
Apex Skin —Beachwood, OH
- Full-time
- Microsoft Outlook
- Current TB test
- OSHA
- Opportunities for advancement
Quick Apply
14d
Practice Administrator
Kellis Eye & Laser Center (KELC) —Chardon, OH
- Full-time
- Nursing
- Surgery
- 5 years
- Health savings account
- AD&D insurance
Treasury Management Cnslt, Sr
Old National Bank —Beachwood, OH
- $81,700 - $165,100 a year
- Full-time
- 5 years
- Bachelor of Science
- Office
- Health insurance
- Dental insurance
1d

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Confidential —Madison, OH
Associate degree in Business, Accounting, Finance, or a related field required; Bachelor's degree preferred. This position is responsible for managing customer…
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Accounts Receivable Manager
Infinity Construction Co., Inc. —Cleveland, OH
Perform detailed account analysis using Excel data analysis tools and spreadsheets to identify discrepancies or overdue accounts.
$65,000 - $75,000 a year
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Billing Specialist
Integrated Services for Behavioral Health —Columbus, OH
A high school diploma or GED is required, a bachelor's degree, is preferred. The Billing Specialist is responsible for processing client billing and supporting…
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Senior Revenue Cycle Precert Specialist Ophthalmology

University Hospitals -
Cleveland, OH

Apply Now

Job Details

$18.76 - $29.34 an hour

Qualifications

Revenue cycle management
Customer relationship building
Managed care
Phone communication
Managed care organization experience
Copy machines
Client rapport building
High school diploma or GED
Documentation tools
Fax machines
Desktop applications
Multi-line phone systems
Productivity software
Faxing
Technical Proficiency
Hospital experience

Full Job Description

A Brief Overview

As an essential member of the Revenue Cycle team, Senior Pre-cert Specialists ensure authorizations for outpatient testing, ambulatory and inpatient services are obtained before services are rendered. The successful completion of tasks performed by this position, directly impacts denials and reimbursement from third party payers. Senior Pre-cert Specialists are skilled in patient/physician relations, registration, scheduling, and precertification

What You Will Do

Verifies and pre-certifies inpatient and outpatient services to ensure appropriate reimbursement from third party payers, government payers and state agencies
Mastery of skills relating to insurance coverage, benefits, rules & regulations and allocation of plans accurate information and fulfillment of requirements resulting in expected payment for services
Verifies and allocates insurance plans utilizing electronic eligibility tools, phone calls payer, accesses web portals and initiates appropriate action for services including non-covered and out-of-network insurance services
Submits timely electronic and verbal notifications and clinical documentation in accordance with contractual requirements and payer guidelines; coordinates with operations and clinical counterparts to obtain and submit necessary information and documentation
Maintains up-to-date knowledge of computer applications, insurance/government regulations, managed care guidelines and Revenue Cycle policies/procedures used within the department.
Preceptor for new hires and provides necessary training at the direction of department leadership
Participates in enterprise special projects as needed
Leads work flow and process improvement project initiatives
Provides feedback, suggestions and process improvement recommendations to management
Scans and retrieves appropriate related documents in scanning applications
Attends and participates in corporate and local team meetings and maintains patient / physician confidentiality.
Ensures compliance with department productivity and quality standards

Additional Responsibilities

Leads departments meetings as needed
Performs other duties as assigned.
Complies with all policies and standards.
For specific duties and responsibilities, refer to documentation provided by the department during orientation.
Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.

Education

High School Equivalent / GED (Required)
Other Accredited Program: Medical Terminology (Preferred)

Work Experience

5+ years experience in hospital Revenue Cycle/healthcare, working with insurance companies/third-party payers or related experience (Required) and
Experience with clinical applications (Preferred)

Knowledge, Skills, & Abilities

Knowledge of managed care insurance requirements is essential. (Required proficiency)
Notable client service, communication and relationship building skills. (Required proficiency)
Ability to function independently and as a team player in a fast-paced environment. (Required proficiency)
Must have strong written and verbal communication skills. (Required proficiency)
Professional demeanor (Required proficiency)
Detail-oriented and organized, with good analytical and problem solving ability (Required proficiency)
Demonstrated ability to use PCs, Microsoft Office suite, and general office equipment (i.e. printers, copy machine, multi-line phone, FAX machine, etc.) (Required proficiency)

Physical Demands

Standing Occasionally
Walking Occasionally
Sitting Constantly
Lifting Rarely up to 20 lbs
Carrying Rarely up to 20 lbs
Pushing Rarely up to 20 lbs
Pulling Rarely up to 20 lbs
Climbing Rarely up to 20 lbs
Balancing Rarely
Stooping Rarely
Kneeling Rarely
Crouching Rarely
Crawling Rarely
Reaching Rarely
Handling Occasionally
Grasping Occasionally
Feeling Rarely
Talking Constantly
Hearing Constantly
Repetitive Motions Frequently
Eye/Hand/Foot Coordination Frequently

Travel Requirements

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Refine Your Search

revenue cycle specialist jobs in chardon, oh

Senior Revenue Cycle Precert Specialist Ophthalmology

Revenue Cycle Manager (FQHC Experience)

Pharmacy Support Liaison - Patient Engagement Team (Hybrid)

Business Office Manager

Benefits & Prior Authorization Specialist

Accounts Receivable Support Specialist

Inpatient Coding Educator (Remote)

Accounts Receivable Supervisor

Practice Administrator

Treasury Management Cnslt, Sr

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