Revenue Cycle Specialist (Remote-US)

Thank you for considering a career at Bon Secours Mercy Health!

Summary of Primary Function/General Purpose of Position

The Lab Revenue Cycle Specialist coordinates all activities related to the revenue generating tasks associated with a laboratory outreach patient encounter. Duties include training lab registration staff, monitoring performance, correcting errors, and providing feedback to staff. Identifies and resolves problems related to patient registration and laboratory billing. Maintains the laboratory provider index to assure results are accurately disseminated.

Essential Job Functions• Reviews lab encounters for appropriate demographic, insurance and testing information. • Screens encounters for valid /ICD-10 diagnosis codes and makes appropriate requests from client for any encounters which need reviewed for valid ICD-10 following compliance guidelines. • Gathers information from direct contact with providers and billing partner. • Completes timely and accurate working of worklists and hold files daily as determined by billing partner. • Through a variety of methods, gathers billing information and analyzes information for accuracy.• Works with other departments requesting information as needed.

Answers all telephone, email, mail, etc.• Analyzes and resolves patient billing issues that may arise in a timely and accurate manner using excellent customer service. • Performs other duties as assigned by System Director Laboratory Outreach, within specified timeframe.

This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.

Licensing/Certification

None

Education

High School/GED (required)

Work Experience

1-2 years' experience in billing or insurance, preferably in lab billing (required)

Experience using Microsoft Excel (required)

Training

None

Working Conditions

Periods of high stress and fluctuating workloads may occur

May be exposed to physical altercations and verbal abuse

May be required to use physical restraints

May be exposed to adverse weather conditions; cold, hot, dust, wind, etc.

May be exposed to high noise levels and bright lights

May be exposed to limited hazardous substances or body fluids*

May be exposed to human blood and other potentially infectious materials*

May have periods of constant interruptions

General office environment

Required to car travel to off-site locations, occasionally in adverse weather conditions

Long-distance or air travel as needed- not to exceed 10% travel

Prolonged periods of working alone

Other:

* Individuals in this position are required to exercise universal precautions, use personal protective equipment and devices, and learn the policies concerning infection control.

Physical Requirements

Lifting/Carrying (0-50 lbs.) 1-33%

Lifting/Carrying (50-100 lbs.) 0%

Push/Pull (0-50 lbs.) 0%

Push/Pull (50-100 lbs.) 0%

Stoop/Kneel 0%

Crawling 0%

Climbing 0%

Balance 1-33%

Bending 1-33%

Sitting 67-100%

Walking 1-33%

Standing 1-33%

Additional Physical Requirements/Hazards

Manual dexterity (eye/hand coordination)

Perform shift work

Maneuver weight of patients

Hear alarms/telephone/audio recorder

Reach above shoulder

Repetitive arm/hand movements

Finger Dexterity

Color Vision

Acuity - far

Acuity - near

Depth perception

Use of latex products

Exposure to toxic/caustic/chemicals/detergents

Exposure to moving mechanical parts

Exposure to dust/fumes

Exposure to potential electrical shock

Exposure to x ray/electromagnetic energy

Exposure to high pitched noises

Gaseous risk exposure

Other:

Patient Population

Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned unit.

Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures.

Neonates (0-4 weeks)

Infant (1-12 months)

Pediatrics (1-12 years)

Adolescents (13-17 years)

Adults (18-64 years)

Geriatrics (65 years and older)

Not applicable to this position

Skills

Active listening

Computer skills

Verbal and Written Communication

Customer Service

Billing

Problem solving

Judgement and decision-making

Medical terminology

ICD-10 and CPT coding

Microsoft Excel

Interpersonal Skills

Bon Secours Mercy Health is an equal opportunity employer.

Many of our opportunities reward* your hard work with:

• Comprehensive, affordable medical, dental and vision plans
• Prescription drug coverage
• Flexible spending accounts
• Life insurance w/AD&D
• Employer contributions to retirement savings plan when eligible
• Paid time off
• Educational Assistance
• And much more

*Benefits offerings vary according to employment status

Scheduled Weekly Hours:

40

Work Shift:

Days (United States of America)

Department:

SS Pharmacy & Lab - Lab

All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health - Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email [email protected]. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at [email protected].