[Hiring] Revenue Cycle Specialist @BHS

Role Description

Baptist Health is looking for a Revenue Cycle Specialist to join our team! This is a remote work position that requires residency in KY, IN, IL.

• Research denials from all commercial and governmental payors.
• Perform payor compliance review on accounts to determine medical necessity of services, pre and post service as well as pre and post billing.
• Obtain pre-determinations, prior authorizations, and retro authorizations when required by payor.
• Respond to all account reviews with the best possible efforts to ensure reimbursement, recover outstanding revenue, and prevent future revenue loss while meeting all appropriate payor or government timelines.
• Recovery efforts include but are not limited to written letters, emails, websites, and telephonic communication.

Qualifications

• Bachelor's degree.
• Minimum of two years healthcare experience.
• In lieu of Bachelor's degree, five years of healthcare experience including two years in a revenue cycle related area such as registration, patient financial services, or managed care.

Company Description

Baptist Health is an Equal Employment Opportunity employer.