About This Role
The Revenue Cycle Specialist is responsible for managing accounts receivable, including collections, processing payments, and maintaining accurate financial records. This role supports monthly closing and audit tasks, ensuring compliance with record retention guidelines, and assists with various department projects. The specialist also manages client files for admissions and discharges, ensuring all documentation is correctly filed and audited.
Responsibilities
- Support the achievement of the Company’s vision, strategic initiatives, and business strategy and objectives, by actively engaging in strategic discussions and projects
- Complete project and to-do items in accordance with agreed upon scope and deadlines
- Manage past-due accounts and collections
- Contact delinquent accountholders to request payment and address discrepancies
- Resolve customer billing discrepancies in a timely and professional manner
- Process remittances, including checks, cash, ACH, and credit card payments, in an accurate and timely manner
- Process purchase orders and invoices timely and accurately
- Verify insurance eligibility and benefits for prospective clients, ensuring accurate documentation and timely communication of coverage details
- Maintain supporting documentation for AR collection efforts, ensuring compliance with record retention guidelines and destruction procedures
- Process client admissions and discharges, including creating and terminating client records in accounting system and creation and closure of client files
- Provide and/or prepare supporting documentation as requested for audits, projects, or other business needs
- Collaborate with the Credentialing Specialist to facilitate timely and accurate provider credentialing and re-credentialing to ensure compliance with payer, state, and federal regulations
- Collect, verify, and maintain provider documentation (licenses, certifications, insurance, education, work history, etc.) required for credentialing and enrollment
- Maintain accurate credentialing records in electronic and physical filing systems, ensuring compliance with record retention guidelines
- Assist with audits and reporting related to credentialing and provider enrollment
- Stay current on credentialing regulations and best practices to ensure organizational compliance and minimize risk
- Successfully complete required training modules by assigned due dates
- Serve as back-up to other positions in the Business Office, as necessary
- Comply with all applicable policies and regulations
- Perform other duties as assigned
Requirements
- A minimum of a high school diploma and two years of job-related experience is required
