
Revenue Cycle Assurance Specialist
8 hours ago
We are seeking a seasoned Revenue Cycle Assurance Specialist to join our team. In this role, you will play a critical part in ensuring the accuracy and efficiency of our revenue cycle management processes.
Key Responsibilities:
- Conduct regular quality monitoring and evaluation of AR interactions with patients, insurance companies, and other stakeholders.
- Evaluate adherence to established scripts, procedures, and compliance guidelines.
- Identify areas for improvement and provide constructive feedback to AR staff.
- Analyze AR performance metrics, including call volume, resolution rates, and collection effectiveness.
- Generate reports and insights to support management decision-making.
- Collaborate with training teams to develop and deliver targeted training programs for AR staff.
- Provide coaching and support to improve AR skills in communication, negotiation, and problem-solving.
- Ensure adherence to regulatory requirements, including HIPAA regulations, Fair Debt Collection Practices Act (FDCPA), and other relevant laws and guidelines.
Requirements:
To be successful in this role, you should have:
- A Bachelor's degree or related field.
- Minimum 4 years+ proven experience in accounts receivable, revenue cycle management, or healthcare billing.
- Strong knowledge of healthcare billing processes, insurance terminology, and revenue cycle workflows.
- Excellent communication skills, with the ability to provide constructive feedback and communicate effectively with diverse stakeholders.
- Detail-oriented with strong analytical and problem-solving skills.
- Proficiency in using MS Office applications and CRM software.
Why This Role Matters:
This role is crucial in maintaining high standards of customer service and compliance with industry regulations. You will work closely with various departments to resolve complex issues and improve overall revenue cycle performance.
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