Revenue Cycle Coordinator CareStar, Inc. Revenue Cycle Specialist Ready to join a growing company whose work profoundly impacts people's lives in their community, who offers an excellent learning environment, opportunities to advance and the ability to work alongside talented business leaders/professionals? CareStar, Inc. is currently seeking a Revenue Cycle Specialist in the Finance Department. The Revenue Cycle Specialist is responsible for developing, planning, organizing, and implementing current and future strategies to bill customers, process payments, minimize bad debt, improve cash flow and manage the overall health of the company's Medicaid receivables. THE POSITION CareStar is looking a motivated individual who/to: • Oversees and streamlines billing and collections processes and month-end closing of the billing group information. • Plans and implements quality assurance for all Medicaid, Commercial and Medicare billing processes. • Provides projections and reports as required, for development and management of budget; produces and analyzes monthly reports that assist in the monthly forecast process. • Monitors the effectiveness of collection efforts and maintains billing within the established Department Policy timeframe. • Compiles and prepares various status reports for management in order to analyze trends and make recommendations. • Oversees the credentialing process to ensure that all employees and contractors have the appropriate licenses, certifications, CEUs and other credentials. Please add a bullet that indicates: Maintains a database of all credentialed employees that allows for identification of recredentialing requirements in a timely and proactive fashion. • Tracks, monitors and takes action to improve timing of process completion and other operational metrics to meet established goals. • Adheres to the CareStar Rule in performance of job responsibilities. • Understands and complies with CareStar Policies and Procedures. • Maintains confidentiality as related to patient information. Any disclosures of confidential information made unlawfully outside the proper course of duty will be treated as a serious disciplinary offense. • Follows the Acceptable Use Policy while using any information systems owned or controlled by CareStar, Inc. • Bachelor's Degree in Accounting, Finance or related discipline coupled with 3+ years of healthcare billing experience. • Proven ability to perform strategic planning and priority setting for the Billing Department. • Familiarity with CMS 1500 billing, clearing houses, denial management and appeals. • Certificated Procedural Coder Credential (CPC) is a plus. • Proven track record for strong leadership skills, specifically in improving process efficiencies and utilizing analytics in problem solving in the healthcare billing field. • Knowledge of medical terminology and insurance claim adjudication. THE LOCATION This position is located at 5566 Cheviot Road, Cincinnati, OH 45247. THE COMPANY CareStar was founded in 1988 in Cincinnati, Ohio with the mission to Improve Communities by Improving Lives. We continue to be an industry leader in the field of Long-Term Care Case Management, Assessment, Population Health Management and Innovative Software Development Solutions. WHY YOU SHOULD APPLY • Competitive salary based upon experience, education and knowledge. • Comprehensive benefits package with medical, dental, vision, and life-insurance. • 401(k) with a generous Safe Harbor company matching contribution. • Numerous learning opportunities including company sponsored certifications. • Paid vacations and 10 holidays per year. • Shared ownership benefit through the CareStar Employee Stock Ownership Plan (ESOP). Come be part of a team that values and challenges you! If these responsibilities, qualifications and benefits catch your interest, apply today at CareStar's Career page at %58047475% %%finance%% Cincinnati, OH, USPosted 2 hours ago Revenue Cycle Supervisor. Ohio Gastroenterology Group, Inc. We currently have a full-time opening for a Revenue Cycle Supervisor. Primary Job Functions: Supervises the Revenue Cycle Team by monitoring assigned duties and reassigns as necessary Monitors staff to ensure all company procedures and policies are followed; addresses issues as they occur Conducts meetings as necessary Monitors and submits bi-weekly timecards for payroll processing Assists with time-away from work requests Assists with 90-day and annual evaluations for all Revenue Cycle Team employees Assists in recruiting and disciplining staff Performs any job duties of staff in the event of their absence Guides and coaches team members by providing constructive criticism and positive feedback to support personal development and ongoing improvement Reviews, assists, trains, and directs department workflows to optimize efficiency and integrity Handles patient complaints and concerns including escalated patient calls and other customer service issues pertaining to medical billing and collections Maintains positive working relationships by keeping lines of communication open and addressing concern and questions Troubleshoots claims issues, multi-tasks, and prioritizes claims and correspondence responsibilities by age, complexity, and urgency Participates and/or initiates discussions with members of the OGGI leadership team to address staff or departmental deficiencies and promote continuous improvements Assists with reporting key metrics and the development of action plans Secondary Job Functions: Attend all office and supervisor meetings, training, and in-services as required Maintain confidentiality of patient, Human Resource and financial information by utilizing HIPAA guidelines and regulations in addition to policies set forth by corporation Any other tasks as requested by the Revenue Cycle Manager, physician, corporate leaders, Human Resources, and/or the office supervisor Knowledge, Skills, and Abilities Working knowledge of medical terminology, CPT and ICD-10 codes and other regulatory billing codes and practices. Working knowledge of billing and payer codes and procedures as well as patient billing techniques. Familiarity with insurance coverage and policies of the corporation as well as pre-certifications, insurance eligibilities, and prior authorizations Ability to supervise multiple employees and processes Working knowledge of HIPAA regulations Ability to establish priorities, work independently, and proceed with objectives with little supervision Ability to handle and resolve recurring problems Ability to analyze and make actionable decisions from data Proficient use of office equipment, such as copier and fax machine, phones, etc. Intermediate computer skills including use of Microsoft Office (Excel and Word), electronic mail, payer websites, physician practice management, and electronic medical records systems. Strong time management skills Strong written and verbal communication skills Ability to effectively communicate with a variety of people under stressful circumstances. Neat appearance, professional demeanor and pleasant voice Fluent in English Credentials and Experience Must have high school diploma or equivalent; college degree preferred Must have at least 3 years experience working in the medical field (office, clinical, or hospital) as a medical biller Special Requirements Willingness to learn new tasks, be cross-trained within the office, and flexibility with work load to help office flow Flexibility in working hours; willingness to work overtime Physical Demands Must be able to sit (frequent), stand (frequent), walk (frequent), stoop (frequent), bend over (frequent) and type on keyboard (frequent) Ability to communicate in person and by phone (frequent) Physical ability to retrieve and file records in a (6-7 shelf) file cabinet (occasional) Must be able to independently lift 25 lbs. (occasional) Work Environment Medical office requiring some contact with adult patients Office workstation environment with numerous employees Ohio Gastroenterology Group offers a nice life/work balance and a great benefits package that includes: Medical, dental and vision coverage- benefits are effective the first of the month following 30 days of employment Company paid life insurance and short term disability Generous paid time off plans (vacation, sick and personal) 7 paid holidays Two retirements plans: 401(k) plan that offers a 3% safe harbor contribution with immediate vesting as well as annual profit sharing contributions. Cash balance pension plan – company contributes 2.5% and offers full vesting after 3 years of employment. Tuition reimbursement programs Employee appreciation programs Uniform reimbursement programs Growth opportunities Learning and development training Apply now to join a great company! %58047475% %%finance%% Reynoldsburg, OH, USPosted 2 hours ago Revenue Cycle Manager. National Youth Advocate Program The Revenue Cycle Manager is responsible for the successful management of the outpatient mental health services billing department. This includes direct oversight of credentialing, precertification process, charge entry, payment posting, and accounts receivable. The Manager fosters a positive working relationship with operations and other patient services departments. The Manager is responsible for developing the department goals, objectives and tactical plan consistent with the organizational strategic plan and vision. The Manager must work effectively as a team member utilizing effective problem-solving skills and intradepartmental relationships. The Manager must possess the ability to motivate others to achieve the organization’s vision, while balancing the big picture with perspective to the details of the operation. Serves as the primary contact for outpatient mental health billing and develop and sustain strong, positive working relationships with managed care organizations (MCOs), Medicaid and insurance. Working At NYAP NYAP's commitment to doing what is best for children, youth and their families is a core value and one that we look for in our newest team members. Excellent training and continuing education and development opportunities offered on topics such as: PCIT, NMT, TF-CBT, BFST, CSAYC, TBRI, FFT and many, many more! Student Loan Repayment assistance, up to $1,200 per year! Medical, Dental, and Vision insuracne for you and your family! 22 Days Off Each Year! Plus 11 Paid Holidays Per Year! Competitive salaries and benefits including a 401(k) Tuition Assistance Work Anniversary Trips! Peace leave Flexibile schedule Mileage Reimbursement Responsibilities The Revenue Cycle Manager will perform duties including, but not limited to: Perform all work in a manner consistent with the National Youth Advocate Program’s mission, values, and philosophies. Directly accountable for the management of the Revenue Cycle management team and financial performance to ensuremaximizing the cash collection for the organization. Directs and oversees all functions of coding, claim management, billing, payment, collections and coordinates credentialing processes. Develops and maintains the highest standards of professionalism and accountability. Establishes and maintains revenue cycle duties across the organization that include prioritization of work (e.g. ensure there is a system of prioritization for claims processing and accounts receivables management). Position will support Operations Clinical Director/s, Managers and Clinicians to ensure the quality of the insurance, demographics and eligibility data entered, as well as monitoring all time of service collections by providing revenue cycle reporting and training materials. Oversees the development, maintenance, implementation, and training of protocols, policy and procedures for all functions related to the revenue cycle. Provides direction in selecting systems/processes to improve the efficiency of the department. Oversees the successful implementation and on-going management of systems. Ensures an appropriate education and feedback process is in place to provide regular to CAQH (Council for Affordable Quality Healthcare) provides on revenue cycle. Keep abreast of Medicaid, and other third party payer rules and regulations with respect to billing and other matters and communicate this information to the providers/clinicians and appropriate personnel to help ensure increased cash flow and sustainability on an ongoing basis. Work closely and partners with Controller to prepare month-end and year-end close. Gather productivity, quality, AR aging analysis, and financial data from ‘EHR and other sources and use to provide meaningful management information to the CFO, leadership and other appropriate personnel on a regular basis. Use high level of analytical and research skills with while maintaining strong attention to detail. ADDITIONAL DUTY SPECIFICS Specific revenue cycle management duties include payer relations, procedure reimbursement, A/R analysis, reimbursement tracking, patient/client interaction, and special projects as assigned. Specific employee management duties include; conducting group meetings with teams and one on one interactions; maintaining records and tracking information for production staff, quality averages, etc.; conducting performance reviews, counseling, assigning employees to specific duties; planning and forecasting workload needs and expectations on a daily, weekly, and monthly basis; planning and scheduling of support according to department needs. Planning, assigning, and directing work, interviewing and hiring employees, training employees, addressing complaints and resolving problems. Qualifications Bachelor’s Degree in Finance/HealthCare/Business or other related field of study. Mature leader with 4 to 6 years of management experience in behavioral healthcare or healthcare accounts receivablemanagement/revenue cycle environment. Previous use and demonstrable proficiency of an Electronic Medical Records (EMR) or Electronic Health Record (EHR) system. Active CPC. ICD, CPT coding is added advantage. Proficient use of desktop and laptop computers, smart phones and tablets, printers, fax machines and photocopiers as wellas software including word processing, spreadsheet and database programs. Other skills Excellent customer service, communication, organizational, time management, and problem-solving skills. If this describes YOU, please apply today! NYAP also requires all of our employees, regardless of their title/position, to hold and maintain automobile liability insurance coverage of $100,000/$300,000. Please contact our HR department with questions, or . The person in this position needs to follow a team concept and support both agency goals and co-workers. Employees must be able to effectively work with and be respectful and sensitive to persons from various cultures, socioeconomic, ethnic, religious, and racial backgrounds. Who We Are: National Youth Advocate Program has been serving communities and clients since 1978 and we continue to grow each year. Our growth allows us to expand and develop new and innovative programs to meet the ever-changing needs of those we serve. We offer unique and personalized services for families and individuals in four areas: Prevention/Intervention, Positive Youth Development, Out-of-Home-Placement and Reunification/Permanency. If YOU can envision it; WE can DO it! The possibilities are endless! We know you are compassionate and dedicated to serving your clients and communities and NYAP is dedicated to providing support to those who join our team! We look for individuals that are ready to make a direct impact and are excited to be an instrument in supporting the needs of our children, youth and families. %58047475% %%finance%% Columbus, OH, USPosted 2 hours ago Revenue Cycle Analyst. Neighborhood Health Association The Revenue Cycle Analyst is an on-site position and is responsible to develop, plan, organize and implement current and future strategies to bill customers, process payments, minimize bad debt, improve cash flow, and manage the overall health of the company’s receivables. Also responsible for coordinating, in cooperation with the Manager of Patient Access, and under the direction of the Finance Lead, day-to-day activities of the organization as they relate to revenue cycle functions which include but are not limited to front office services, billing, collections, accounts receivables and financial planning for patients. Toledo, OH, USPosted 2 hours ago Finance - Revenue Cycle Specialist- Full-Time- Days.Wayne Hospital Company This position is responsible for generating, analyzing and communicating data to support Revenue Cycle operational and financial decisions in a manner that is consistent with industry best practices. This position must be able to effectively communicate with Director of Health Information Management and Director of Patient Accounts. This position is a direct report to Controller. Greenville, OH, USPosted 2 hours ago Revenue Cycle Specialist. Lighthouse Behavioral Health Solutions Job Summary: The Revenue Cycle Specialist assists in the streamlining of revenue cycle processes within our organization by supporting the billing, coding, collections, and reimbursement processes. Duties and Responsibilities: Duties include, but are not limited to: Post payments and review insurance denials to resolve issues. Analyze accounts receivable reports to follow up on unpaid claims. Submit required documentation to insurance payers as requested. Follow up with insurance payors on incorrectly paid contracts. Correct demographic and payor information and submit it to payors. Manage reports to track unapplied money. Required Experience/Certifications: Bachelors Degree in Health Care Management or related field or equivalent experience. 4 years of relevant experience with claims processing and Electronic Medical Records Valid State of Ohio Driver's License and insurance Must pass BCI check, all Corporate Compliance checks, and employment drug screen CPC is desired Lighthouse is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, age, color, religion, sex, national origin, sexual orientation, disability status, genetics, gender identity and/or expression, protected veteran status, or any other characteristic protected by federal, state, or local law. LBHS adheres to Title VII of the Civil Rights Act as amended, Ohio Civil Rights Act, and all applicable rules and regulations. LBHS is an equal opportunity employer. %58047475% %%finance%% Columbus, OH, USPosted 2 hours ago Revenue Cycle Data Analyst. Brightview Llc Overview: We are seeking a skilled and detail-oriented Revenue Cycle Data Analyst to join our dynamic team. The ideal candidate will play a crucial role in optimizing our revenue cycle processes by leveraging data analysis and reporting techniques. This position requires a deep understanding of healthcare revenue cycle operations, exceptional analytical skills, and the ability to transform complex data into actionable insights. If you are passionate about driving financial performance through data-driven decision-making, we invite you to apply. Norwood, OH, USPosted 2 hours ago Accountant. Job Juncture \nFast-paced manufacturer is seeking an Accountant . As the Accountant , you will report to an Accounting Manager and will be responsible for supporting and assisting the Accounting Manager with site accounting functions. You will be responsible for the following tasks: Tiffin, OH, US, 43579Posted 13 hours ago Insurance Agent. Farmers Insurance Group When it comes to business ventures, there are opportunities, and then there are Farmers® business opportunities. If you're an entrepreneurial spirit looking to forge your path and invest in your future, stepping into the role of a Farmers agency owner is one of the most exciting business ownership opportunities available. Columbus, OH, USPosted 16 hours ago Arbys Assistant Manager. Arbys As an Assistant Manager, you will help operate our restaurants on a day-to-day basis. You will help the General Manager, ensuring that every shift operates smoothly. You’ll also assist with local store marketing to help reach sale and profit goals while helping team members through performance and training initiatives. To qualify for this Assistant Manager, the-road-to-success-is-paved-with-meats job, you: Obetz, OH, US, 43207-4580Posted 17 hours ago