Revenue Cycle Project Specialist
Job ID: R0040861 | Financial Operations | Full Time | Charlottesville, VA
The position supports the needs of all Billing and Collections teams. Participates in ongoing training and quality assessments. In addition, the individual is responsible for communication with patients, third-party payers, clinical departments, and other units to ensure accurate billing and filing of claims.
  • Provider escalation WQs monitoring, reporting, and follow-up.
  • Assists with testing the various B&C systems.
  • Identifies trends and works with appropriate resource to resolve issues.
  • Prioritizes tasks when presented with multiple assignments.
  • Makes process improvement recommendations and plays an active role in implementation.
  • Creates SOWs and tip sheets pertaining to various Billing and Collections processes.
  • Retrieves and analyzes reports utilizing various reporting software (Epic SlicerDicer, Cubes, etc.) as requested.
  • Maintains ongoing knowledge of insurance carrier policies and guidelines.
  • Analyzes physician billing utilizing ICD-10, CPT and NCCI requirements.
  • Processes charge corrections for physician billing per guidelines.
  • Serves as a resource for departments needing information and/or assistance.
  • Responds to inquiries from clinical departments and third parties via telephone, written correspondence, and personal contacts.
  • Sends requests to resolve misapplied payments and credit balances.
  • Researches complex denials, obtaining necessary information for resolving accounts, with a high degree of accuracy and timeliness.
  • Works directly with departments and carriers on denial resolution.
  • Adds/corrects registration, insurance, and demographic data in the billing system to ensure accurate records.
  • Processes adjustments as requested by the departments and/or supervisors.
  • Analyzes and prepares applicable adjustments to physicians' fees in compliance with established guidelines.
  • Participates in ongoing training as identified by Supervisor and/or Manager.
  • Participates in special meetings and/or projects related to Billing and Collections.
  • Assists in special projects as identified by Unit Coordinators, Supervisor, Manager, and/or Director.
  • Other duties as identified by Coordinator, Supervisor, and/or Billing & Collections management.

Position Compensation Range: $18.37 - $28.47 Hourly

MINIMUM REQUIREMENTS
  • Education: High school diploma or GED.
  • Experience: Two years of related experience, which may include general office experience; minimum of one of year experience in billing and collections.
  • Licensure: None.

APPLICANTS MUST SUBMIT RESUME.

PHYSICAL DEMANDS

This is primarily a sedentary job involving extensive use of desktop computers. The job does occasionally require traveling some distance to attend meetings and programs.



COVID Vaccination Requirement and Guidelines

 

Please visit the UVA COVID-19 Job Requirements and Guidelines webpage prior to applying for current information regarding vaccination requirements and guidelines for employment at UVA.

 

 

 


Charlottesville, VA
Charlottesville, VA 22903

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