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

  • 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.



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.

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Charlottesville, VA
Charlottesville, VA 22903

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