Revenue Cycle Manager jobs in Salem, OR

The Revenue Cycle department is crucial to this mission because we strengthen both the patient and the Practice’s financial well-being, thus allowing more opportunities for care for healing. We reduce the stress patients experience with the cost and coordination of cancer care so that they can focus on their physical and emotional well-being.

• The Revenue Cycle Specialist is key to department success because s/he focuses on the processes that impact both the revenue cycle at OSG and our patient’s ability to pay for care. The incumbent uses automated systems to complete all revenue cycle workflows to reduce AR aging.
• The position’s objectives are to maximize process and performance efficiencies, reduce operational costs, increase accuracy, and improve reimbursement outcomes.

Essential Job Functions

• Prepare, review, and transmit claims using billing software to include electronic and paper claims processing both primary claims and secondary claims.
• Research, compile the necessary documentation, and complete appeal process for denied claims, via phone/email with payers, facilitating correct claims if necessary
• Follow up on unpaid claims within standard billing cycle timeframe.
• Collaborate with the coding team when necessary to make coding changes to submit corrected claims or appeals
• Apply insurance and patient payments to the Practice Management system, utilizing ERAs and manual applications.
• Stay current with payer trending as to how to submit corrected claims and the payer-specific appeal processes
• Hospital billing - identify charges that are billed for hospital visits, update spreadsheets and reports for documentation and create claims to be billed
• Reconcile payments applied to the system to cash received.
• Answer patient estimate of benefit or statement telephone inquiries verifying insurance and benefits within the practice management system
• Ensure that payment posting policies, procedures, and systems are current and accurately utilized.
• Other duties as assigned

Required Qualifications

• High School diploma or equivalent
• Two years of experience in a healthcare revenue cycle role.
• One year of experience optimizing processes and software to improve AR outcomes.
• Two years experience with medical insurance terminology, CPT, ICD coding structures, and billing forms.
• Knowledge of high-functioning EHR, billing systems, and applications (iKnowMed, Lynx, Centricity, Epic, etc.).
• Verbal and written skills – Ability to convey reasoning clearly and persuasively to patients, team members, and insurance payers.
• Ability to logically and accurately analyze details.
• Demonstrated research and resolution related to denial management
• Excellent PC operating skills and use of MS Office.

Preferred Qualifications 

• Associates degree in applicable field
• Experience with Oncology billing
• Understanding of Unlimited Systems Revenue Cycle Software

Would you thrive in this position?

• Do you enjoy interacting with a variety of people, making the best of each interaction?
• Are you able to practice the balance of cooperation and urgency daily?
• Can you develop and unite partnerships with internal and external associates to accomplish better systems and outcomes?
• Will you create and maintain regular and reliable measures of team performance and success?
• Do you possess extraordinary critical thinking and organizational skills?
• Can you be a self-starter who can influence positive change?
• Do you possess unrelenting determination?
• Do you thrive in team environments?