Revenue Cycle Lead
Carle
Revenue Cycle Lead
- Category
- Support Services
- Position Type
- Full-Time
- Remote
- Yes
- Shift
- Day
- Schedule
- 8-5p Mon-Fri
- Weekend Requirements
- no
- Holiday Requirements
- no
- On-Call Requirements
- no
Overview
Responsibilities
Facilitates maximization of revenue through monitoring of dashboards and reporting for assigned payers, ensuring that payer specific requirements are applied appropriately and claims are appealed as necessary.
Handles escalated patient, provider and third party issues. Acts as a liaison with external vendors and collection agencies.
Assists in evaluation of billing opportunities related to new technology and/or services.
Mentors, trains, observes and educates staff to ensure quality and optimal staff performance. Provides first level coaching to team members regarding performance deficiencies.
Assists with daily department flow; ensures appropriate staffing and optimal productivity levels.
Acts as a resource and mentor to others.
In collaboration with supervisor (or manager), conducts regularly scheduled meetings with staff, facilitates and collaborates on initiatives within the department, enterprise wide and with external entities. In addition, assists employees in solving work related matters.
Endorses and performs all required tasks associated with the Carle Experience such as, but not limited to, regular rounding with staff and completion of all reports needed to have meaningful and productive monthly meetings with the supervisor.
Creates, updates and maintains all department policies and procedures to ensure best practices are enforced and adhered to.
Supports supervisor and manager by interpreting and analyzing financial data to identify and monitor performance and establish benchmarks for the department.
Creates, updates and maintains all department policies and procedures to ensure best practices are enforced and adhered to.
Builds system generated letters and activities within the billing system. Performs quality review and approves user generated letters.
Participates in system testing and development related to system upgrades and process improvements.
Qualifications
Carle Health Company Overview
Find it here.
Discover the job, the career, the purpose you were meant for. The supportive and inclusive team where you can thrive. The place where growth meets balance – and opportunities meet flexibility. Find it all at Carle Health.
Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,600 team members in its eight hospitals, physician groups and a variety of healthcare businesses. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet® designations, the nation’s highest honor for nursing care. The system includes Methodist College and Carle Illinois College of Medicine, the world’s first engineering-based medical school, and Health Alliance™. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: human.resources@carle.com.
Salary Range
Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.
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