You’ll need
Certifications
HFMA Certified Revenue Cycle Representative (CRCR) preferred
AAHAM Certified Revenue Cycle Specialist (CRS), AAHAM Certified Revenue Cycle Professional (CRCP) preferred
Education
✓Bachelor's degree in Business Administration, Healthcare Administration, Finance, Accounting, or a related field
✓and/or equivalent combination of education and experience.
Qualifications
✓5 or more years of progressively responsible experience in patient billing, payment posting, accounts receivable, cash operations, or healthcare revenue cycle functions.
✓3 or more years of experience supervising operational, revenue cycle, billing, or collections staff.
✓Demonstrates solid knowledge of medical billing, reimbursement methodologies, collections practices, and revenue cycle operations.
✓Demonstrates knowledge of payer requirements, including Medicare, Medi-Cal, managed care, PPO, HMO, and commercial insurance programs.
✓Exhibits ability to analyze financial and operational data, identify trends, and recommend process improvements.
✓Demonstrates proficiency using electronic health record, billing, claims, and payment posting.
✓Exhibits ability to supervise, coach, and develop staff while fostering employee engagement and accountability.
✓Applies sound judgment when resolving complex payment, reconciliation, and operational issues.
✓Demonstrates strong organizational skills and ability to manage multiple priorities in a high-volume environment.
✓Maintains knowledge of regulatory, compliance, privacy, and confidentiality requirements applicable to healthcare financial operations.
✓Demonstrates proficiency with Microsoft Excel, Word, Outlook, and reporting tools.
Possesses experience with Epic, CareConnect, or comparable healthcare billing systems. preferred
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About the role
You will ensure payments and remittances are processed accurately and timely, resolve complex payment and reconciliation issues, and monitor productivity and quality standards. You will also analyze operational trends, identify workflow improvements, and collaborate with payers, IT, and revenue cycle partners to support financial integrity and organizational goals.