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    Revenue Cycle Specialist II - Miami, United States - MIami Beach Community Health Center

    MIami Beach Community Health Center
    MIami Beach Community Health Center Miami, United States

    2 weeks ago

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    Description

    Job Description

    Job Description

    ***LOOKING FOR A CERTIFIED REVENUE CYCLE SPECIALIST II***

    Main Responsibility

    The Revenue Cycle Specialist II will support the Revenue Cycle Director and the Revenue Cycle Manager in operations.

    Main Tasks

    • Support the Revenue Cycle Director in overseeing operations, including:

    • • The monthly report of un-dropped charges in the doctors' report.
    • • Unapplied credit balances.
    • • Patient payment refund.
    • • Insurance verification for newborn hospital encounters.
    • • Report on newborn hospital encounters.
    • • Verification of Medicaid eligibility.

    • Support the Revenue Cycle Director in supervising staff to ensure accuracy and timeliness of their tasks, specifically, reviewing work on:

    • • Verify MBCHC patients' insurance coverage for next-day appointments or walk-ins.
    • • Providing training to MBCHC staff on effective insurance verification as needed.
    • • The Insurance Verification reference sheet that outlines instructions by insurance plans.
    • • Collection projects.

    • Support the Revenue Cycle Director in reviewing the denials and rejections of insurance claims to identify patterns.

    • Support the Revenue Cycle Director in finding ways to reduce or eliminate insurance rejections and denials.

    • Support the Revenue Cycle Director with the duties related to human resource functions.

    • Support the Revenue Cycle Director in training staff on finance functions as necessary.

    • Support the Revenue Cycle Director in figuring out how to maximize cash flow while enhancing internal and external customer relationships.

    • Support the Revenue Cycle Director as a key resource in all billing matters.

    Main Skills

    1. Versatile Development

    • 1.1. Capable of handling multiple priorities.
    • 1.2. Able to adapt to changing situations.
    • 1.3. Efficient time management skills.
    • 1.4. Can act as a link between patients and medical staff.
    • 1.5. Sustaining positive connections with staff, patients, and community members.

    2. Professional and Technical Expertise

    • 2.1. Understanding of insurance company practices concerning reimbursement and healthcare receivables.
    • 2.2. Minimum 1 year experience at a federally qualified health center

    3. Technical Abilities

    • 3.1. Proficient in Microsoft Office Suite, especially Excel.
    • 3.2. Skilled in clerical and numerical tasks for creating drafts and documents from data.
    • 3.3. Ability to generate letters, forms, and documents.

    4. Communication Proficiency

    • 4.1. Exceptional written and verbal communication abilities.
    • 4.2. Capable of explaining complex concepts clearly to a broad audience.

    We are particularly interested in candidates with extensive experience in insurance verifications and a solid grasp of various insurance carriers.

    Company Description
    Miami Beach Community Health Center, Inc. (MBCHC) is a fully integrated ambulatory care medical facility that has been providing primary health care in Miami-Dade County since 1977. Our mission is to offer our patients a patient-focused medical home with top-notch, affordable primary health care, and specialty services, chronic disease management, and support services.
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