The Staff Pad is seeking a Revenue Cycle Specialist II (RSC)/Anesthesia Claims Specialist for our growing healthcare client in Dallas, Texas. This position offers both remote or hybrid options. The Revenue Cycle Specialist II (RCS)/Anesthesia Claims Specialist is responsible for complex claim trend identification, management, and resolution contributing to the day-to-day operations of all the revenue cycle functions to improve the net collection rate for all member practices.
· - Insurance and Revenue Cycle Expert Resource
· -Identification and development of workflow improvements to improve revenue results
· -Interaction with Anesthesia Practitioners for clinical documentation clarification and missing data elements
· -Liaison to facility health information management departments for information needed
· -Liaison to surgeon office health information management team members for information needed
· -Verification of patient benefits, estimated liability determination and patient communications for pre-collection
· -Revenue Cycle Project assignments as needed.
· -MedSuite knowledge and training expert
Principle Responsibilities
*Improved Revenue Results
o Responsible for identification and resolution of complex claim issues delaying payment
o Interface with the anesthesia practitioners as necessary for resolution of clinical denials
o Workflow and reporting assistance as needed member practice items within available IT applications
*Detail and Monthly Case Information Coordination
o Responsible for resolving incident and concurrence issues as well as practitioner-identified missing revenue items including professional communication to anesthesia practitioners
o Interface with the anesthesia practitioners as necessary for resolution
o Reporting assistance as needed for member practice issues and training needs
o Responsible for resolution of concurrency issues identified during charge entry if communication with an anesthesia provider or facility is necessary for resolution
o Administrative support for data needs
o Administrative support for training documentation and presentation development
*Responsible for Facility Information Management Department relationships
o Facility information needed for any billing issue resolution for Member Practices
o Surgeon office information needs for any billing issue resolution for Member Practices
*IT Applications
o Revenue cycle application training internally as needed for all applicable systems
o Report generation and/or analysis from as required
*Precollection Processes
o An understanding and ability to provide back-up for verification of insurance eligibility and benefits for selected patients as required
*Refund Management and Confirmation
o Responsible for managing monthly refund compliance as dictated for federal and state program compliance
o Review of refunds as dictated for accuracy and documentation
o Coordination with Revenue Cycle Vendor and Member Practices as necessary for refund requests and resolution
*Project Management
o Participate in Revenue Cycle and other projects as needed
Required Qualifications:
Talent Hire Recruitment
ECS
Return on Investment Ltd
CryptoRecruit
