Spectrum Health Service, Inc. - a world-class
community health center that proudly cares, values, and serves its
community is in search of a dynamic Dentist dedicated to world-class
healthcare service delivery. If this is you, come work your life's
passion at Spectrum and earn your living where your heart is!
Nationally recognized as a Level-3 Patient-Centered Medical
Home, the highest designation for health centers, Spectrum Community
Health Center provides the highest level of care improving the
health conditions and advancing health equity within our communities
through the delivery of quality primary care, specialty, and social services.
We are the leading provider of world-class healthcare in our
communities providing quality, safe, and effective care in an
efficient, equitable, and timely fashion. We serve as a model of
success for the other Federally Quality Health Center.
The Revenue Cycle Specialist will work as an integral part of an
interdisciplinary team to support the goals and protocols of the
revenue cycle workflow. Responsible for Charge Entry processing,
Account Receivable follow-up, and other revenue cycle related functions.
Analyzes, troubleshoots, and measures performance for the
processes affecting the revenue cycle. Works in partnership with the
Revenue Cycle Manager and Revenue Cycle Director to ensure optimal
system configuration is maintained. Determines opportunities for
improvement. Facilitates process improvement to affect change to
achieve revenue cycle best practices. Ensure consistency and
compliance throughout the Network.
Collaborate with Revenue Cycle Manager (RCM) in the planning,
implementation, administration, and evaluation of projects that
have the potential to increase access revenue, improve service, or
results in cost reduction.
Communicates with personnel in all areas of Spectrum including
attending departmental meetings.
Attend all insurance provider representative meetings as well
as lead provider meetings when RCM is not present or available.
Strong customer service skills; answering client, patient and
carrier calls; prompt return and follow up to all interactions;
prompt response to requests for information.
Timely management of charge entry and accounts receivable as
assigned, using the Athena Workflow Dashboard, Claims Worklist,
Self-Pay Worklist, Patient Refund Worklist and Accounts Receivable
Effectively handle complex payer denials and front-end rejections.
Liaison with patients and insurance companies to address and
correct coordination of benefits or demographic related issues.
Responsible for ensuring secondary claims are properly
formatted, submitted, and followed up on in a timely manner.
Expertly add specific data such as modifiers, payer specific
information, including authorization criteria, POS codes, CPT and
ICD-10 codes and encounter codes.