RevCycle Pro, Encoder Pro, and/or SuperCoder software experience. Where You'll Work: This is a fully remote position, and we'll provide all the necessary equipment! * Work Environment: You'll need a ...
RevCycle Pro, Encoder Pro, and/or SuperCoder software experience. Where You'll Work: This is a fully remote position, and we'll provide all the necessary equipment! * Work Environment: You'll need a ...
Clinical Bill Review Analyst
Phoenix, AZ · On-site +1
RevCycle Pro, Encoder Pro, and/or SuperCoder software experience. Where You'll Work: This is a fully remote position, and we'll provide all the necessary equipment! * Work Environment: You'll need a ...
Clinical Bill Review Analyst
Phoenix, AZ · On-site +1
RevCycle Pro, Encoder Pro, and/or SuperCoder software experience. Where You'll Work: This is a fully remote position, and we'll provide all the necessary equipment! * Work Environment: You'll need a ...
Revcycle information
What is a revcycle?
A Revcycle job refers to a position involved in the healthcare revenue cycle, which encompasses all administrative and clinical functions that contribute to the capture, management, and collection of patient service revenue. Professionals in this field ensure that healthcare providers are properly reimbursed for their services, handling tasks like billing, coding, claims processing, and payment collection. Revcycle jobs are critical to the financial health of medical facilities, as they help minimize errors, reduce denials, and improve cash flow. Typical roles include revenue cycle analysts, billing specialists, and patient financial services representatives.
What are the key skills and qualifications needed to thrive as a revenue cycle specialist?
To thrive as a Revenue Cycle Specialist, you need a solid understanding of medical billing, coding, and healthcare reimbursement processes, often supported by a degree in healthcare administration or a related field. Proficiency with electronic health record (EHR) systems, practice management software, and certification such as Certified Revenue Cycle Representative (CRCR) is typically required. Attention to detail, problem-solving skills, and strong communication abilities help ensure accurate claim processing and effective collaboration with patients and insurers. These competencies are critical for optimizing revenue flow, minimizing claim denials, and maintaining the financial health of healthcare organizations.
What are some common challenges faced by revcycle professionals, and how can they be addressed in a healthcare organization?
Revcycle professionals often encounter challenges such as keeping up with changing healthcare regulations, managing denied claims, and ensuring timely billing and collections. Addressing these challenges requires staying updated on compliance requirements, collaborating closely with clinical and administrative staff, and utilizing technology to streamline workflows. Proactive communication, regular training, and adopting best practices for claims management can greatly improve efficiency and reduce errors, making a significant impact on an organization's financial health.
What is the difference between Revcycle vs Medical Billing Specialist?
| Revcycle | Medical Billing Specialist |
|---|---|
| Focuses on revenue cycle management, including billing, collections, and accounts receivable | Primarily handles medical billing, coding, and submitting claims |
| Requires knowledge of billing, coding, insurance processes, and revenue cycle workflows | Requires coding certifications, billing software proficiency, and claim submission skills |
| Works in healthcare settings, hospitals, clinics, and revenue cycle departments | Works in healthcare offices, billing companies, and outpatient clinics |
Revcycle professionals oversee the entire revenue cycle, including billing, collections, and accounts receivable, ensuring healthcare providers receive timely payments. Medical Billing Specialists focus specifically on coding and submitting claims to insurance companies. While both roles involve billing and coding, Revcycle roles have a broader scope related to revenue management, making them more comprehensive in revenue cycle processes.
What are popular job titles related to Revcycle jobs in Arizona?
For Revcycle jobs in Arizona, the most frequently searched job titles are:
What job categories do people searching Revcycle jobs in Arizona look for?
The top searched job categories for Revcycle jobs in Arizona are:
What cities in Arizona are hiring for Revcycle jobs?
Cities in Arizona with the most Revcycle job openings:
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 4 days ago
Job description
Vālenz® Health is the platform to simplify healthcare - the destination for employers, payers, providers and members to reduce costs, improve quality, and elevate the healthcare experience. The Valenz mindset and culture of innovation combine to create a distinctly different approach to an inefficient, uninspired health system. With fully integrated solutions, Valenz engages early and often to execute across the entire patient journey - from care navigation and management to payment integrity, plan performance and provider verification. With a 99% client retention rate, we elevate expectations to a new level of efficiency, effectiveness and transparency where smarter, better, faster healthcare is possible.
Please note: An active CPC and/or CIC certification is required for consideration for this position.
About This Opportunity:
As a Clinical Bill Review Analyst, you'll review claims upfront and take a deeper dive to catch billing discrepancies, unbundled charges, and other errors based on standard billing practices and coding guidelines. You'll help identify savings opportunities and share timely, actionable insights with internal teams and leadership to support the best outcomes for our clients. This role calls for strong communication, solid problem-solving skills, and a high level of attention to detail and organization.
Things You'll Do Here:
What You'll Bring to the Team:
Where You'll Work: This is a fully remote position, and we'll provide all the necessary equipment!
Why You'll Love Working Here
Valenz is proud to be recognized by Inc. 5000 as one of America's fastest-growing private companies. Our team is committed to delivering on our promise to engage early and often for smarter, better, faster healthcare.With this commitment, you'll find an engaged culture - one that stands strong, vigorous, and healthy in all we do.
Benefits
At Valenz, we celebrate, support, and thrive on inclusion, for the benefit of our associates, our partners, and our products. Valenz is committed to the principle of equal employment opportunity for all associates and to providing associates with a work environment free of discrimination and harassment. All employment decisions at Valenz are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion or belief, national, social, or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. We will not tolerate discrimination or harassment based on any of these characteristics.
Please note: An active CPC and/or CIC certification is required for consideration for this position.
About This Opportunity:
As a Clinical Bill Review Analyst, you'll review claims upfront and take a deeper dive to catch billing discrepancies, unbundled charges, and other errors based on standard billing practices and coding guidelines. You'll help identify savings opportunities and share timely, actionable insights with internal teams and leadership to support the best outcomes for our clients. This role calls for strong communication, solid problem-solving skills, and a high level of attention to detail and organization.
Things You'll Do Here:
- Review medical bills to identify appropriate billing, coding, and savings opportunities.
- Analyze and resolve claim discrepancies that require a deeper level of expertise beyond initial review.
- Collaborate with the Negotiation team to resolve more complex claim issues and secure additional savings.
- Communicate findings to clients through detailed Bill Review Reports and assist in discussing complex bill-related inquiries.
- Evaluate and respond to bill reconsideration requests, including those requiring additional research or analysis.
- Handle escalated provider inquiries, resolve disputes, and conduct direct negotiations for billing discrepancies.
- Provide guidance and mentor junior analysts in claim review best practices.
- Assist in identifying trends in billing issues, proposing system/process improvements, and contributing to policy development.
- Support training efforts by educating internal teams and clients on changes to codes, edits, and bill review procedures.
- Work cross-functionally with internal teams to identify and implement process efficiencies that improve savings and client satisfaction.
- Ensure compliance with HIPAA and other regulatory standards.
- Perform other duties as assigned.
What You'll Bring to the Team:
- 3+ years of auditing, claims, review and/or billing experience within a healthcare organization.
- CPC and/or CIC certification
- Working knowledge of industry coding, ICD-10, CPT, HCPCS Revenue codes etc.
- Excellent communication skills, both verbal and written.
- Knowledge of CMS guidelines
- Experience in DRG validation.
- Knowledge of Health Insurance, Medicare guidelines and various healthcare programs.
- RevCycle Pro, Encoder Pro, and/or SuperCoder software experience.
Where You'll Work: This is a fully remote position, and we'll provide all the necessary equipment!
- Work Environment: You'll need a quiet workspace that is free from distractions.
- Technology: Reliable internet connection-if you can use streaming services, you're good to go!
- Security: Adherence to company security protocols, including the use of VPNs, secure passwords, and company-approved devices/software.
- Location: You must be US based, in a location where you can work effectively and comply with company policies such as HIPAA.
Why You'll Love Working Here
Valenz is proud to be recognized by Inc. 5000 as one of America's fastest-growing private companies. Our team is committed to delivering on our promise to engage early and often for smarter, better, faster healthcare.With this commitment, you'll find an engaged culture - one that stands strong, vigorous, and healthy in all we do.
Benefits
- Generously subsidized company-sponsored Medical, Dental, and Vision insurance, with access to services through our own products, Healthcare Blue Book and KISx Card.
- Spending account options: HSA, FSA, and DCFSA
- 401K with company match and immediate vesting
- Flexible working environment
- Generous Paid Time Off to include vacation, sick leave, and paid holidays
- Employee Assistance Program that includes professional counseling, referrals, and additional services
- Paid maternity and paternity leave
- Pet insurance
- Employee discounts on phone plans, car rentals and computers
- Community giveback opportunities, including paid time off for philanthropic endeavors
At Valenz, we celebrate, support, and thrive on inclusion, for the benefit of our associates, our partners, and our products. Valenz is committed to the principle of equal employment opportunity for all associates and to providing associates with a work environment free of discrimination and harassment. All employment decisions at Valenz are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion or belief, national, social, or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. We will not tolerate discrimination or harassment based on any of these characteristics.