Revenue Cycle Specialist

The Revenue Cycle Specialist provides leadership, direction, and support for delivering world class results while providing efficiency and effectiveness for the Revenue Cycle operations within the Revenue Cycle function of NorthShore Health Centers. This includes related activities specific to all billing, collections, secondary billing, A/R resolution and cash flow with respect to billing and the accurate presentation and maximization of the Revenue Cycle results. These associates will work closely with all operational areas within NorthShore Health Centers and the NSHC revenue cycle function such as pre-service clearance, financial management reporting, patient satisfaction, Patient Access, coding and the payors to apply new and emerging approaches for the NorthShore Health Centers clinical, administrative, financial and operational areas. Further responsibilities include identifying, analyzing, and resolving all operational issues associated with the internal processing of accounts receivable while insuring annual cash flow.

The Revenue Cycle Specialist will actively look for opportunities to maximize revenue throughout the system to transform the patient experience with a focus on improving both the patient experience and satisfaction as well as providing accountability for strategic business units that impact the patient experience and service pillars of the organization. The incumbent will focus on opportunities to maximizing the patient experience and patient revenue by strategically re-engineering the revenue integrity processes to improve the patient experience, increase patient volumes and retain current patients by expanding the services in question.

The Revenue Cycle Specialist will exhibit behaviors consistent with the standards for organizational values of NorthShore Health Centers. Demonstrates actions consistent with NorthShore Health Centers “expectations” as duties are performed on a daily basis.

The Revenue Cycle Specialist will be eligible to work from home after 3 months from their hire date, pending satisfactory performance review. The employee will have to be cleared by their manager and HR before they can work from home. All equipment will be provided prior to being relased to work from home.

Scope of practice includes the following areas:

• Billing and Collections
• Revenue Leakage – (Denials, Missing Charges and Payment Variances)
• Patient Service Call Center
• Cash Application
• Guarantor/Self-Pay Collections/Medicaid Eligibility
• Payor Audits
• Denial Resolution

Preferred Experience Requirements: Minimum of 2 years’ relevant experience that includes extensive knowledge of hospital and professional fee revenue cycle or health care finance/operations experience and regulatory requirements as they relate to the revenue cycle, health care operations and the clinical enterprise. Experience preferred within a similar setting of size, volume and organizational structure. Prefer but not required that the individual have significant experience with payors, providers, hospitals and physicians and understand the commensurate requirements for facilitating hospital and professional revenue cycle operations, health care financial operations, revenue management operations, analysis and the corresponding operational activities, financial compliance auditing, accounts receivable resolution, cash flow, billing, revenue enhancement and patient service issues.

Preferred Education Requirements: Bachelor's degree in accounting, finance or management preferred. Health Care Certification including, but not limited to CHAM, CHAA, FHFMA desired.

NorthShore Full-Time Employee Benefits:

• 10 paid holidays
• 40 hours of PTO upon hire
• Up to 4% 401k match
• Medical, dental and vision packages for you and your family
• Short term, long term and life insurance payed by NorthShore