What are the responsibilities and job description for the REVENUE CYCLE SPECIALIST position at UHS?
About Texoma Care
Our experienced team of physicians is dedicated to caring for all members of the family at every stage of life. TexomaCare is comprised of primary care physicians and a variety of specialists in nine local communities. Working with TexomaCare means you will work with a care team of physicians, advanced practitioners and staff providing compassionate and quality care. TexomaCare is proud to be affiliated with Texoma Medical Center (TMC), the Texoma region’s leader in hospital services. Texoma Medical Center is a 414-bed acute care facility located in Denison, Texas, approximately one hour north of the Dallas/Fort Worth metroplex and just south of the Texas/Oklahoma border. More than 3,500 employees, 400 multi-specialty physicians, and over 100 volunteers have helped to support the hospital in delivering quality, patient focused care to the Texoma region for over 50 years.
The Revenue Cycle Specialist plays a pivotal role in working with IPM Market Leadership to drive consistency in - and business processes that will help the Market maximize revenue along with enhanced patient satisfaction. The Revenue Cycle Specialist is an extension of the IPM Central Billing Office (CBO) but is embedded in the IPM Market to assist with specific tasks that will enhance the overall revenue cycle continuum. The Revenue Cycle Specialist strives to improve and accelerate revenue cycle processes to achieve higher productivity, faster payments, decreased rework, and improved patient service by working with leadership and staff to promote best practices throughout IPM. Specific workflows will be trained and enforced along with daily/weekly/monthly metrics to help determine the overall health of the [front end] revenue cycle. Metrics such as eligibility verification, registration accuracy, encounters without charges, charge lag, denials, and TOS/NTOS collections will be captured, shared, and trended. The Revenue Cycle Specialist is a visible presence in each IPM Market, and they work closely with each other as well as the IPM CBO to ensure consistency in process and best practice across all of IPM.
Independence Physician Management (IPM), a subsidiary of UHS, was formed in 2012 as the physician services unit of UHS. IPM develops and manages multi-specialty physician networks and urgent care clinics which align with UHS acute care facilities. It also provides select services for the Behavioral Health division of UHS. Through continuing growth, IPM operates in 12 markets across six states and the District of Columbia. Our leadership team, practitioners, and teams of healthcare professionals are collectively dedicated to improving the health and wellness of people in the communities we serve.
As a TexomaCare employee you will be part of a first class organization offering:
Challenging and rewarding work environment
Competitive Compensation & Generous Paid Time Off
Excellent Medical, Dental, Vision and Prescription Drug Plans
401(K) with company match and discounted stock plan
Career development opportunities within UHS and its 300 Subsidiaries!
About Universal Health Services (UHS), Inc.
One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $13.4 billion in 2022. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 94,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com
Qualifications
Education:
Associates Degree or approved equivalent combination of coursework and related experience or extensive
related experience is required.
Work experience:
Experience (3-5 years minimum) working in a healthcare (professional) billing, health insurance or equivalent
operations work environment. Work experience in a client facing position, project management experience and/or customer service highly
desirable.
Knowledge:
Healthcare (professional) billing, broad knowledge of CPT/ICD-10 coding, claim submission requirements and
other related industry terminology and practical use.
Knowledge of registration data requirements and health plan payors
Thorough understanding of the revenue cycle and how the various components work together.
Skills:
Strong orientation to customer service.
Excellent verbal/written communication skills.
Strong presentation skills.
Project Management.
Strong interpersonal and organization skills.
Strong computer literacy skills.
Abilities:
Ability to work well under pressure.
Results oriented with a proven track record of accomplishing tasks, multi-tasking, deadline oriented and being
responsive.
Equipment Operated:
Standard office equipment (laptop, computer, calculator, fax, copier, scanner)
Work environment:
Standard office, HOPD, or outpatient medical office setting
Salary : $13