Revenue Process Specialist

Job Summary

RAYUS now offers DailyPay! Work today, get paid today!

The pay range for this position is $22.04-$31.87 based on direct and relevant experience. 

RAYUS Radiology is looking for a Revenue Process Specialist to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together! As a Revenue Process Specialist, you will perform process quality analysis on revenue cycle management processes to optimize financial outcomes, increase efficiency and prevent errors that result in re-work. Collaborates with RCM Leadership and Market Operations on implementation of polices & procedures to drive consistency and improvement in overall revenue cycle operations.  

Provides support on transformational initiatives impacting RCM functions including process documentation, test preparation and execution, training & change management.

Scope of processes to be analyzed including patient registration, scheduling, insurance, time-of-service collections, coding, billing, payment application, accounts receivable, claims & contract management.

This is a full-time position working 40 hours per week; shifts are 8:00am - 5:00pm. 

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Creates a positive experience for every customer, every day by believing in and practicing The Experience

(35%) Revenue Cycle Process Analysis

• Collaborates with reporting & analytics team to obtain appropriate data for analysis, research and distribution
• Identifies trends and performs root cause analysis  
• Collaborates with the Manager/Supervisor of the process owning team(s) to identify solutions in efforts to maximize productivity and minimize any financial impact
• Develops, researches, and writes new policies to support business initiatives
• Researches workflow, operational, and system impacts
• Manages approved policies and procedures through end-to-end lifecycle
• Analyzes recurring problems and formulates plans to address each, coordinating efforts with others as required

(25%) Market Support & Communication

• Corresponds regularly with markets on education and assists with process improvement implementation for upstream processes (patient registration, coding, etc.), based on analysis
• Facilitates reoccurring continued education training sessions for the markets on revenue cycle related front office processes
• Assists in updating processes and procedures to maintain standards for patient registration, coding and appropriate documentation
• Delivers messages in a consistent format that provides markets visibility into trending issues impacting revenue, proposed improvements and identified outcomes
• Serves as primary point of contact for fielding market questions and requests regarding upstream processes

(20%) Process Improvement

• Works with Process Improvement & Training Manager to identify process improvement opportunities
• Identifies the responsible working group of subject matter experts (SME) and collaborates with SME group to gather information, document current state business processes,  and identify opportunities for improvement
• Works collaboratively with management and SMEs to understand desired performance and implement a future state process
• Participates in departmental quality improvement processes 

(15%) Training

• Conducts  compliance training for new market acquisitions, new hires as needed, including by not limited to eligibility, patient estimations,  time of service collections and end of day reconciliation
• Assesses learning needs and develops appropriate training solutions for new and existing processes; focusing on creating the best possible patient experience
• Conducts ongoing analysis of training effectiveness; updates tools and explores new materials for learners as needed
• Partners with Human Resources on the launch of new RCM related online trainings
• Monitors completion of RCM related online trainings, sending reminders to participants and providing management with status updates
• Takes action to stay abreast of current and evolving learning trends, instructional methods/techniques and emerging technologies.
• Identifies common trends and prepares and delivers system tips to end users

(5%) Completes other tasks and projects as assigned