Revenue Cycle Project Specialist

The position supports the needs of all Billing and Collection teams. Participates in on-going training and quality assessments. In addition, the individual is responsible for communication with patients, third party payers and clinical departments. To other units to assure accurate billing and filing of claims.

• Provider escalation WQ’s monitoring, reporting, and follow up
• Assists with testing the various B&C systems.
• Identifies trends and works with appropriate resource to resolve issues
• Prioritizes tasks when presented with multiple assignments
• Makes process improvement recommendations and plays an active role in implementation.
• Creates SOW’s and tip sheets pertaining to various Billing and Collections processes.
• Retrieves and analyzes reports utilizing various reporting software (Epic SlicerDicer, Cubes, etc.) as requested.
• Maintains ongoing knowledge of insurance carrier policies and guidelines.
• Analyzes physician billing utilizing ICD-10, CPT and NCCI requirements.
• Processes charge corrections for physician billing per guidelines.
• Serves as a resource for departments needing information and/or assistance.
• Responds to inquiries from clinical departments, and third parties via telephone, written correspondence and personal contacts.
• Sends requests to resolve misapplied payments and credit balances.
• Researches complex denials, obtaining necessary information for resolving accounts, with a high degree of accuracy and timeliness.
• Works directly with departments and carriers on denial resolution
• Adds/corrects registration, insurance, and demographic data in the billing system to ensure accurate records
• Processes adjustments as requested by the Departments and/or Supervisors.
• Analyzes and prepares applicable adjustments to physicians’ fees in compliance with established guidelines
• Participates in on-going training as identified by Supervisor and/or Manager.
• Participates in special meetings and/or projects related to Billing and Collections.
• Assist in Special Projects as identified by Unit Coordinators, Supervisor, Manager and/or Director.
• Other duties as identified by Coordinator, Supervisor, and/or Billing & Collections management.

Position Compensation Range: $18.37 - $28.47 Hourly

MINIMUM REQUIREMENTS

Education: High School Diploma or GED.
Experience: Two years related experience, which may include general office experience, minimum of one year experience in Billing and Collections
Licensure: None

** APPLICANTS MUST SUBMIT RESUME **

PHYSICAL DEMANDS

This is primarily a sedentary job involving extensive use of desktop computers. The job does occasionally require traveling some distance to attend meetings, and programs.

COVID Vaccination Requirement and Guidelines

Please visitthe UVA COVID-19 Job Requirements and Guidelines webpageprior to applying for current information regarding vaccination requirementsandguidelines for employment at UVA.

The University of Virginia, i ncluding the UVA Health System which represents the UVA Medical Center, Schools of Medicine and Nursing, UVA Physician’s Group and the Claude Moore Health Sciences Library, are fundamentally committed to the diversity of our faculty and staff. We believe diversity is excellence expressing itself through every person's perspectives and lived experiences. We are equal opportunity and affirmative action employers. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, race, religion, sex (including pregnancy), sexual orientation, veteran status, and family medical or genetic information.