Revenue Specialist II (ROPS)
Core
Revenue Specialist supporting billing systems setup, contract management, and revenue cycle operations for dialysis services.
Role type
Revenue Operations Specialist (Billing Systems Setup)
Builds
Billing system configurations, payer contract implementations, and revenue cycle processes for dialysis clinics.
Domain
Healthcare / Revenue Operations / Billing Systems
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
Revenue cycle management, payer contract analysis, insurance plan management, data aggregation, system setup, process improvement, HIPAA compliance
Preferred skills
Microsoft Office suite (Word, Excel, Access, Outlook), multitasking, analytical problem-solving, stress management
Technologies
Microsoft Word, Excel, Access, Outlook, UB04, HCFA 1500
Responsibilities
Research and input system architecture changes for insurance setup objects; Implement and resolve complex payer contract requirements; Communicate with insurance payers regarding network coverage and contract terms; Process payer and customer requests to load billing system information; Respond to payer communications and bulletins; Collaborate with revenue operations teams to ensure seamless processes; Identify process changes and opportunities for continuous improvement; Maintain current system setup attributes and charge master items.
Seniority
Individual Contributor, Mid-level (2+ years experience)