Revenue Specialist II (ROPS)
Core
Revenue Specialist supporting billing systems setup, contract management, and revenue cycle operations for a dialysis provider.
Role type
Revenue Operations Specialist (Billing Systems Setup)
Builds
Billing system configurations, payer contract implementations, and revenue management processes.
Domain
Healthcare (Dialysis) / Revenue Operations
Required skills
Revenue cycle management, payer contract analysis, billing template management, data aggregation, system setup, HIPAA compliance, Microsoft Office suite (Word, Excel, Access, Outlook), stakeholder communication.
Preferred skills
Healthcare insurance payer experience, process improvement, multitasking, analytical problem-solving.
Responsibilities
Research and input system architecture changes for insurance setup objects; implement and resolve complex payer contract requirements; respond to internal inquiries on contract and billing attributes; communicate with insurance payers regarding network coverage and contract terms; process payer and customer requests for billing system data; maintain system setup attributes and charge master items; analyze data from source systems to understand system logic.