Revenue Specialist II (ROPS)
Core
Revenue operations specialist designing strategic initiatives to improve revenue cycle statistics, reporting, and performance for healthcare practices.
Role type
Revenue Operations Specialist (Healthcare)
Builds
Business and administrative analytics, KPI reports, and process improvement strategies for revenue cycle functional areas.
Domain
Healthcare / Revenue Cycle Management
Deliverable
dashboards & analysis
Required skills
Healthcare claims analysis, Insurance underpayment identification, 837/EDI process knowledge, Advanced Excel, Accounting principles, Data reconciliation, Process improvement, Project management
Preferred skills
Commercial and government reimbursement methodologies, Hospital billing, Managed care, Billing and coding experience, Clinical dialysis experience
Responsibilities
Analyze FFS collection trending, Develop tools to detect performance issues, Research best practices for revenue cycle standardization, Manipulate large data sets for process improvement, Audit electronic and paper claims, Analyze financial performance data to identify trends and root causes
Seniority
Mid-level, hands-on IC
