Assistant, Revenue Cycle Management

Job description

**_What Revenue Cycle Management contributes to Cardinal Health_**
Practice Operations Management oversees the business and administrative operations of a medical practice.
The Revenue Cycle Management team focuses on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient service revenue.

The revenue cycle shadows the entire patient care journey and begins with patient appointment scheduling and ends when the patient’s account balance is zero.
**_Responsibilities_**
+ Review and identify opportunities for improvement on Power BI.
+ Provide executives, manager, and center support with denial trends and presentations.
+ Research denied CPT codes and compare them to the LCD/NCD requirements.
+ Identify trends that inhibit timely claim submission for all centers.
+ Work closely with insurance carriers for reimbursement requirements to ensure payment.
+ Understand electronic claim interchange and the life cycle of primary and secondary claims.
+ Contribute to team efforts by accomplishing related results as needed.
+ Ensure that all processing and reporting deadlines are consistently achieved.
+ Oversee staff and processes concerning third-party insurance and data processing to ensure accurate billing and efficient account collection.
+ Occasionally, review patient account status to identify and resolve billing and processing problems promptly.
+ Maintain contact with other site managers/centers to obtain and analyze additional patient information to document and process billings accurately.
+ Work closely with the billing staff to develop and oversee business systems.

Also, work with other key areas to ensure timely and accurate processing and system reporting.
+ Collect and process payroll for billing staff.
+ Maintain billing staff PTO requests and ensure proper staffing and department coverage.
+ Identify accounts receivable opportunities and propose processes for clean claim submission.
+ Ensure a successful (EOM) close and movement of charges.
+ Stay up to date on payer requirements and provide staff with further training.
+ Handle other duties and projects assigned.
**_Qualifications_**
+ 4-8 years of experience, preferred
+ Bachelor's degree in related field, or equivalent work experience, preferred
+ Knowledge of medical terminology
+ Familiar with Urology, Chemotherapy and Radiation Billing
+ Experience with computerized billing software and interpreting EOBs
+ Working knowledge of ICD-9/ICD-10, CPT, HCPCS, and CPT coding
+ Bachelor's degree, preferred in business administration, healthcare, or related field.
+ Minimum five years of experience in a medical business office.
+ Preferred experience with GE Centricity.

Preferred experience in Oncology billing.
+ Knowledge of computer/telephony support, preferably in a healthcare environment.
+ Strong customer service background, preferably in a healthcare environment.
+ Excellent verbal communication skills.
+ Competence with computer processing functions and other standard office equipment.
+ Ability to manage and prioritize multiple tasks.
+ Ability to calmly and professionally resolve customer issues with diplomacy and tact.
+ Ability to work independently with minimal supervision.
+ Strong organizational skills.
+ Understanding of managed care contracts and fee schedules, including Medicare and Medicaid.
**_What is expected of you and others at this level_**
+ Acquires job skills and learns company policies and procedures to complete standard tasks
+ Works on basic and routine assignments
+ Selects correct processes from prescribed rules or guidelines
+ Work is closely managed and follows detailed instructions
+ Seeks regular guidance and advice from supervisor
**Anticipated hourly range:** $21.00 - $21.20
**Bonus eligible:** No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with myFlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 12/25/2025 *if interested in opportunity, please submit application as soon as possible.
_The hourly range listed is an estimate.

Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate’s geographical location, relevant education, experience and skills and an evaluation of internal pay equity._
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background.

We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day.

Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer.

All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (https://www.cardinalhealth.com/content/dam/corp/email/documents/corp/cardinal-health-online-application-privacy-policy.pdf)

Required Skill Profession

Other General