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Revenue Cycle Operations Specialist II
Connecticut Children'sRevenue Cycle Operations Specialist responsible for processing documentation and financial transactions. Ensuring compliance and accuracy in revenue cycle operations for patient accounts.
About the role
Key responsibilities & impact- Perform all Documentation Operations responsibilities, including receiving, sorting, scanning, indexing, and distributing incoming and outgoing mail.
- Ensure accuracy, timeliness, and quality of document processing within the document management system (OnBase).
- Process return mail, update guarantor status in Epic, and utilize available tools (e.g., Experian responses) to resolve accounts.
- Prepare and distribute outbound payor correspondence to support claims processing, reimbursement, and appeals.
- Identify and resolve issues related to document workflows and escalate as appropriate.
- Perform all Credit Balances responsibilities, including identifying patient overpayments and processing refunds and redistributions in accordance with policies and procedures.
Requirements
What you’ll need- Minimum of 3 years of experience in Revenue Cycle Operations or related healthcare financial operations
- High School Diploma or GED or equivalent
- Working knowledge of healthcare revenue cycle operations, including billing, claims, payments, and account resolution.
- Understanding of medical terminology, diagnosis and procedure codes, and reimbursement processes.
- Knowledge of document management systems, electronic health records (e.g., Epic), and revenue cycle workflows.
- Strong proficiency in Microsoft Office Suite (Word, Excel, Outlook).
Benefits
Comp & perks- Health insurance
- Retirement plans
- Paid time off
- Flexible work arrangements
- Professional development
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
document processingdocument management systembillingclaims processingaccount resolutionmedical terminologydiagnosis codesprocedure codesreimbursement processescredit balance processing
Certifications
High School DiplomaGED