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Chargemaster Revenue Cycle Specialist
Franciscan Missionaries of Our Lady Health SystemChargemaster Revenue Cycle Specialist responsible for monitoring hospital chargemasters and improving revenue cycle efficiency. Ensures compliance with billing regulations and manages CDM processes.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Revenue and Reimbursement Management, ensuring compliance with billing and coding regulations while maximizing reimbursement. Proficient in charge capture strategies and collaboration with various departments to streamline revenue cycle processes.
Highest-signal resume keywords
Revenue ManagementChargemaster ExperienceBilling ComplianceContract AnalysisProcess Improvement
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Revenue Cycle ManagementCoding RegulationsCharge CaptureCDM MaintenanceData AnalysisReport PreparationHealthcare BillingMedicare ComplianceFinancial AnalysisCost Management
Soft Skills
CollaborationCommunicationProblem-SolvingTrainingSupervision
Tools & Technologies
Automation SoftwareBilling SoftwareReporting ToolsHealthcare Management Systems
Industry Keywords
Healthcare ServicesPayer RelationsRevenue CycleDenial ManagementCompliance Standards
About the role
Key responsibilities & impact- Revenue and Reimbursement Management
- Insures the appropriate bundling or unbundling of charges so that all charges are submitted result in maximum reimbursement while following applicable billing, coding and reimbursement regulations.
- Interprets Medicare transmittals to determine whether new codes, coding changes, or directives that alter billing and compliance are required and to communicate these changes to all relevant departments.
- Proactively identifies new charge opportunities and makes monthly recommendations to prevent future billing problems.
- Manages the process of CDM maintenance including the training and supervision of staff in order to process CDM request in a timely response to decrease bill rejections and payment delays due to chargemaster driven coding and charging issues.
- Effectively utilizes all internal automation and software applications. Prepares reports as required by management regarding process improvement recommendations and systematic claim processing issues.
- Answers questions regarding hospital and departmental operations, policies and procedures.
- Assist Payer Relations with contract analysis to receive maximum reimbursement.
- Develop or modify revenue and reimbursement reports to prevent a disruption in the revenue stream.
- Quality
- Safeguards the hospital against exposure to denials, penalties and fines by ensuring healthcare services are billed accurately and properly at all times.
- Coordinates and performs the analysis of the yearly charge change recommendations and pricing schedule changes recommended by the contracted Revenue Consultants.
- Collaboration and Partnership
- Assists the billing personnel in resolving third party payor billing problems and works to streamline the revenue cycle in coordination with Department Managers, Business Office, HIM and Managed Care to increase charge capture, receive accurate payments from payers and minimize claim denials.
- Assists departments in coordinating, compiling and interpreting information regarding health care services and operating costs in an effort to create efficient charging practices and the capture of appropriate revenue.
- Performs in-house education regarding revenue cycle/indicators for Department Managers.
- Other Duties As Assigned
- Performs other duties as assigned or requested.
Requirements
What you’ll need- 5 years experience in facility chargemaster experience
- Bachelor's Degree in Business, Finance, Accounting, or related medical field OR a degree or certificate in nursing
Benefits
Comp & perks- None specified 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score