The Revenue Cycle Specialist Lead assists in managing daily Patient Contact Center operations, including monitoring call volumes and staff performance. They are responsible for handling specialty accounts, resolving escalated complaints, and providing training and support to team members.
The Revenue Cycle Specialist II is responsible for resolving complex insurance claims, managing denials, and ensuring accurate account documentation. They work independently to maintain work queues and provide support to the team while adhering to payer contract requirements.
The Auditor-CDI Nurse Educator facilitates clinical documentation improvements and performs internal audits to ensure accurate data reporting and patient severity depiction. They also manage staff orientation, provide ongoing education for the healthcare team, and collaborate with coding and patient safety departments.
The role is responsible for assessing customer analytic needs and developing real-time reports and dashboards using Epic Cogito tools and Qlik Sense. It involves partnering with operational stakeholders to translate business requirements into actionable intelligence and mentoring junior analysts.
