Revenue Optimization Specialist - Full Time - Days

The Revenue Optimization Specialist will analyze and improve hospital revenue cycle processes to maximize revenue and collections. This role involves data analysis, collaboration with internal teams, and identifying opportunities to reduce denials, optimize collections, and ensure compliance with payer regulations. The specialist will focus on timely and accurate billing, appeals, and process improvements to enhance hospital operational efficiency.

Requirements

• Monetize collections, analyze trends and patterns of payment collection.
• Collaborate with collections teams to enhance payment timeliness and reduce aged accounts.
• Investigate reasons for claim denials or underpayments and collaborate with payors to rectify issues.
• Maintain detailed records of payor interactions for reporting and audit purposes.
• Assist in implementing process improvements based on data analysis and findings.