Field Operations Support Specialist - Healthcare - Revenue Cycle

Overview

The Field Support Specialist role provides key operational support and consultation to clinical staff at all levels in an effort to resolve operations support issues in ATI’s clinics that impact our overall business profitability. This role will resolve emerging issues within the clinic with the intention of proactively addressing future similar issues through on-the-job training around referral intake, scheduling, authorizations, insurance verifications, patient responsibility and denial prevention.

This role will meet regularly with District Directors to dispense expert advice, ensure customer satisfaction as well as proactively brainstorm opportunities of improvement within the district. This position will drive Revenue Cycle Management (RCM) initiatives to the field, including but not limited to: CIV submission rates, POS Collection %, and Patient Registration Denials.

This is a remote position supporting locations in the western United States. Availability to work 9:00am-5:00pm Pacific Time zone.

What you bring to be successful:

• Bachelor's degree or equivalent of 5 years of related experience.

• 5+ years in healthcare revenue cycle management or clinic operations.

• Experience with healthcare revenue cycle claims including denials, rejections, authorizations and insurance benefits quotes.

ATI offers an attractive total compensation package with best in class, customizable benefits plan including:

• Medical, Dental, Vision Insurance

• An exceptional 401k plan.

• At ATI, we care about your work life balance. We want you to enjoy your time away from work by utilizing our competitive PTO plan.

• Personal (PTO)

• Sick (Be Well)

• Paid holidays

Responsibilities

• Function as a direct resource to designated clinical leadership for revenue cycle functions with an emphasis on issue resolution with excellent customer service.

• Ability to formulate and implement operating policies & procedures as they relate to RCM functions.

• Delivering on projects as they relate to RCM, including but not limited to: Patient Intake, Point of Service Collection, Authorization, Denials, and other cross-departmental processes

• Escalate trends and troubleshoot solutions for Clinical Ops and/or RCM workflows, with the ability to deviate from policies and procedures to improve financial outcomes.

• Develop strategies in coordination with other corporate/RCM departments to reduce RCM errors occurring at the clinics.

• Dispense counsel and expert advice to Clinic and RCM Operational leadership for resolving revenue cycle items impacting clinic operations and the patient experience, with the goal of promoting financial gain.

• Implementing training initiatives as needed for new hires, current clinical staff, and leadership within their scope of clinics, both on-site and virtually, also contributing with training collateral as needed.

• Obtain Authorization for escalated accounts; identify gaps in the authorization process for accounts and work these accounts to resolution for clinics.

• Planning and driving short and long-term RCM business objectives, such as: improvements in CIV Submission rates, Reductions of denials related to Patient Registration, Credentialing, and Authorization, and POS Collections

• Account investigation and resolution of large-scale issues or gaps as escalated from clinics or uncovered by account auditing.

• Assisting Clinical Ops with complaints related to back office RCM functions, collaborating with Patient Dedicated Specialists for patient communication.

Qualifications

Required Education:

• Bachelor's degree or equivalent of 5 years of related experience

Required Experience:

• 5+ years in revenue cycle management or clinic operations

• Experience with revenue cycle claims including denials, rejections, authorizations and insurance benefits quotes.

Knowledge, Skills and Abilities:

• Ability to think creatively.

• Ability to think conceptually and apply solutions practically.

• Ability to communicate clearly and empathetically

• Ability to collaborate with all levels.

• Strong business partnership skills

• Organization and time management

• Curiosity

• Ability to build and maintain credibility with key operational leaders

• Ability to learn proprietary systems

• Strong customer service skills

• Ability to multi-task

• Can work independently

• Ability to adapt to change

• Strong critical thinking and problem solving

Job Locations US-NV-Las Vegas

ReqID 2023-16741

Job Category Corporate - Operations Support

Pay Class Full Time