Specialist, Bill Integrity
Specialist, Bill Integrity
We Fight Cancer: Care That Never Quits®
Cancer Treatment Centers of America® (CTCA®) delivers an extraordinary patient experience we call Patient Empowered Care®. We deliver state-of-the-art, high quality care through an integrative model where a team of experts puts patients at the center of their own care. Every day, you will help patients win the fight against cancer. Every day is challenging and rewarding beyond your imagination.
A Culture of Teamwork, Empowerment & Development
CTCA provides Stakeholders with exceptional support and easy access to a wide range of tools and resources they need to bring the best of themselves, every day. Our benefits, wellness, and compensation programs lead the market. We provide extensive training and career development opportunities that encourage professional and personal growth—it is a point of pride. We empower our Stakeholders to deliver the highest standard of care, which we call the Mother Standard®.
The Specialist, Bill Integrity role is responsible for the coordination and completion of pre-claim review, corporate wide edits and/or denials to safeguard cash flow and minimize impact on accounts receivable. The Specialist has a direct impact on financial and operational goals through timely resolution of pre-claim review and edit resolution and Medicare denial resolution; ensuring claims are submitting timely. The role is responsible for reducing impact to accounts receivables by discovering errors and implementing improvements which will result in reducing turnaround time for claims submission.
The Specialist will assist the Supervisor, Bill Integrity in discovering discrepancies impacting revenue through reporting analytics by analyzing and documenting trended information. The Associate Specialist will create and implement best practice techniques and processes to drive departmental innovation and continuous improvement initiatives.
This role will report directly to Supervisor, Bill Integrity and assists Director with findings and opportunities for improvement. This role will serve as a resource for Patient Accounts, Medical Records, Finance, Compliance and Revenue Producing Departments in regards to any issues or Bill Integrity questions.
- Must be a minimum of an Associate Degree in Nursing with strong analytical skills. Baccalaureate Degree Preferred.
- Active Nursing License Required.
- Minimum of two years’ experience in working with medical records and hospital claims filing, processing and/or collection
- Basic understanding of insurance applications
- Basic understanding of risk concepts including risk identification, evaluation, mitigation and measurement
- Proficiency with Microsoft Office, especially Excel
- Strong organizational and communication skills
- Organized and efficient in prioritizing and managing workload with minimal oversight
Must be familiar with Lean Six Sigma and SMART goal techniques
The Best Place to Work
We call ourselves Stakeholders because we all have a stake in the care and success of every patient. Today, CTCA Stakeholders deliver healing and hope to patients fighting complex and advanced cancer in Atlanta, GA, Chicago, IL, Philadelphia, PA, Phoenix, AZ and Tulsa, OK. Each of our hospitals earned a Best Place to Work distinction and receives numerous accreditations that celebrate our culture of clinical quality, innovation, high performance and wellness.
Beyond The Resume, What We Look For
We select people with talent—people who thrive in an environment of continuous improvement. We are creative and resourceful problem solvers. We are inventors and innovators. As a CTCA Stakeholder, you make the difference in the life of a patient.
Do you see yourself working with a passionate team in a dynamic, high growth environment? Visit www.cancercenter.com/careers to begin your journey.