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Revenue Cycle Specialist at Sona Dermatology

Posted in Accounting 30+ days ago.

Type: Full-Time
Location: Charlotte, North Carolina





Job Description:

**THIS IS A REMOTE POSITION**

Revenue Cycle Analyst is responsible for providing support to the Analytics-Insights Leader with emphasis on 1.outbound/inbound patient phone calls and messages regarding billing-related concerns and other general inquiries,  2. auditing/reporting, and 3. building strong patient relationships and delivering patient-centric solutions.

With extraordinary opportunity and great expectations-accountability, the Revenue Cycle Analyst enjoys commensurate performance-based compensation (base, benefits, bonus), career/professional development opportunities, and requisite latitude to collaborate, innovate, drive/execute results.

Role / Duties & Responsibilities                                             _________                  

Sona Dermatology is searching for a Revenue Cycle Analyst with extraordinary patient service and organizational skills to join our corporate team. This position will serve as an advocate for our patient’s concerns and do applicable research to provide clarification. This role is well-suited for an individual with a background in Revenue Cycle with a focus on patient service. This position will report to the Analytics-Insights Leader, role duties and responsibilities are not limited to:


  • Contact Pre-Collection Dermatology Patients (call patients for payment)

  • Payer Research (plans, contracts, reimbursements, regulations, status guides)

  • Weekly Audits
    • Complete for all Locations (For Prior Week)

    • Identify Trends for Staff Training

  • Revenue Cycle Inquiries/Escalations

  • Denial Management
    • Identify Trends for Staff Training

    • Referral/Authorization

    • Multiple Procedure Reduction

    • Coding (NCD/LCD/CCI Edits)

  • Self-Pay Queue

  • Disputes

Definition of Success                                                             _____________             


  • Strong member of the Analytics Team /10x Corporate Excellence

  • Drive RCM Performance to Achieve/Exceed Operating Plan

  • Deliver RCM Capabilities to Accelerate Growth/Results and Maximize Value Creation

Capabilities Experience / Expertise / Education     _______                                 


  • High School Diploma or equivalent required

  • Experience in a high-volume inbound call setting related to patient billing and collections

  • Proven ability to mitigate complex patient concerns and inquiries in a professional manner

  • Exceptional follow-up, research, and problem-solving skills

  • Well-versed in CPT and ICD-10-CM codes and procedural modifiers, claim forms, HIPAA, billing and insurance regulations, medical terminology, insurance benefits, and appeal processes

  • Knowledge of medical practice management and EHR software and systems. Preferably EMA/Modernizing Medicine (EHR system)

  • Knowledge and experience in revenue cycle operations for multi-million-dollar receivables management

  • Knowledge and experience in payer contracting and payment mechanisms is strongly preferred

  • Ability to communicate effectively both orally and in writing; ability to present complex information and respond to questions from patients, teammates, and managers

Sona Dermatology                                                                            _________         

Are you the one? If you care about people, seek performance-professional fulfillment (achievements, fit, financial), and want to make the world a better place, we would love for you to join us in our pursuit of excellence on our journey to save lives, build relationships for life, and make a difference in the world, one person at a time.

For 39+ years, Sona Dermatology, the innovator, and leader in clinical-1st integrated clinical-cosmetic skincare for life, has been transforming our “center-of-our-universe” clients’/patients’ lives with a personalized continuity of essential clinical care and world-class cosmetic care to ensure results for life (health, wellness, happiness). In addition to Sona’s elite, board-certified Dermatologists who specialize in holistic, integrated skincare (including Mohs surgery), Sona’s industry-leader recognition includes Allergan Black Diamond, Top 1% Anti-Aging/Vitality Injectables, Top 10 Botox, and #1 Coolsculpting (body contouring, fat reduction/weight loss).

At Sona Dermatology, we are a beautifully,  dynamically, powerfully diverse community of individuals who value inclusion and aspire to give all of us/each of us (collectively and respectively) the opportunity to achieve our full potential, unencumbered by bias and discrimination resulting from age, ethnicity, gender, race, religion, nationality, sexual orientation, gender identity, socioeconomic position, or political ideology. We choose love over hate, we choose unity over exclusion, we choose assumption of positive intent over accusation, we choose problem-solving over indifference, and we choose defining the future over being defined by the past. In these demanding times, we are lucky to have each other and strive to make a difference, be a positive force for good, offer love and support to those in need, and make the world a better place.




Salary: $20,000.00


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