What Revenue Cycle Management contributes to Cardinal Health

Practice Operations Management oversees the business and administrative operations of a medical practice.

The Revenue Cycle Management team focuses on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient service revenue. The revenue cycle shadows the entire patient care journey and begins with patient appointment scheduling and ends when the patient’s account balance is zero.

Responsibilities

Review and identify opportunities for improvement on Power BI.Provide executives, manager, and center support with denial trends and presentations.Research denied CPT codes and compare them to the LCD/NCD requirements.Identify trends that inhibit timely claim submission for all centers.Work closely with insurance carriers for reimbursement requirements to ensure payment.Understand electronic claim interchange and the life cycle of primary and secondary claims.Contribute to team efforts by accomplishing related results as needed.Ensure that all processing and reporting deadlines are consistently achieved.Oversee staff and processes concerning third-party insurance and data processing to ensure accurate billing and efficient account collection.Occasionally, review patient account status to identify and resolve billing and processing problems promptly.Maintain contact with other site managers/centers to obtain and analyze additional patient information to document and process billings accurately.Work closely with the billing staff to develop and oversee business systems. Also, work with other key areas to ensure timely and accurate processing and system reporting.Collect and process payroll for billing staff.Maintain billing staff PTO requests and ensure proper staffing and department coverage.Identify accounts receivable opportunities and propose processes for clean claim submission.Ensure a successful (EOM) close and movement of charges.Stay up to date on payer requirements and provide staff with further training.Handle other duties and projects assigned.
 

Qualifications

4-8 years of experience, preferredBachelor's degree in related field, or equivalent work experience, preferredKnowledge of medical terminologyFamiliar with Urology, Chemotherapy and Radiation BillingExperience with computerized billing software and interpreting EOBsWorking knowledge of ICD-9/ICD-10, CPT, HCPCS, and CPT codingBachelor's degree, preferred in business administration, healthcare, or related field.Minimum five years of experience in a medical business office. Preferred experience with GE Centricity.  Preferred experience in Oncology billing.Knowledge of computer/telephony support, preferably in a healthcare environment.Strong customer service background, preferably in a healthcare environment.Excellent verbal communication skills.Competence with computer processing functions and other standard office equipment.Ability to manage and prioritize multiple tasks.Ability to calmly and professionally resolve customer issues with diplomacy and tact.Ability to work independently with minimal supervision.Strong organizational skills.Understanding of managed care contracts and fee schedules, including Medicare and Medicaid.

What is expected of you and others at this level

Acquires job skills and learns company policies and procedures to complete standard tasksWorks on basic and routine assignmentsSelects correct processes from prescribed rules or guidelinesWork is closely managed and follows detailed instructionsSeeks regular guidance and advice from supervisor

Anticipated hourly range: $21.00 - $21.20

Bonus eligible: No

Benefits: Cardinal Health offers a wide variety of benefits and programs to support health and well-being.

Medical, dental and vision coveragePaid time off planHealth savings account (HSA)401k savings planAccess to wages before pay day with myFlexPayFlexible spending accounts (FSAs)Short- and long-term disability coverageWork-Life resourcesPaid parental leaveHealthy lifestyle programs

Application window anticipated to close: 12/25/2025 *if interested in opportunity, please submit application as soon as possible.

The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate’s geographical location, relevant education, experience and skills and an evaluation of internal pay equity.

Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply.

Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply.

Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law.

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