We're looking for you to join our team!

“Sanitas is a global healthcare organization expanding across the United States. Our services include primary care, urgent care, nutrition, lab, diagnostic, health care education and resources for our patients. We strive to attract professionals who believe in our mission, vision and are dedicated to the service of our patients and their families creating a memorable experience through compassion, respect, and kindness.”

We are currently seeking a Revenue Cycle Specialist to join our team in Bogotá.

Job Summary:

To support the daily operations of the revenue cycle department, analyzing billing data, investigating denial trends, and processing claim corrections, in order to optimize reimbursement rates, ensure data accuracy, and assist management in financial reporting.

Essential Job Functions:

• Analyze claim denials and rejection trends, reviewing explanations of benefits and coordinating with coding teams to submit timely appeals, in order to recover revenue and minimize uncollectible debt.
• Generate and maintain financial and operational reports by extracting data from the Electronic Health Record (EHR) and monitoring Key Performance Indicators (KPIs) to provide leadership with insights into revenue cycle performance.
• Assist in the maintenance of payers, charge master and fee schedules, updating system configurations and vendors based on CMS guidelines and payer contract changes under the Manager's supervision, in order to ensure billing compliance and claim accuracy.

Required Education

• Bachelor’s degree.

Required Experience

• 3+ years of progressive revenue cycle experience in a healthcare provider setting, including direct experience with claim denials, payer appeals, and payment reconciliation
• Working knowledge of ICD-10 diagnosis coding, CPT coding conventions, and payer billing requirements.
• Experience with Medicare, Medicaid, and commercial payer billing rules
• Proficient knowledge in Excel

Languages:

• English: C1 proficiency (required)