Senior Revenue Enhancement Specialist

Olmsted County has earned the 2023, 2024, and 2025 Best Places to Work - Southeast Minnesota designation.

Minimum Qualifications of Education and Experience

Bachelor’s degree from an accredited college in business administration, accounting, or related field.

OR

Associate’s degree from and accredited college in business, administrative assistant, accounting or related field and two (2) years of experience in a similar position as listed in the work functions.

OR

Combination of education and experience equivalent to four (4) years of experience in a similar position as listed in the work functions.

Regular and reliable attendance is a necessary component of job/position. Individuals required to use County vehicles and equipment must have a valid driver’s license and be free of any major traffic violations for the last three (3) years.

Nature of Work

Under direct supervision, verifies client eligibility, reviews client information and facts to clarify and/or verify facts. Identifies billable services to capture revenue from various sources. Verifies and submits billing and ensures the accuracy of data. Performs quality control functions, completes data and reports required for billing.   The Senior Revenue Enhancement Specialist has ongoing lead work responsibilities and performs complex professional casework duties.  Leads quality control functions, enters and verifies data and creates reports.  Serves as a resource to Social Workers, Public Health Nurses, financial workers, and other staff.  Supports a diverse, respectful, and inclusive workplace.

Examples of Work

• Performs complex professional casework. Collects, verifies, and analyzes information to ensure accurate billing and capture of revenue.
• Completes and submits documents, reports, and billings.
• Acts as lead worker and subject matter expert and verifies the work of others.
• Enters and maintains data and makes updates to various systems to ensure data integrity.
• Reviews reports, identifies missed claims, and determines correct information to resubmit. Responds to audit requests.
• Interprets information, creates reports, and provides recommendations to management.
• Verifies and monitors eligibility for programs and communicates status to staff.
• Performs database administration for systems.
• Provides ongoing training and communicates system and process updates to staff. Creates and maintains procedures and training documentation.
• Advises staff in navigating and troubleshooting the use of systems.
• Collaborates with community partners and health plans to assure accurate payments.
• Develops revenue enhancement presentations to internal and external groups.
• Completes other duties as assigned.

Knowledge, Skills and Abilities Required

• Knowledge of agency programs, operations, policies, and procedures
• Knowledge of the federal and state laws and rules pertaining to program operations and data privacy
• Knowledge of community resources
• Knowledge of debt collection laws and procedures
• Skill in basic interviewing techniques
• Skill in the use of basic business math
• Skill in the use of computers and technology, including databases and Microsoft Office products
• Ability to compile evidence, analyze facts and to make recommendations
• Ability to effectively organize and prioritize work and meet deadlines
• Ability to establish and maintain effective working relationships with staff, customers, vendors and representatives from external entities
• Ability to remain objective and make decisions
• Ability to communicate effectively both verbally and in writing
• Ability to establish and maintain accurate and systematic records
• Ability to write reports
• Ability to train and mentor staff members
• Ability to anticipate problems and identify solutions

Persons with disabilities: the above is a general listing of job duties. Essential and non-essential functions may vary by individual position. Reasonable accommodations may be available for both essential and non-essential job duties.