28 Revenue Specialist II #55 Jobs in New York, NY
Episcopal Health Services, Inc. is Hiring a Revenue Specialist II #55 Near New York, NY
Come Grow With Us!Type: Full TimeShift: Days
Hours: 8:00AM - 4:30PM
Pay: $65,000-$72,000
Job DescriptionEnsures the financial integrity and Accounts Receivables by performing established financial processes that enable and expedite the billing and collection of professional services. This includes: creating claims according to Federal/Managed Care rules, regulations and compliance guidelines, patient account research and resolution, insurance verification and benefits determination, identification of reimbursement issues, resolution of credits and issuance of refunds, identification of payment variance invoices, follow up and resolution of denied claims. Responsible for working correspondence denials and insurance follow up. This must be done in a timely and accurate manner, in accordance with provided work instructions by performing the following duties. Ability and certification for documentation auditing and provider education.
Responsibilities
- Enter charges / approves claim creations in AthenaNet and submit appropriate claims for Real Time Adjudication
- Oversight and monitoring of Missing Slips to ensure timely charge capture
- Research and resolution of claims based on assignment, the process of which could include: o Contacting payers via phone or website, contacting practices, navigating cross-departmentally, writing appeals and facilitating their direction to Athena CBO for submission, and all other activities that lead to the successful adjudication of eligible claims
- Complete system knowledge relative to worklists, research and resolution of assigned Unpostables, payment batches
- Create patient cases to the correct clinical contact for additional information or corrections to be made with the appropriate details of what is needed
- Educate and effectively communicate revenue cycle/financial information to patients, payers, co-workers, managers and others as necessary to ensure accurate processes
- Ability to run Zero-Pay Worklist, Fully Worked Receivables, complete special project work, review and respond to adjustments / payment data with approval (or initiate appeal) communicating trends and root issues through proper lines of reporting
- Ability to work on coding denials and appeals to Insurance Carriers
- Ability to code documentation for E&M and procedures
- Must have sufficient knowledge and understanding of insurance billing procedures to understand the reason for claims in HOLD, MGRHOLD and OVERPAID status and to make appropriate decisions for resolution
- High School diploma or Equivalency required, Bachelor's Degree preferred
- Minimum 2 years experience as a medical biller, working with EMR
- CPC or CSC Certification
- Proficient in Medical Terminology, ICD-10
Job Summary
Full Time
$60k-74k (estimate)
05/25/2024
07/17/2024
The job skills required for Revenue Specialist II #55 include Billing, Accounts Receivable, Communicates Effectively, Managed Care, etc. Having related job skills and expertise will give you an advantage when applying to be a Revenue Specialist II #55. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Revenue Specialist II #55. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Revenue Specialist II #55 positions, which can be used as a reference in future career path planning. As a Revenue Specialist II #55, it can be promoted into senior positions as a Revenue Cycle Manager that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Revenue Specialist II #55. You can explore the career advancement for a Revenue Specialist II #55 below and select your interested title to get hiring information.
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