Revenue Cycle Specialist

Summary of Job Function:

• Responsible for all aspects of insurance follow-up and collections, including making telephone calls, and accessing payer websites.
• o Identify root cause issues for denials; categorize denial reasons and coordinate with departments and/or with management to ensure process improvements are completed
• o Effectively resolve complex or aged inventory, including payment research, and payment recoups with minimal or no assistance necessary.
• o Accurately and thoroughly document the pertinent collection activity performed.
• o Review the account information and necessary system applications to determine the next appropriate work activity.
• o Verify claims adjudication utilizing appropriate resources and applications. Initiate telephone or letter contact with patients to obtain additional information as needed.
• o Edit claims to meet and satisfy billing compliance guidelines for electronic submission.
• o Manage and maintain desk inventory, complete reports, and resolve high-priority and aged inventory.
• o Stay informed of changes in the procedures and laws for the specific insurance carriers or payers.
• o Assist in special projects assigned by management.
• o Participate and attend meetings, training seminars, and in-services to develop job knowledge.
• In-depth Knowledge of No-Fault and Worker's Comp.
• o Respond timely to emails and telephone messages from the staff, management, and the client.
• o Effectively communicate issues to management, including payer, system, or escalated account issues as well as develop solutions.
• o Other duties as assigned.

Job Requirements:

• Must be highly detail-oriented with the ability to handle multiple tasks in a fast-paced environment.
• A strong attention to detail and ability to organize data and information in an electronic platform.
• The ability to effectively interact with people of diverse backgrounds and different levels of experience.
• The ability to meet deadlines.
• The ability to build collaborative relationships among staff.
• Must be willing to research medical billing regulations at the federal and state level
• Knowledge of medical terminology and familiarity with medical procedures, billing, and collections preferred.
• Must have excellent communication, problem-solving, critical thinking, and organization skills.
• Understanding of HIPAA regulations for healthcare
• Ability to perform successfully in a team environment.
• Basic knowledge of Microsoft Office
• Two years experience in healthcare, patient accounts, or billing
• High School Diploma or equivalent

Job Type: Full-time

Pay: $23.00 - $27.00 per hour

Expected hours: 37 – 40 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Ability to commute/relocate:

• Staten Island, NY 10314: Reliably commute or planning to relocate before starting work (Required)

Work Location: In person

Salary : $23 - $27