Revenue Cycle Specialist

2 weeks ago


New Providence, United States PRISM Vision Group Full time
Summary:
The Revenue Cycle Specialist is responsible for billing and collecting payments. This position ensures that all accounts are billed appropriately and meets all regulatory and compliance requirements.

Role and Responsibilities:

Respond to inquiries from insurance carriers, via telephone, email or fax and demonstrate a high level of customer service.
Pursue reimbursement from carriers by placing phone calls and documenting all communication in Athenahealth to ensure progress is made on outstanding accounts.
Identify and respond to patterns of denials or trends and perform complex account investigation as needed to achieve resolution.
Review and resolve uncollected accounts and prepare charge corrections.
Appeal carrier denials through review of coding, contracts, and medical records.
Call insurance companies regarding any discrepancy in payments if necessary
Identify and bill secondary or tertiary insurances
Research and appeal denied claims
Set up patient payment plans
Verify patient benefit eligibility/coverage and research ICD-10 diagnosis and CPT treatment codes as needed
Advise management of any trends regarding insurance denials to identify problems with payers.
Complete required reports and assist with special projects as assigned.

Essential Qualifications:

Education/experience: High School Diploma or General Education Degree (GED) with 3 years prior hands-on experience in a fast-paced medical billing environment. Must have previous experience in a healthcare setting. Familiarity with CPT and ICD-10 is also required; CPC certification is a plus.

Knowledge/Skills/Abilities:

Strong communication, including writing, speaking and active listening
Great customer service skills, including interpersonal conversation
Good problem-solving and critical thinking skills
Organization, time management and prioritization abilities
Ability to be discreet and maintain the security of patient or customer information
Effective computer skills with practice management software
Understanding of industry-specific policies, such as HIPAA regulations for health care
Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid
Knowledge of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
Effective communication abilities for phone contacts with insurance payers to resolve issues
Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members
Able to work in a team environment
Problem-solving skills to research and resolve discrepancies, denials, appeals
Knowledge of medical terminology
Knowledge of CPT/ICD-10 and modifier coding%16911601% %%finance%%

  • New Providence, United States PRISM Vision Group Full time

    Summary:The Revenue Cycle Specialist is responsible for billing and collecting payments. This position ensures that all accounts are billed appropriately and meets all regulatory and compliance requirements.Role and Responsibilities:Respond to inquiries from insurance carriers, via telephone, email or fax and demonstrate a high level of customer...


  • New Providence, United States PRISM Vision Group Full time

    Summary: The Revenue Cycle Specialist is responsible for billing and collecting payments. This position ensures that all accounts are billed appropriately and meets all regulatory and compliance requirements.Role and Responsibilities:Respond to inquiries from insurance carriers, via telephone, email or fax and demonstrate a high level of customer...


  • New Providence, United States PRISM Vision Group Full time

    Summary:The Revenue Cycle Specialist is responsible for billing and collecting payments. This position ensures that all accounts are billed appropriately and meets all regulatory and compliance requirements.Role and Responsibilities:Respond to inquiries from insurance carriers, via telephone, email or fax and demonstrate a high level of customer...


  • New Providence, United States PRISM Vision Group Full time

    Summary:The Revenue Cycle Specialist is responsible for billing and collecting payments. This position ensures that all accounts are billed appropriately and meets all regulatory and compliance requirements.Role and Responsibilities:Respond to inquiries from insurance carriers, via telephone, email or fax and demonstrate a high level of customer...


  • New Providence, United States PRISM Vision Group Full time

    Summary: The Revenue Cycle Specialist is responsible for billing and collecting payments. This position ensures that all accounts are billed appropriately and meets all regulatory and compliance requirements. Role and Responsibilities: Respond to inquiries from insurance carriers, via telephone, email or fax and demonstrate a high level of customer service....


  • New Providence, NJ, United States PRISM Vision Group Full time

    Summary: The Revenue Cycle Specialist is responsible for billing and collecting payments. This position ensures that all accounts are billed appropriately and meets all regulatory and compliance requirements. Role and Responsibilities: Respond to inquiries from insurance carriers, via telephone, email or fax and demonstrate a high level of customer...


  • New Providence, NJ, United States PRISM Vision Group Full time

    Summary: The Revenue Cycle Specialist is responsible for billing and collecting payments. This position ensures that all accounts are billed appropriately and meets all regulatory and compliance requirements. Role and Responsibilities: Respond to inquiries from insurance carriers, via telephone, email or fax and demonstrate a high level of customer...


  • New Providence, NJ, United States PRISM Vision Group Full time

    Summary: The Revenue Cycle Specialist is responsible for billing and collecting payments. This position ensures that all accounts are billed appropriately and meets all regulatory and compliance requirements. Role and Responsibilities: Respond to inquiries from insurance carriers, via telephone, email or fax and demonstrate a high level of customer service....


  • New Hyde Park, United States E. Central Medical Management Inc. ECM Full time

    Job DescriptionJob DescriptionEstablished Medical Management Company in New Hyde Park is seeking experienced Revenue Cycle Specialists with strong work ethic and excellent communication skills. Looking for candidates that are reliable with great attention to detail and can work independently and as part of a team. The position requires well-rounded knowledge...


  • New Hyde Park, United States E. Central Medical Management Inc. ECM Full time

    Job DescriptionJob DescriptionEstablished Medical Management Company in New Hyde Park is seeking experienced Revenue Cycle Specialists with strong work ethic and excellent communication skills. Looking for candidates that are reliable with great attention to detail and can work independently and as part of a team. The position requires well-rounded knowledge...


  • New York, United States NYC Health Hospitals Full time

    Since 1875, South Brooklyn Health has established its reputation for clinical excellence and culturally competent care. It has designations as a Certified Percutaneous Coronary Intervention (PCI) Center, an Advanced Primary Stroke Center, an accredited Baby-Friendly Hospital, a U.S. News & World Report high performing hospital. The hospital's staff is as...


  • Providence, United States CVS Full time

    As a Coordinator, you will support the Medicare Part B Team to reduce bad debt, alleviate audit risk and ensure compliance with all federal/state requirements and CVS Health obligations. It is the responsibility of the Coordinator to perform timely a Coordinator, Revenue, Cycle, Processor, Management, Retail, Health


  • New York, United States NYC Health Hospitals Full time

    Since 1875, South Brooklyn Health has established its reputation for clinical excellence and culturally competent care. It has designations as a Certified Percutaneous Coronary Intervention (PCI) Center, an Advanced Primary Stroke Center, an accredited Baby-Friendly Hospital, a U.S. News & World Report high performing hospital. The hospital's staff is as...


  • New York, United States Weill Cornell Medicine Full time

    **Title**:Revenue Cycle Specialist-Revenue Integrity (REMOTE)**: Title: Revenue Cycle Specialist-Revenue Integrity (REMOTE) Location: Midtown Org Unit: Reg/Elig/COB Work Days: Exemption Status: Non-Exempt Salary Range: $29.15 - $35.00 - As required under NYC Human Rights Law Int 1208-2018 - Salary range for this role when Hired for NYC...


  • New York, United States Jayestech LLC Full time

    **locations: Manhattan & Queens** **Duties**: - A member of the revenue cycle process, billers are responsible for reviewing accounts, correcting claim edits, preparing and completing claims for submission to payers, posting all types of payments, and updating patient accounting systems. - They will perform related functions in support of the Patient...


  • New York, United States Weill Cornell Medicine Full time

    Title: Revenue Cycle Specialist-Revenue Integrity (Remote) Location: Midtown Org Unit: AR - Coding Surgical Work Days: Exemption Status: Non-Exempt Salary Range: $29.15 - $35.00 * As required under NYC Human Rights Law Int 1208-2018 - Salary range for this role when Hired for NYC Offices Position Summary Remote position - Join a team of dedicated...


  • North New Hyde Park, United States E. Central Medical Management Inc. ECM Full time

    Established Medical Management Company in New Hyde Park is seeking experienced Revenue Cycle Specialists with strong work ethic and excellent communication skills. Looking for candidates that are reliable with great attention to detail and can work independently and as part of a team. The position requires well-rounded knowledge of the medical billing...


  • New Providence, United States PRISM Vision Group Full time

    Summary: The Revenue Cycle Specialist (Accounts Receivable) is responsible for billing and collecting from our surgical centers. This position ensures that all accounts are billed appropriately and meets all regulatory and compliance requirements. Role and Responsibilities:Respond to inquiries from insurance carriers, via telephone, email or fax and...


  • New York, United States Jayestech LLC Full time

    **Duties**: - member of the revenue cycle process, billers are responsible for reviewing accounts, correcting claim edits, preparing and completing claims for submission to payers, posting all types of payments, and updating patient accounting systems. - They will perform related functions in support of the Patient Financial Services operations and other...


  • Providence, United States Brown Urology Full time

    Job DescriptionJob DescriptionPRINCIPAL DUTIES AND RESPONSIBILITIES:Applies the Brown Medicine values of patient care priority, dignity, collaboration, integrity and quality in support of the Brown Medicine mission to deliver compassionate, high-quality patient care, research excellence and outstanding physician education. Is responsible for knowing and...