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Revenue Specialist

2 months ago

Stony Brook, United States Stony Brook Medicine Full time

At Stony Brook Medicine, a Revenue Specialist will provide operational support within the hospital's Patient Accounting Department. The position will support day-to-day business functions including, but not limited to: billing, claims analysis, appeals, follow-up, financial assistance, and customer service.

Duties of a Revenue Specialist may include:

Prepare and submit hospital claims.

Review denials.

Investigate coding issues.

Conduct audits.

Follow-up on rejected or denied claims, improper payments, and coding issues.

Process appeals.

Liaise with third-party billing and collection agencies.

Identify issues and patterns with claims/insurance companies and review to increase revenue and prevent unnecessary denials.

Assist the supervisor in scheduling, timesheet, leave requests, performance programs, and evaluations.

Assist the supervisor in training and make recommendations to improve policies and procedures for the unit as well as the office.

Investigate and accurately update COB, including refund request letters, reports, mail, etc.

Perform other duties as assigned.

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