Revenue Cycle Management Specialist

7 hours ago


Paramus, New Jersey, United States Advanced Data Systems Full time
Job Summary

We are seeking a highly motivated and detail-oriented Jr. Account Manager to join our Revenue Cycle Management team at Advanced Data Systems. As a key member of our team, you will be responsible for ensuring the productivity of workflow within a functioning team, communicating effectively to ensure a concrete workflow that increases practice revenue, and reporting to the Sr. Account Managers on all aspects of the account.

Key Responsibilities
  • Ensure timely and proper payments from all payers.
  • Follow up on any outstanding items and client issues, identifying and quickly rectifying any issue that interrupts the Revenue Cycle for clients.
  • Initial escalation points for all lead issues within the assigned team.
  • Assist the Sr. Account Manager in all aspects of training regarding assigned team members.
  • Coordinate weekly and daily calls with the assigned team on open items.
  • Ensure that the payment poster's issues within the portfolio are tracked and resolved.
  • Ensure that the denial team's issues within the portfolio are tracked and resolved.
  • Review monthly close reports to ensure that all payments have been applied correctly assigned accounts.
  • Run the End of the Month Reconciliation with the Sr. Account Managers.
  • Report to upper management on items not resolved by Sr. Account Managers in a timely manner.
  • Maintain strict patient confidentiality/HIPAA compliance.
  • Maintain knowledge of ICD9/ICD10 diagnostic as well as CPT/HCPCS procedural coding.
  • Maintain thorough knowledge of insurance carriers and their claim guidelines/requirements.
  • Guide the team to meet the metrics (production targets) and enable faster resolution in case the targets are not met.
  • Regularly evaluate a set % of payments posted /A/R worked for correctness and ensures that the policies are applied.
  • Follow up on invoices submitted whenever necessary in case of resource crunch.
  • Assist in creating and updating Collection training modules & train new and existing employees.
  • Make calls to troubleshoot payment discrepancies and establish resolution.
  • Document, in detail, phone calls, including phone numbers, person spoken to, and call details on a consistent basis. (Who, What, When, Where & Why)
  • Resolve issues that created a denial within 5 days of receipt of denial.
  • Interact with others in a positive, respectful, and considerate manner.
Requirements
  • Must have a minimum of 2 years of experience with Revenue Cycle Management/Medical Billing.
  • Knowledge of Practice Management Systems. Medics Premier and/or Medics Elite experience a plus.
  • Experience with electronic claim submission via Clearinghouse. Emdeon/ Change Healtcare experience a plus.
  • Billed for multiple specialties.
  • Billed for both Professional and Institutional claims with a solid understanding of HCFA-1500 and UB-04 claim forms as well as the electronic equivalent.
  • Processed ERAs.
  • Enrolled EDI.
  • Excellent oral and written communication skills.
  • Experience with provider credentialing a plus.


  • Paramus, New Jersey, United States Advanced Data Systems Full time

    Job OverviewAdvanced Data Systems Corp (ADS) is seeking a highly skilled and experienced Sales Executive to join our team and help medical practices thrive in the Healthcare Revenue Cycle Management (RCM) space.We provide our clients with cutting-edge technology and expertise to streamline their revenue cycle processes, allowing them to focus on patient...


  • Paramus, New Jersey, United States Advanced Data Systems Full time

    Job OpportunityAdvanced Data Systems Corp (ADS) is seeking a highly skilled and experienced Sales Executive to join our team and help medical practices thrive in the Healthcare Revenue Cycle Management (RCM) space. With a strong background in sales and a passion for RCM, you will be responsible for building and maintaining qualified sales leads, working with...


  • Paramus, New Jersey, United States Advanced Data Systems Full time

    Job OverviewThe Junior Account Executive in Revenue Cycle Operations will play a crucial role in optimizing the workflow within a dedicated team. This position requires effective communication to ensure a seamless process that enhances practice revenue while providing regular updates to Senior Account Executives on all account-related matters.Key...


  • Paramus, New Jersey, United States CareOne Full time

    OverviewCareOne is committed to delivering exceptional patient care and service. We are seeking a highly skilled Business Office Manager to join our team at Harmony Village at CareOne Paramus. As a key member of our financial operations team, you will play a critical role in ensuring the accuracy and efficiency of our billing and financial processes.We offer...


  • Paramus, New Jersey, United States Road Runner Sports Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Inventory Specialist to join our team at Road Runner Sports. As an Inventory Specialist, you will play a critical role in ensuring the accuracy and efficiency of our inventory management processes.Key ResponsibilitiesReview and receive merchandise shipments to ensure accurate inventory...


  • Paramus, New Jersey, United States Road Runner Sports Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Retail Inventory Operations Specialist to join our team at Road Runner Sports. As a key member of our merchandise management team, you will be responsible for reviewing and receiving merchandise shipments, managing store inventory accuracy, and maintaining all inventory documentation.Key...


  • Paramus, New Jersey, United States Road Runner Sports Full time

    Job SummaryRoad Runner Sports is seeking a highly skilled Retail Inventory Specialist to join our team. As a key member of our merchandise management team, you will be responsible for reviewing and receiving merchandise shipments, managing store inventory accuracy, and maintaining all inventory documentation.Key ResponsibilitiesBring a minimum of 1-year...


  • Paramus, New Jersey, United States Bergen Logistics Full time

    Play a critical role in a dynamic team environment as an Accounts Payable Specialist in a thriving logistics company. This position is offered through Bergen Logistics. Updating and reconciling sub-ledger to general ledger, processing checks, processing expense reports, resolving accounts payable issues, and matching, batching, and coding invoices are just a...


  • Paramus, New Jersey, United States Ultra Pro Pest Protection LLC Full time

    Job OverviewPosition: Pest Management SpecialistDescription:Ultra Pro Pest Protection LLC is a thriving, full-service pest management firm dedicated to both commercial and residential clients. We are seeking skilled Pest Management Specialists to join our team in Northern New Jersey. The ideal candidate will possess a valid New Jersey pest control license...


  • Paramus, New Jersey, United States Phoenix Integrated Health Management INC Full time

    Job OverviewWe are seeking a highly skilled and motivated Certified Diagnostic Imaging Specialist to join our team at Phoenix Integrated Health Management INC. As a key member of our diagnostic imaging department, you will play a critical role in providing high-quality patient care and contributing to the success of our organization.Key...

  • Sales Director

    6 days ago


    Paramus, New Jersey, United States KCO Resource Management Full time

    Unlock Your Sales PotentialWe are seeking a highly skilled Sales Manager to join our dynamic team at KCO Resource Management. As a Sales Manager, you will be responsible for driving sales growth, developing strategic relationships with key customers, and leading a team of sales professionals.Key Responsibilities:Develop and execute sales strategies to...


  • Paramus, New Jersey, United States The FiftyFifty Group, Inc - Lola Products Full time

    Job TitleClient Relations and Order Management SpecialistCompany OverviewThe Fifty/Fifty Group, Inc - Lola Products is a family-owned enterprise dedicated to the design, development, and distribution of innovative cleaning tools for a wide-ranging clientele.Job DescriptionBecome a Part of The Fifty/Fifty Group, Inc - Lola Products: Client Relations and Order...


  • Paramus, New Jersey, United States Veolia Full time

    Job OverviewCompany Overview:Veolia North America (VNA) is a subsidiary of Veolia Group, delivering a comprehensive range of services in water, waste, and energy management. We cater to various sectors including commercial, industrial, healthcare, higher education, and municipalities across North America. With our headquarters in Boston, Massachusetts, we...


  • Paramus, New Jersey, United States Fidelity Investments Full time

    About the RoleWe are seeking a highly skilled and experienced Wealth Management Specialist to join our team at Fidelity Investments. As a key member of our Investor Center, you will play a critical role in helping our clients achieve their financial goals and objectives.Key ResponsibilitiesClient Relationship Management: Build and maintain strong...


  • Paramus, New Jersey, United States Coda Staffing Full time

    Job SummaryCoda Staffing is seeking a highly skilled Corporate Recruiter to join our team. As a key member of our Talent Acquisition team, you will be responsible for the full-cycle recruiting process for exempt level positions across multiple corporate functions and/or manufacturing locations.Key ResponsibilitiesDevelop and implement strategic sourcing...


  • Paramus, New Jersey, United States Veolia Full time

    Job DescriptionAbout Veolia North AmericaA leading provider of water, waste, and energy management services, Veolia North America offers a comprehensive range of solutions to commercial, industrial, healthcare, higher education, and municipality customers across North America. With a strong presence in the continent, Veolia North America has approximately...

  • Sales Director

    1 day ago


    Paramus, New Jersey, United States KCO Resource Management Full time

    Job Title: Sales ManagerWe are seeking a highly motivated and experienced Sales Manager to join our team at KCO Resource Management. As a Sales Manager, you will be responsible for driving sales growth, developing and executing sales strategies, and building strong relationships with our customers.Key Responsibilities:Develop and execute sales strategies to...


  • Paramus, New Jersey, United States Wells Fargo Full time

    About this RoleWe are seeking a highly skilled and experienced Senior Lead Wealth Custom Lending Specialist to join our team at Wells Fargo. As a key member of our Wealth Custom Lending team, you will be responsible for leading the strategy and resolution of complex business challenges, delivering innovative solutions, and providing expert guidance to...


  • Paramus, New Jersey, United States Patrice & Associates Franchising, LLC Full time

    Job OverviewPosition: District Manager - Fast Casual DiningCompensation: $80,000 - $100,000Comprehensive Benefits PackageBonus Potential: Up to $30,000 AnnuallyThe District Manager is tasked with overseeing multiple fast casual dining establishments within a specified region. This role encompasses managing six restaurant locations, each generating annual...


  • Paramus, New Jersey, United States Road Runner Sports Full time

    Job OverviewPosition SummaryUnlock your potential as a Retail Inventory Management Specialist with an attractive hourly wage of $16.50.Picture entering a vibrant retail environment filled with enthusiasm, a variety of products, and a supportive team. As a key member of the inventory management team, you will play a crucial role in overseeing merchandise...