Current jobs related to Revenue Cycle Specialist - New York, New York - WCM-Q
-
Certified Medical Coding Specialist
4 days ago
New York, New York, United States Revenue Cycle Coding Strategies, LLC Full timeJob SummaryRevenue Cycle Coding Strategies, LLC is seeking a skilled Certified Medical Coding Specialist to join our team. As a key member of our coding team, you will be responsible for abstracting E/M, CPT, HCPCS, ICD-10-CM, modifier, and units from medical records. Your expertise will ensure accurate coding, compliance with federal and state laws, and...
-
Revenue Cycle Specialist
2 weeks ago
New York, New York, United States Memorial Sloan Full timeRevenue Cycle SpecialistWe are seeking a skilled Revenue Cycle Specialist to join our team at Memorial Sloan Kettering Cancer Center. As a key member of our Physician Billing Insurance and Hospital Billing Insurance teams, you will play a critical role in ensuring timely and accurate reimbursement for our patients.Key Responsibilities:Review and analyze...
-
Revenue Cycle Specialist
4 days ago
New York, New York, United States Memorial Sloan Full timeRevenue Cycle SpecialistWe are seeking a skilled Revenue Cycle Specialist to join our team at Memorial Sloan Kettering Cancer Center. As a Revenue Cycle Specialist, you will be responsible for reviewing, analyzing, and resolving insurance balances on accounts, utilizing various techniques like web portals, calls, and referrals.Key Responsibilities:Review and...
-
Revenue Cycle Operations Specialist
3 days ago
New York, New York, United States NYC Health Hospitals Full timeJob SummaryWe are seeking a highly skilled Revenue Cycle Operations Specialist to join our team at NYC Health + Hospitals. This role will be responsible for monitoring the performance of revenue cycle results, identifying trends and gaps, and providing analytic support to improve revenue cycle processes.Key ResponsibilitiesMonitor key operating indicators...
-
Revenue Cycle Registration Specialist
3 weeks ago
New York, New York, United States Mount Sinai Health System Full timeJob Title: Revenue Cycle Registration SpecialistWe are seeking a skilled and detail-oriented Registration Revenue Cycle Specialist with expertise in EPIC registration, insurance verification, and benefit coordination.Position Overview:This role is crucial in ensuring the accuracy and efficiency of our registration revenue cycle operations. The ideal...
-
Revenue Cycle Specialist
3 days ago
New York, New York, United States Weill Cornell Medical College Full timeJob Title: Revenue Cycle Specialist - Revenue IntegrityLocation: RemoteJob Summary: We are seeking a skilled Revenue Cycle Specialist to join our team at Weill Cornell Medicine. The successful candidate will be responsible for investigating and resolving coding-related insurance payment denials, working closely with our clinical departments to increase and...
-
Revenue Cycle Specialist-Revenue Integrity
3 days ago
New York, New York, United States Weill Cornell Medical College Full timeRevenue Cycle Specialist-Revenue Integrity Job DescriptionWe are seeking a highly skilled Revenue Cycle Specialist-Revenue Integrity to join our team at Weill Cornell Medicine. The successful candidate will be responsible for investigating and resolving coding-related insurance payment denials, working closely with our Clinical Departments to increase and...
-
Revenue Cycle Specialist
2 weeks ago
New York, New York, United States Weill Cornell Medical College Full timeJob Title: Revenue Cycle SpecialistWe are seeking a highly skilled Revenue Cycle Specialist to join our team at Weill Cornell Medical College. As a key member of our Customer Service and Collections department, you will be responsible for ensuring customer satisfaction through timely and professional follow-up to customer inquiries and balances.Key...
-
Revenue Cycle Specialist
2 days ago
New York, New York, United States Weill Cornell Medical College Full timeJob SummaryWe are seeking a skilled Revenue Cycle Specialist - Revenue Integrity to join our team at Weill Cornell Medicine. As a key member of our Central Business Office, you will play a critical role in investigating and resolving coding-related insurance payment denials. Key Responsibilities• Perform retrospective coding and documentation review of...
-
Revenue Cycle Specialist
2 weeks ago
New York, New York, United States Weill Cornell Medical College Full timeJob Title: Revenue Cycle AnalystWeill Cornell Medicine is seeking a highly skilled Revenue Cycle Analyst to join our team. As a key member of our revenue cycle team, you will be responsible for managing the claim submission and payment acquisition for WMCPO/NYPH global transplant package contracts.Key Responsibilities:Manage the NYPH Global Transplant...
-
Revenue Cycle Liaison II
3 weeks ago
New York, New York, United States RWJBarnabas Health Full timeJob Title: Revenue Cycle Liaison IIWe are seeking a highly skilled Revenue Cycle Liaison II to join our team at RWJBarnabas Health. As a key member of our Revenue Cycle team, you will play a critical role in ensuring the success of our revenue cycle operations.Key Responsibilities:Identify and analyze trends in revenue cycle data to inform business...
-
Revenue Cycle Specialist
3 weeks ago
New Hyde Park, New York, United States Onet-Systems Full timeJob Title: Revenue Cycle SpecialistWe are seeking a highly skilled Revenue Cycle Specialist to join our team at Onet-Systems. As a key member of our revenue cycle team, you will play a critical role in ensuring the accuracy and efficiency of our medical billing processes.Key Responsibilities:Claim Review and Resolution: Conduct thorough reviews of submitted...
-
Revenue Cycle Specialist-Revenue Integrity
1 month ago
New York, New York, United States WCM-Q Full timePosition OverviewWe are seeking a highly skilled Revenue Cycle Specialist-Revenue Integrity to join our team at Weill Cornell Medicine (WCM). As a key member of our Central Business Office (CBO), you will play a critical role in investigating and resolving coding-related insurance payment denials.Key ResponsibilitiesConduct thorough retrospective coding and...
-
Revenue Cycle Director
4 weeks ago
New York, New York, United States Mai Placement Full timeJob Title: Revenue Cycle ManagerWe are seeking a highly skilled Revenue Cycle Manager to lead and manage our billing and accounts receivable functions. As a key member of our team, you will be responsible for overseeing all aspects of revenue cycle operations, with a focus on ABA and home care billing.Key Responsibilities:Manage billing and AR processes to...
-
Revenue Cycle Specialist II
4 weeks ago
New Paltz, New York, United States The Institute for Family Health Full timeJob SummaryThe Revenue Cycle Specialist II plays a critical role in ensuring the efficient and accurate processing of medical accounts receivable billing and collections. This position requires advanced working knowledge of medical billing and collections, as well as strong analytical and problem-solving skills.Key ResponsibilitiesProcess and manage medical...
-
Senior Revenue Cycle Manager
2 weeks ago
New York, New York, United States Piper Companies Full timePiper Companies is seeking a seasoned professional to lead revenue cycle operations in the NJ/NY/CT/PA area. As a Senior Revenue Cycle Manager, you will be responsible for managing revenue cycle needs for assigned groups, utilizing current team and central billing office partners, and driving metric accountability and revenue cycle training.Key...
-
Director of Revenue Cycle Operations
2 weeks ago
New York, New York, United States Piper Companies Full timePiper Companies is seeking a seasoned professional to lead our revenue cycle operations in the NJ/NY/CT/PA area. As a key member of our team, you will be responsible for managing revenue cycle needs, analyzing key performance indicators, and providing strategic guidance to drive business growth.Key Responsibilities:• Act as a revenue cycle leader,...
-
Senior Revenue Cycle Consultant
3 days ago
New York, New York, United States Alvarez & Marsal Europe Full timeJob DescriptionJob Title: Senior Revenue Cycle ConsultantCompany: Alvarez & Marsal EuropeJob Type: Full-timeLocation: RemoteAbout Us: Alvarez & Marsal Europe is a leading professional services firm that provides expertise in revenue cycle improvement, healthcare operations, and financial performance improvement.Job Summary: We are seeking a Senior Revenue...
-
Revenue Cycle Specialist
2 weeks ago
New Providence, New Jersey, United States PRISM Vision Group Full timeJob SummaryThe Revenue Cycle Specialist is a key member of our team at PRISM Vision Group, responsible for managing the financial aspects of our ophthalmology practice. This role requires a strong understanding of medical billing, coding, and insurance regulations.Key ResponsibilitiesManage accounts receivable, including billing, follow-up, and...
-
Director of Revenue Cycle Operations
4 weeks ago
New York, New York, United States Piper Companies Full timePiper Companies is seeking a seasoned professional to lead revenue cycle operations in the NJ/NY/CT/PA area. As a key member of our team, you will be responsible for managing revenue cycle needs for assigned groups, collaborating with central billing office partners, and driving metric accountability.Key Responsibilities:• Develop and implement revenue...
Revenue Cycle Specialist
2 months ago
We are seeking a highly skilled Revenue Cycle Specialist to join our team at WCM-Q. As a Revenue Cycle Specialist, you will play a critical role in ensuring the accuracy and efficiency of our revenue cycle processes.
Key Responsibilities- Conduct retrospective coding and documentation reviews of denied charges for physician services to ensure compliance with billing standards.
- Analyze denial trends, payer-specific carrier submission requirements, and system optimization to identify areas for improvement.
- Perform extensive follow-up to investigate and resolve payment denial trends, utilizing ancillary applications and websites to retrieve medical documentation, claim status, and billing guidelines.
- Research and interpret payer contract terms, compiling necessary supporting documentation templates for appeals according to various payer claim guidelines.
- Ensure denial reviews are conducted in a timely manner, maintaining up-to-date policies and procedures related to managed care and third-party payors.
- Participate in annual and ongoing mandatory compliance training, fulfilling Continuing Education Units necessary to maintain certification status.
- Assist in training current and new employees on the use of systems and departmental policies and procedures.
- High school diploma or GED in a related field.
- Certification as a Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) is required, with certification from AHIMA or AAPC.
- Approximately 3-5 years of physician billing experience, specifically accounts receivable and collection experience.
- Prior experience working with an EMR system.
- Knowledge of medical terminology, third-party reimbursement, and Microsoft Excel.
- Proficient in CPT and ICD10 CM coding guidelines.
- Ability to meet productivity standards and identify any issues or trends, bringing them to the attention of management.
- Demonstrated ability to function independently and exercise independent judgment.
- Demonstrated critical thinking and analytical skills.
- Ability to meet daily coding and denial management production requirements, along with quality as per Company norms.
- Strong computer skills in data entry, coding, and knowledge of Electronic Medical Record software (Epic), Microsoft Office, and Excel.
- Ability to follow coding guidelines and legal requirements to ensure compliance with our Institutional, federal, and state regulations.
- Excellent interpersonal, verbal, and communication skills.
