Revenue Integrity Specialist
4 days ago
Baystate Health is seeking a highly skilled Revenue Integrity Specialist to join our team. As a key member of our Revenue Integrity and Advisory Services department, you will play a critical role in ensuring consistent charge capture and billing to promote optimal reimbursement.
Key Responsibilities- Ensure timely and accurate processing of Charge Description Master (CDM) additions, deletions, and modifications.
- Serve as the system administrator for CDM software, coordinating maintenance, interfacing with patient financial systems, and managing user access.
- Investigate and resolve charging process issues, providing high-level support to other revenue cycle departments.
- Apply knowledge of Revenue Cycle Business Functions, including Charge Capture, Coding, Billing, and Denial Management, to support revenue cycle initiatives.
- Monitor and report on financial results, collecting, analyzing, and interpreting key revenue management data.
- Represent the department on projects and system implementations related to revenue cycle, providing valuable input to ensure success.
- Perform other duties as requested by management, providing support to new projects as needed.
- 5+ years of related experience in revenue cycle management, charge capture, and billing compliance.
- Experience with Medicare and Medicaid services (CMS) rules and regulations, coding and billing compliance.
- Working knowledge of HCFA-1500 and UB-04 claim forms.
- Demonstrated knowledge of revenue cycle business processes, including scheduling, registration, documentation, coding, charge entry, billing, collections, and reimbursement.
- Excellent verbal and written communication skills, with the ability to resolve conflicts with tact and diplomacy.
- Intermediate to advanced skills in Excel, Microsoft Word, Outlook, and PowerPoint.
At Baystate Health, we value diversity, equity, and inclusion. We strive to create a workplace where everyone feels valued, respected, and empowered to contribute their best work. As a Revenue Integrity Specialist, you will have the opportunity to work with a diverse team, contribute to the success of our revenue cycle initiatives, and make a meaningful impact on the financial health of our organization.
-
Electrical Systems Integration Specialist
13 hours ago
Springfield, Massachusetts, United States Clark Davis Associates Full timeElectrical Integration and Automation LeadWe are seeking a highly skilled Electrical Integration and Automation Lead to join our team at Clark Davis Associates. As a key member of our engineering team, you will be responsible for leading the electrical integration and automation of PLC's/Process Controls and motion control systems into a PC system.Key...
-
Healthcare Provider Enrollment Specialist
6 days ago
Springfield, Massachusetts, United States Baystate Health Full timeJob Summary:We are seeking a skilled Healthcare Provider Enrollment Specialist to join our team at Baystate Health. As a key member of our Enrollment Management team, you will play a critical role in contributing to the revenue growth of our organization by effectively enrolling employed providers into government and commercial health plans.Key...
-
Junior Accounting Specialist
2 weeks ago
Springfield, Massachusetts, United States Accounting Now Full timeAccounting Now is collaborating with a reputable firm in search of a Junior Accounting Specialist.The perfect candidate is a recent graduate with a degree in accounting or possesses 1-2 years of relevant experience, eager to advance their professional journey.This firm provides a competitive compensation package along with comprehensive benefits, including...
-
Junior Accounting Specialist
3 weeks ago
Springfield, Massachusetts, United States Accounting Now Full timeAccounting Now is collaborating with a reputable firm in search of a Junior Accounting Specialist.The ideal candidate is a recent graduate with a degree in accounting or possesses 1-2 years of relevant experience, eager to advance their career in the accounting field.This organization provides a competitive compensation package along with benefits that...
-
Junior Accounting Specialist
3 weeks ago
Springfield, Massachusetts, United States Accounting Now Full timeAccounting Now is collaborating with a reputable firm in the finance sector to find a Junior Accounting Specialist.The perfect candidate is a recent graduate with a degree in accounting or someone with 1-2 years of relevant experience, eager to advance their career in the accounting field.This firm provides a competitive compensation package along with a...
-
Extrusion Polymer Engineering Specialist
3 weeks ago
Springfield, Massachusetts, United States International Staff Consulting Full timeJoin Our Team as an Extrusion Polymer Engineering SpecialistWe are excited to announce an opportunity for a skilled professional in the field of polymer engineering. This position is located in a picturesque town, offering a vibrant community atmosphere, and is part of a well-established facility dedicated to the production of high-quality extruded polymer...
-
Administrative Support Specialist
7 days ago
Springfield, Massachusetts, United States Innova Solutions Full timeJob SummaryWe are seeking a highly skilled and experienced Administrative Support Specialist to join our team at Innova Solutions. As a key member of our team, you will be responsible for providing exceptional customer service to our clients and ensuring the smooth operation of our administrative functions.Key ResponsibilitiesMember Interaction: Welcome and...
-
Pharmaceutical Care Specialist
3 weeks ago
Springfield, Massachusetts, United States Baystate Health Full timeOverview:The primary role of the Pharmaceutical Care Specialist encompasses delivering extensive pharmaceutical services to all patients within Baystate Health.Under the supervision of the Pharmacy Manager, the Pharmaceutical Care Specialist will undertake a variety of responsibilities including age-appropriate pharmaceutical services, assessment of...
-
Security Specialist
6 days ago
Springfield, Massachusetts, United States MSCCN Full timeJob SummaryWe are seeking a highly motivated and detail-oriented Security Specialist to join our team at MSCCN. As a Security Specialist, you will play a critical role in maintaining a safe and secure environment for our clients by actively monitoring premises, enforcing regulations, and providing exceptional customer service.Key Responsibilities:Monitor and...
-
Gaming Compliance Specialist
2 days ago
Springfield, Massachusetts, United States State of Massachusetts Full timeAbout the RoleThe Massachusetts Gaming Commission is seeking a highly skilled Gaming Agent to join our team at the MGM Springfield Casino. As a key member of our regulatory team, you will play a critical role in ensuring the integrity of gaming operations and maintaining a fair and transparent regulatory environment.Key ResponsibilitiesConduct regulatory...
-
Gaming Compliance Specialist
4 hours ago
Springfield, Massachusetts, United States State of Massachusetts Full timeAbout the RoleThe Massachusetts Gaming Commission is seeking a highly skilled Gaming Agent to join our team at the MGM Springfield Casino. As a key member of our regulatory team, you will play a critical role in ensuring the integrity of gaming operations and maintaining a fair and transparent regulatory environment.Key ResponsibilitiesConduct regulatory...
-
Traveling Interventional Radiology Specialist
3 weeks ago
Springfield, Massachusetts, United States AHS Staffing Full timeAHS Staffing is seeking a traveling Interventional Radiology Specialist for an exciting opportunity. Position Overview & RequirementsSpecialty: Interventional Radiology SpecialistDiscipline: Allied Health ProfessionalDuration: 13 weeks36 hours per weekShift: 12 hours, daysEmployment Type: TravelAre you looking for a rewarding Travel Interventional Radiology...
-
Gaming Compliance Specialist
3 days ago
Springfield, Massachusetts, United States Massachusetts Gaming Commission Full timeJob SummaryWe are seeking a highly skilled Gaming Compliance Specialist to join our team at the Massachusetts Gaming Commission. As a Gaming Compliance Specialist, you will play a critical role in ensuring the integrity of our gaming operations and maintaining a fair and transparent regulatory environment.Key ResponsibilitiesConduct regular audits and...
-
Assistive Technology Specialist
3 days ago
Springfield, Massachusetts, United States Springfield Public Schools - MA Full timeJob DescriptionJob Title: Assistive Technology SpecialistJob Summary:The Springfield Public Schools - MA is seeking a highly skilled and dedicated Assistive Technology Specialist to join our team. As an Assistive Technology Specialist, you will play a critical role in evaluating, implementing, and supporting assistive technology needs of students within our...
-
Security Specialist
2 weeks ago
Springfield, Massachusetts, United States Baystate Health Full timeJob Reference: R30919Category: Security, Facilities ManagementEmployment Type: Part-TimeWork Shift: First ShiftThis role is integral to a leading healthcare facility. As a premier Trauma Center, we encounter various security challenges, particularly in high-stress environments such as the Emergency Department and inpatient units. Our facility also caters to...
-
Pharmaceutical Care Specialist
3 weeks ago
Springfield, Massachusetts, United States Baystate Health Full timeOverview:The Pharmaceutical Care Specialist is responsible for delivering extensive pharmaceutical services to all patients within the healthcare facility.Under the supervision of the Pharmacy Manager, this role encompasses a range of responsibilities including age-appropriate pharmaceutical care, assessment of medication prescriptions for suitability,...
-
Substance Use and Recovery Specialist
1 week ago
Springfield, Massachusetts, United States Mental Health Association Full timeThe Mental Health Association is seeking a qualified Substance Use and Recovery Specialist for our BestLife Behavioral Health Clinic. This role involves working within a community-focused behavioral health and addiction framework, delivering essential services to individuals facing mental health challenges and/or substance use disorders. Responsibilities...
-
Service Support Specialist
3 weeks ago
Springfield, Massachusetts, United States PEAK Technologies Full timeFor over 35 years, Peak Technologies has been a leader in delivering comprehensive enterprise mobility, managed services, printing, and mobile data capture solutions tailored for performance-driven organizations focused on enhancing supply chain and field-based business processes.Service Support Specialist (Printers/Scanners) $25/hour+. Location: Remote with...
-
Substance Abuse Recovery Specialist
17 hours ago
Springfield, Massachusetts, United States Trinity Health Of New England Full timeJob SummaryWe are seeking a highly skilled Substance Abuse Recovery Specialist to join our team at Trinity Health Of New England. As a key member of our interdisciplinary team, you will play a vital role in developing and integrating addiction and recovery services within our organization.Key ResponsibilitiesAs a Substance Abuse Recovery Specialist, you will...
-
Radiation Oncology Specialist
3 days ago
Springfield, Massachusetts, United States Trinity Health Of New England Full timeJob SummaryWe are seeking a skilled Radiation Oncology Specialist to join our team at Trinity Health Of New England. As a Radiation Oncology Specialist, you will play a critical role in assisting Radiation Oncologists in treating patients with prescribed doses of ionizing radiation.Key ResponsibilitiesTreatment Preparation: Prepare treatment rooms, explain...