Revenue Management Specialist

2 weeks ago


Spring Valley, New York, United States Polaris Healthcare Full time

Join Polaris Healthcare as a Revenue Cycle Supervisor

Are you well-versed in the intricacies of Medicare, Medicaid, and various Health Maintenance Organization (HMO) agreements? We are seeking a dedicated professional to oversee patient network affiliations, ensure contract compliance, and enhance billing efficiency. If you are committed to refining billing operations and fostering a culture of continuous improvement, we encourage you to explore this opportunity.

Key Responsibilities:

  • Contract Management:
    • Demonstrate comprehensive knowledge of Medicare, Medicaid, and HMO agreements.
    • Engage with consultants to optimize contract performance.
    • Remain updated on changes in regulations affecting contracts.
  • Patient Network Coordination:
    • Collaborate with administrative staff to facilitate patient enrollment in preferred plans.
    • Establish protocols for verifying insurance eligibility.
  • Billing and Revenue Oversight:
    • Work closely with the billing department to ensure precise claim submissions.
    • Evaluate processes for operational efficiency.
  • Team Development:
    • Support the billing team with ongoing training initiatives.
    • Promote a culture of learning and professional growth.
  • Compliance and Quality Control:
    • Conduct regular audits to ensure adherence to regulations.
    • Implement necessary corrective measures based on audit findings.


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