Revenue Cycle Escalation Specialist

3 weeks ago


Melville, New York, United States Catholic Health Service Full time

Overview:

Catholic Health Service is a leading healthcare provider on Long Island, with a commitment to delivering compassionate care and utilizing evidence-based practice to improve patient outcomes.

As a key member of our team, you will play a critical role in managing underpaid insurance balances and resolving complex claims issues through effective communication and negotiation with payers.

Key Responsibilities:

  • Apply CHS Services' policies and procedures to ensure consistent and fair treatment of all customers and employees.
  • Conduct follow-up activities with payers to resolve outstanding claims and identify trends in payer activity.
  • Assist in the validation of contracts and rate analysis for rate recycling.
  • Prepare and maintain accurate records and reports to support recovery efforts and business decisions.
  • Collaborate with Managed Care Directors to develop and implement strategies for improving revenue cycle performance.

Requirements and Qualifications:

  • Bachelor's degree in a related field or equivalent experience.
  • Proficient in designing and building reports and analyses using Microsoft-based data analysis tools.
  • Strong analytical and communication skills, with the ability to effectively summarize complex claims data and communicate conclusions to stakeholders.
  • Previous experience in a healthcare or managed care setting is required for this role.

At Catholic Health Service, we offer a competitive salary range of $70,000 to $95,000 per year, as well as a comprehensive benefits package and opportunities for professional growth and development.



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