Clinical Revenue Manager

6 days ago


Watertown, New York, United States Samaritan Health Services Full time
Key Responsibilities

The successful candidate will be responsible for:

  • Analyzing and processing patient claims to ensure compliance with insurance regulations
  • Reviewing remittances and submitting compliant claims to insurance
  • Following up on denials and maintaining accurate financial records

Patient Account Representative responsibilities include:

  • Experience in Medicare/Medicaid and Secondary Payor billing required
  • Ability to review and submit compliant claims to insurance and follow up on same
  • Analyze remittance, explanation of benefits to determine if insurance payments are according to the payer/hospital contract and determine patient responsibility
  • Submit adjustment claims, submit appeals for underpayment and/or denials
  • At least two years training in the business office field preferred
  • Long Term Care and/or Critical Access Hospital billing experience preferred

Qualified candidates will bill for services such as Adult Daycare, Home Health, and Transportation services incurred for residents of our Long Term Care Facility/Nursing Home. The estimated salary for this role is $18.50 - $20.25 per hour, based on industry standards and market rates.


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