Healthcare Revenue Specialist

2 weeks ago

Camden, New Jersey, United States Cooper University Health Care Full time
About Us

At Cooper University Health Care, we prioritize exceptional healthcare, starting with our dedicated team. Our remarkable professionals are consistently uncovering clinical advancements and improving access to state-of-the-art facilities, equipment, technologies, and research methodologies. We are committed to our employees by offering competitive compensation, a comprehensive benefits package, favorable working conditions, and opportunities for career growth through professional development.

Discover why Cooper University Health Care is recognized as the employer of choice in South Jersey.

Short Description

The Revenue Cycle Specialist is responsible for supporting the Revenue Cycle through the analysis of critical performance metrics. This role involves developing and refining reports that pinpoint issues and highlight potential opportunities. The specialist will analyze third-party denials and prepare relevant reports that track trends in third-party payments, denials, and rejections.

Collaboration with ancillary department staff and third-party payer representatives is essential to identify the sources of denials and to develop processes aimed at eliminating or minimizing delays in payments, underpayments, denials, and rejections to enhance cash flow.

The specialist will prepare, mine data, evaluate, resolve, distribute, and accurately record statistics in a timely manner. Proficiency in understanding and managing all functions related to third-party billing processes is crucial, with a focus on hospital and professional fee denial management, as well as fee schedule reimbursements. Regular updates to reports will be created to help identify and rectify issues negatively impacting revenue. Individual denials will be reviewed to ascertain their causes.

Monitoring denial trends and generating reports will be part of the role; recommendations for corrective and preventative actions will be made. The specialist will produce ad-hoc reports and actively participate in global revenue cycle initiatives, leading processes that affect operations within the revenue cycle.

Experience Required

Experience in data analysis and modeling is required, with the ability to analyze data creatively and present results compellingly.

Familiarity with EPIC Enterprise is preferred. Knowledge of database management software (Access, SQL) is essential. Strong computer skills and proficiency with the Microsoft Office suite are necessary.

A thorough understanding of ICD-10, CPT codes, HCPCS codes, hospital and physician billing, third-party reimbursements, and contracts is required.

Skills in software implementation and project management are important.

Excellent interpersonal and superior writing skills are essential. The ability to meet deadlines and work independently as well as in a team environment is crucial.

The capacity to manage multiple complex and concurrent projects is also necessary.

Education Requirements

A BS/BA in Business or Finance is preferred; equivalent work experience (3 years in healthcare revenue cycle) is acceptable in lieu of a degree.

  • Healthcare Revenue Integrity Specialist

    2 weeks ago

    Camden, New Jersey, United States Insight Global Full time

    Position OverviewInsight Global is seeking a Revenue Integrity Analyst to support a prominent healthcare organization. This role is pivotal in ensuring the accuracy and compliance of the charge reconciliation process.Key ResponsibilitiesOversee the charge reconciliation process and ensure all aspects of revenue integrity are maintained.Collaborate with the...

  • Healthcare Revenue Analyst

    2 weeks ago

    Camden, New Jersey, United States Insight Global Full time

    Position OverviewInsight Global is currently seeking a Revenue Integrity Analyst to support our healthcare client. This role is essential for managing the charge reconciliation process effectively.Key ResponsibilitiesThe selected candidate will:Report directly to the Manager of Revenue Integrity.Collaborate with CDM Analysts to ensure comprehensive revenue...

  • Revenue Cycle Integrity Analyst

    2 weeks ago

    Camden, New Jersey, United States Insight Global Full time

    Position OverviewInsight Global is seeking a dedicated Revenue Integrity Specialist to enhance the operations of our healthcare client. This role is crucial in ensuring the accuracy and compliance of revenue processes.Key ResponsibilitiesManage and oversee charge review workflows, including NDC and Zero price inquiries, within the EMR system, specifically...

  • Revenue Cycle Analyst

    2 weeks ago

    Camden, New Jersey, United States Cooper University Health Care Full time

    About UsAt Cooper University Health Care, we are dedicated to delivering exceptional healthcare services, which starts with our remarkable team. Our skilled professionals are consistently exploring clinical advancements and improving access to the latest facilities, technologies, and research protocols. We prioritize our employees by offering competitive...

  • Revenue Cycle Analyst

    2 weeks ago

    Camden, New Jersey, United States Cooper University Health Care Full time

    About Us At Cooper University Health Care, we prioritize exceptional health care through our dedicated team. Our remarkable professionals are constantly exploring clinical advancements and enhancing access to state-of-the-art facilities, equipment, technologies, and research methodologies. We are committed to our employees by offering competitive...

  • Healthcare Credentialing and Enrollment Specialist

    3 days ago

    Camden, New Jersey, United States CAMcare Health Corporation Full time

    Job Title: Healthcare Credentialing and Enrollment SpecialistAbout the Role:CAMcare Health Corporation is seeking a highly skilled and detail-oriented Healthcare Credentialing and Enrollment Specialist to join our team. As a key member of our organization, you will play a crucial role in ensuring that healthcare providers are properly credentialed and...

  • Traveling Healthcare Professional

    12 hours ago

    Camden, New Jersey, United States GHR Healthcare Full time

    Job Title: Traveling Healthcare ProfessionalJob Summary:GHR Healthcare is seeking a skilled and dedicated Registered Nurse to join our team as a PACU Specialist. As a travel nurse, you will have the opportunity to work in a dynamic and fast-paced environment, providing exceptional care to patients in need.Responsibilities:Provide high-quality patient care in...

  • Traveling Healthcare Professional

    14 hours ago

    Camden, New Jersey, United States Aequor Healthcare Full time

    Job DescriptionAequor Healthcare is seeking a skilled Travel Nurse RN to join our team as a Telemetry Specialist.Job SummaryWe are looking for a highly motivated and experienced Registered Nurse to work in a fast-paced Telemetry Unit. The ideal candidate will have a strong background in patient care and be able to work effectively in a team...

  • Revenue Cycle Leadership Team Member

    5 days ago

    Camden, New Jersey, United States Cooper University Health Care. Full time

    About UsAt Cooper University Health Care, our commitment to providing exceptional healthcare begins with our team. Our talented professionals are dedicated to delivering innovative clinical solutions and enhancing access to the latest facilities, equipment, technologies, and research protocols. We offer competitive compensation, comprehensive benefits,...

  • Healthcare Financial Assessment Specialist

    1 week ago

    Camden, New Jersey, United States Alpine Solutions Group Full time

    Position Title: Healthcare Financial Assessment SpecialistCompensation: Competitive hourly wageWork Schedule: Flexible hours available, 40 hours per weekContract Duration: Minimum of 6 months with potential for extensions and full-time opportunitiesJob Location: Onsite roleInterview Process: Single interview via Microsoft TeamsEssential...

  • Traveling CVOR Specialist

    2 weeks ago

    Camden, New Jersey, United States TRS Healthcare Full time

    TRS Healthcare is currently seeking a traveling CVOR Specialist for an exciting opportunity. Position Overview & RequirementsSpecialty: CVOR SpecialistDiscipline: Allied Health ProfessionalDuration: 13 weeks40 hours per weekShift: 8 hours, daytimeEmployment Type: TravelAre you looking for a rewarding Travel CVOR Specialist position? This role offers a...

  • Healthcare Credentialing Expert

    1 week ago

    Camden, New Jersey, United States Cooper University Health Care Full time

    About UsAt Cooper University Health Care, we prioritize exceptional healthcare, which starts with our dedicated team. Our remarkable professionals are consistently exploring clinical advancements and improving access to state-of-the-art facilities, equipment, technologies, and research protocols. We are committed to our employees by offering competitive...

  • Travel Nurse RN Specialist

    3 days ago

    Camden, New Jersey, United States GHR Healthcare Full time

    Job Title: Travel Nurse RN SpecialistJob Summary:GHR Healthcare is seeking a skilled Travel Nurse RN Specialist to join our team. As a Med Surg / Telemetry healthcare professional, you will be responsible for providing high-quality patient care in a fast-paced hospital setting.Responsibilities:Provide direct patient care to Med Surg / Telemetry...

  • Travel Nurse RN Specialist

    3 days ago

    Camden, New Jersey, United States GHR Healthcare Full time

    Job Title: Travel Nurse RN SpecialistJob Summary: GHR Healthcare is seeking a skilled Travel Nurse RN Specialist to join our team in a dynamic Operating Room environment.Key Responsibilities:Provide high-quality patient care in a fast-paced Operating Room settingCollaborate with a multidisciplinary team to ensure seamless patient careDevelop and implement...

  • Travel Nurse RN

    4 days ago

    Camden, New Jersey, United States TRS Healthcare Full time

    Job Title: Travel Nurse RN - CVICU SpecialistTRS Healthcare is seeking a skilled Travel Nurse RN - CVICU Specialist to join our team.About the JobWe are looking for a highly motivated and experienced Travel Nurse RN - CVICU Specialist to work in a dynamic and fast-paced environment. As a Travel Nurse RN - CVICU Specialist, you will be responsible for...

  • Travel Nurse RN

    2 days ago

    Camden, New Jersey, United States Host Healthcare Full time

    Job Title: Travel Nurse RN - Telemetry SpecialistJob Type: Travel NursingLocation: NationwideJob Description:Host Healthcare is seeking a skilled Travel Nurse RN - Telemetry Specialist to join our team. As a Travel Nurse RN - Telemetry Specialist, you will be responsible for providing high-quality patient care in a telemetry setting.Responsibilities:Provide...

  • Travel Nurse RN

    2 days ago

    Camden, New Jersey, United States Host Healthcare Full time

    Job DescriptionJob Title: Travel Nurse RN - ICU SpecialistJob Type: Travel NursingLocation: Camden, New JerseyJob Description:We are seeking a highly skilled and experienced Travel Nurse RN - ICU Specialist to join our team at Host Healthcare. As a Travel Nurse RN - ICU Specialist, you will be responsible for providing high-quality patient care in the...

  • Travel Nurse RN ICU Specialist

    3 days ago

    Camden, New Jersey, United States GHR Healthcare Full time

    Job OpportunityGHR Healthcare is seeking a travel nurse RN ICU specialist for a travel nursing position.Job Requirements:Specialty: ICU - Intensive Care UnitDiscipline: RNWork Schedule: 36 hours per weekShift: 12 hours, nightsEmployment Type: TravelAbout GHR Healthcare:GHR Healthcare is a leading healthcare staffing agency with over 30 years of experience....

  • Healthcare Financial Operations Supervisor

    2 weeks ago

    Camden, New Jersey, United States Cooper University Health Care Full time

    Position OverviewAt Cooper University Health Care, we prioritize exceptional healthcare delivery, which is made possible by our dedicated professionals.Role Responsibilities:Oversee and enhance the functionality of all patient access operations, including but not limited to:Emergency DepartmentDiagnostic CentersPatient Access Service CenterHospital-based...

  • Healthcare Financial Operations Supervisor

    2 weeks ago

    Camden, New Jersey, United States Cooper University Health Care Full time

    Position OverviewAt Cooper University Health Care, we prioritize excellence in healthcare delivery through our dedicated professionals.Key ResponsibilitiesThe role encompasses the supervision and facilitation of all patient access operations, which include:Emergency Department oversightManagement of Diagnostic CentersCoordination of Patient Access Service...