Rev Cycle Specialist (COPAY ASSIS SPECIALIST)

PRISM Vision Group • New Providence, NJ

17d • $23 - $25

About The Position

The Revenue Cycle Specialist is responsible for a variety of duties, including but not limited to Accounts Receivable.

Requirements

• High School Diploma or equivalent; Bachelor’s degree preferred.
• 3-5 years’ experience in a medical billing specialist role
• Knowledge of ICD-9, ICD-10, CPT codes and procedures
• Ability to work independently and to work collaboratively on projects
• Ability to interface with management and co-workers
• Ability to create channels of communication to obtain information necessary to perform job tasks, such as with clients, payers, clinical staff and billing department staff
• Ability to recognize individual and system problems and to communicate such information to the supervisor
• Excellent written and verbal communication skills
• Critical thinking & Problem solving
• Outstanding attention to detail and excellent time management skills
• Outstanding computer skills with billing software, Microsoft Word and Microsoft Excel, able to learn our system, good typing skills
• Experience with Medicare, insurances, claims, appeals
• Ability to work with proprietary information, PHI, ePHI, etc., while maintaining confidentiality at all times

Nice To Haves

• Back-end billing experience within Ophthalmology preferred but not required.

Responsibilities

• Respond to inquiries from copay assistance programs, offices, and Commission for the blind via telephone, email, or fax.
• Ensure prompt and timely processing of payment for all drug assistance program and documenting all communication in Athenahealth.
• Appeal process with Chronic Disease Funds/CDF.
• Assist offices with Commission for the blind billing process and documenting all communication in Athenahealth.
• Call copay assistance programs regarding discrepancy in payments in necessary.
• Identify and bill secondary or tertiary insurances.
• Verify eligibility/coverage for Copay assistance and Commission for the Blind if necessary.
• Advise Lead Copay Assist of any trends/denials identify the problem with drug programs.
• Complete required reports and assist with special projects as assigned

Benefits

• Competitive Compensation – Base salary, performance bonuses, and regular reviews.
• Health & Wellness – Comprehensive medical , dental, and vision insurance; and wellness program.
• Retirement Planning – 401(k) with company match.
• Generous Time Off – Paid vacation, sick leave, and company holidays.
• Learning & Development –career growth programs.
• Other Perks – Commuter benefits, Voluntary Accident and Critical Illness plans, FSA/HSA and Dependent Care FSA. employee discounts, and more.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED