Revenue Cycle Specialist

Turning Stone Enterprises•Oneida, NY

1d•Onsite

About The Position

Join our team and help keep healthcare running smoothly behind the scenes! As our Revenue Cycle Specialist, you'll play a vital role in ensuring accurate billing, timely collections, and seamless coordination with third-party payers; making a meaningful impact on both our patients and our organization.

Requirements

High school diploma.
Two to three years’ experience in a medical billing or insurance office.
Must be familiar with Medicare and Medicaid Billing, including their reimbursement rates and guidelines.
Ability to understand the varying complexities of medical billing; this extends to different types of insurance plans and government assigned programs.
Experience with Accounts Receivable and Collections.
Must be familiar with Electronic Medical Records (EMR).
Must have a working knowledge of CPT and ICD-9 coding.
Computer experience to include Microsoft Word and Excel.
Strong communication skills.
Strong logistical skills, along with industry standard computer software literacy and a firm understanding of medical legality performed.
Ability to stand/walk for long periods of time and lift up to 0 - 10 pounds.

Nice To Haves

Positivity – Team members who are passionate to learn, energetic to hit the ground running and willing to grow in a professional, team-oriented environment with a focus on guest service.
Growth Opportunities – We offer a successful journey, including hands-on training and support to advance your career.
Empowerment – We believe in our team members. With learning opportunities, career growth potential and recognition of outstanding performance, we encourage our team to take pride in their work.

Responsibilities

Submits claims to Third Party Billing vendors for third party and government insurances.
Posts payments received from third party and government insurances.
Reviews Clearinghouse for clean claim submission.
Applies necessary payment adjustments as they apply to Health Center patients/clients.
Follows-up on outstanding claims for payments.
Works with insurance companies on behalf of the clients regarding billing and insurance issues.
Reviews claim submission status report and makes any necessary changes or corrections.
Maintains an accurate year to date log of the number of claims submitted and total dollar amount of charges billed; submits monthly reports to Revenue Cycle Manager.
Monitors outstanding AR and provides detailed monthly collection reports to Revenue Cycle Manager.
Verifies accuracy of billing data and corrects any errors.
Assists front desk staff with patient’s eligibility verification.
Adheres to all Oneida Indian Nation Health Center services security and confidentiality policies and procedures in regards to all daily job functions and receives annual up-date training regarding each area.
Performs other duties as assigned.