Revenue Cycle Specialist

Services For The Underserved, Inc.•New York, NY

1d•$65,000 - $68,000•Onsite

About The Position

The Revenue Cycle Specialist reports to the Revenue Cycle Manager and will interface with Finance, Operations and payers to maximize revenues. The Revenue Cycle Specialist will coordinate with all related parties in order to submit claims and data collection to meet the needs of the organization. This job description does not list all the duties of the job. You may be asked by Manager to perform other duties.

Requirements

High School Diploma required.
Basic computer skills, Microsoft Excel, Outlook and Word, and accounting knowledge
Experience with Medicare, Medicaid, Managed Care plans and commercial payers required
Aptitude for using a fast-paced proactive vs. reactive approach to manage competing priorities.
Excellent communication, interpersonal and decision making skills

Nice To Haves

Bachelor’s Degree in finance or accounting (Preferred)
Knowledge of Fund EZ, Awards, CORE, NAV and e-Paces is a plus

Responsibilities

Review Program Billing Sheets/EHR Systems to ensure compliance with Medicaid, Medicare and MCO policies and procedures
Follow-up with Programs for any incomplete claim/encounter before billing submission
Responsible for creating Medicaid /MCO claims to submit through e-Paces/third party billing
Submit vouchers to State for BOCF billing on a monthly basis
Upload remittance and book related journal entries on a weekly basis
Reconcile claim denial reports on weekly basis, prepare appeals and implementation of programs to prevent future billing issues.
Review remittance advice, work with related departments and health care providers to get claims processed and paid.
Prepare and reconcile monthly billing reports against general ledger
Generate the open issue report for discussion and follow up
Liaise with other departments and third party vendors regarding monthly billing, collection and compliance.
Work proactively with the billing team, to identify opportunities for productivity improvements
Assists in preparing for annual internal, external and regulatory financial audits
Perform routine and ad-hoc financial Analyses, and other duties as assigned.