Revenue Cycle Specialist
About The Position
Claris Vision was formed in 2011 by bringing together leading New England eye care practices to provide a comprehensive range of vision care services. Its physicians focus on clinical care, technology, and individualized patient experiences and care plans. The Revenue Cycle Specialist supports the financial success of healthcare facilities by monitoring medical billing operations, reviewing customer accounts, and helping ensure accurate billing and efficient resolution of insurance and other billing-related issues. The role works with team members and may collaborate with accounting, financial analysis, and human resources professionals. The specialist must maintain patient confidentiality, comply with HIPAA requirements, and understand company and department policies. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Requirements
- Certified Professional Coder certification is required.
- At least one year of ophthalmology coding experience.
- High school diploma or equivalent.
- Extensive educational background in business, accounting, and finance.
- Exceptional customer experience skills, including anticipating customer needs and striving to exceed expectations.
- Proactive communication, including keeping others informed, asking for help when needed, and bringing service challenges to a supervisor.
- Commitment to improving service delivery and continuous improvement.
- Ability to use technology, innovation, and process improvements to improve efficiency and effectiveness.
- Ability to participate as a team member and establish strong working relationships with teammates and across the organization.
- Flexibility and optimism in responding to change and new ideas.
- Willingness to recognize development needs and strengthen capabilities.
- Physical, mental, and cognitive skills needed to learn, remember, focus, categorize, and integrate information for comprehension, problem-solving, and timely decision-making.
- Ability to work in a constantly changing environment, independently, and cooperatively with other departments.
- Excellent organization, analytical, and problem-solving skills.
- Ability to maintain strict confidentiality of patients’ medical records.
- Extreme accuracy and attention to detail, policies, and procedures.
- Computer skills, including Microsoft Office applications.
Nice To Haves
- Certified Ophthalmology Coder certification.
Responsibilities
- Monitor overall medical billing operations.
- Identify and implement strategies to improve internal and customer processes.
- Incorporate and execute quality assurance processes to ensure accurate customer billing activity.
- Review and analyze customer accounts, identify trends and issues, and recommend solutions.
- Collaborate with team members to improve the overall team environment.
- Provide a high level of customer service to practices and patients by identifying and efficiently resolving insurance and other billing-related issues.
- Maintain strict confidentiality and adhere to HIPAA guidelines and regulations.
- Understand and follow company policies, including the company manual, and department policies.
- Perform other duties and activities as assigned; duties may change with or without notice.
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What This Job Offers
Job Type
Full-time
Education Level
High school or GED
