Revenue Specialist- Revenue Cycle, Billing

TemPositions Published: January 15, 2020
Location
New York, NY
Job Type
Category
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Description

The Revenue Specialist role will assist with billing reconciliations during Hospital’s EPIC software launch period while supporting three campuses

Responsibilities:

  • Acts as a liaison between insurance carriers and collection specialists.
  • Verifies all claims are on file and being processed.
  • Provides any supporting documentation needed by insurance carrier.
  • Advises collections specialists of claims that are denied.
  • Verifies insurance benefits and obtains any necessary pre-authorizations.
  • Assists Team Leader on special projects and/or assignments.
  • Adheres to HIPAA and other regulations.


Skills:

EDUCATION AND EXPERIENCE:
  • High school diploma (college degree a plus)
  • Three plus (3+) years of experience in medical billing with a billing company or healthcare facility

SKILLS, KNOWLEDGE AND ABILITIES:

  • EPIC software experience and knowledge of medical terminology, CPT, ICD-10, and procedural modifiers.
  • Proficient with EMR software and Microsoft Word, Excel and Outlook.
  • Experience following-up with insurance companies and patients for complete claims processing and maximum payment.
  • Familiarity with commercial insurances, Medicare, PPO, HMO, Workers Compensation, No-Fault carriers and their guidelines.
  • Work effectively in a team environment.
  • Strong ability to identify, analyze and solve problems.
  • Self-motivated and approach tasks with a positive, proactive demeanor.
  • Organized and detail-oriented.
  • Ability to communicate effectively in writing, over the telephone, and in-person.
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