Healthcare Revenue Cycle Specialist Consultant

posted on May 16, 2019

Job Description

Location: New York, NY

Type: Permanent

Description: 

  • The Revenue Cycle Specialist position is responsible for ensuring the accurate and timely billing to third party payers and governmental/regulatory agencies.
  • This is accomplished by keeping abreast of all regulatory/governmental requirements, monitoring the system reports and resolving issues with charges, coding, and system edits prior to the claims transmission.
  • Responsible to maintain the technical functions between the mainframe billing system and the claim scrubbing system to ensure hospital billing is in compliance with regulatory requirements.
  • Liaison between the billing office and information systems to ensure system is operational.
  • Develop team strategies to support departmental goals.
  • Key involvement in the hiring, monitoring, and auditing of the billing and collection staff to ensure the efficient work flow and maximize cash collections.

Requirements:     

  • Bachelors degree in Math, Statistics, or other technical field required
  • Minimum 3 years experience in billing, insurance, and office procedures in hospital setting
  • Previous supervisory experience in a productivity environment required
  • Ability to communicate in English, both verbally and written
  • Advanced computer skills including Excel, Word, Pivot Table
  • Knowledge of AS400 mainframe
  • Ability to research and document through the Internet
  • Complete understanding of Medicare, Medicaid, HMO’s, PPO’s and private insurance companies
  • Professional appearance, positive attitude, and excellent attendance record

 

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