Revenue Cycle Specialist

Revenue Cycle Operations Management<\/b>
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• Ensure accurate and timely submission of claims to insurance carriers and government payer.
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• Ensure accurate and timely processing of remittances received from insurance carriers and government payers.
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  Financial Analysis and Reporting<\/b>
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  • Monitor aging reports and implement strategies to reduce outstanding receivables
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  • Collaborate with finance team on budgeting and forecasting activities
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    Compliance and Quality Assurance<\/b>
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    • Ensure compliance with HIPAA, CMS guidelines, and other relevant healthcare regulations
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    • Maintain current knowledge of coding guidelines (ICD -10, CPT, HCPCS) and payer policies
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    • Implement and monitor quality assurance programs for coding and billing accuracy
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    • Coordinate with compliance officers on audit preparations and responses
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      Payer Relations and Denial Management<\/b>
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      • Oversee denial management processes and appeal workflows
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      • Negotiate payment terms and resolve complex billing issues
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      • Stay current on payer policy changes and communicate impacts to relevant teams
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        Requirements<\/h3>

        
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        Minimum Qualifications (Knowledge, Skills, and Abilities)<\/b>
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        • 3 -5 years of healthcare revenue cycle experience
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        • Excellent written and verbal communication skills
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        • Thorough understanding of behavioral health organization business operations
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        • Proficiency in healthcare revenue cycle management
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        • Strong analytical skills with experience in data analysis and reporting tools
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          Preferred Qualifications<\/b>
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          • Experience with behavioral healthcare in NY preferred.
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          • Experience in a high volume billing environment
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            Benefits<\/h3>

             
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            Virtual First Workplace<\/b>
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            As a virtual -first organization, we can attract the best talent no matter where we all live. This allows for added flexibility and a schedule that works for you.
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            Essential Benefits<\/b>
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            We offer medical, dental, and vision insurance; 40l(k) with match; legal benefits; short -term and long -term disability coverage; life insurance; and paid time off.
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            Employee Recognition<\/b>
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            Team members can reward each other with points to celebrate everyday wins and going above and beyond. It’s our way of saying “nice job” in a way that really sticks.
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            Financial Incentives<\/b>
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            Employees can benefit financially through the company’s success, referring top talent, and performance -based bonuses.
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