Revenue Cycle Specialist

Finance Mt. Laurel, New Jersey


Description

Revenue Cycle Specialist

 

Summary:

The Revenue Cycle Specialist is primarily responsible for patient revenue management support throughout the revenue cycle, to include but not limited to: Claims Management, Accounts Receivable, Cash Posting and Denials Management.

Essential Duties:

May be required to do one or all of the following dependent on the RCM needs (including but not limited to):

  • Claim Scrubbing/Submission
    • Assists with third party billing process through the scrubbing, preparation and submission of accurate and complete claims in a timely manner.
  • ERA Processing/Cash Posting
    • Preparation and posting of daily cash receipts, Completion of daily transaction logs. Scanning, verifying and posting of remittances. Identification of unposted cash. Printing of posting reports for balancing.
  • Accounts Receivable
    • Resolve outstanding payer balances for assigned financial class by monitoring Accounts Receivable reports
    • Follow-up on outstanding claims and submit appropriate documents for payment when necessary
  • Denial Analysis/Management
    • Identifies, analyzes, and researches frequent root causes of denials and develops corrective action plans for resolution of denials working directly with the payers and/or clinics. Follow through on claim denials and rejections on timely basis

Skills and Qualifications:

  • Possesses the ability to work in a constantly changing environment, good judgment skills, and capable of making decisions with attention to detail.
  • Must have excellent organizational skills and ability to prioritize and coordinate workload with high degree of proficiency and accuracy.
  • Must have excellent analytical and problem-solving skills. 
  • Ability to work easily and cooperatively with other departments.
  • Ability to work independently and follow through on tasks without direct supervision.
  • Ability to work well under pressure in a flexible, diplomatic and expeditious manner.
  • Maintains strict confidentiality of patients’ medical records and adherence to all HIPAA policies and regulations.

Knowledge Required:

  • Minimum 2 years Revenue Cycle experience in a healthcare setting
  • Must have excellent computer knowledge of Patient Accounting systems
  • High School Diploma or equivalent required. Associates or Certification(s) a plus.
  • Location could vary dependent on need

We are an Equal Opportunity Employer with a commitment to diversity. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity, disability or veteran status.