Revenue Cycle Specialist Revenue Recovery and Retention
Revenue Cycle Specialist Revenue Recovery and Retention
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
$ 64945 - 79169
1 Vacancy
Job Description
Duties of an Revenue Cycle Specialist may include the following but are not limited to:
- Analyze Managed Care payment variances; track and pursue underpaid and denied accounts.
- Assist in validating Contract Management system changes including encounter qualifiers and payment rates and methodologies.
- Assist in educating new staff regarding Managed Care Contracts CM System and Denials and Appeals process.
- Provide operational support for Senior Revenue Cycle Specialist as required.
- Provide analysis and reporting as needed.
Qualifications
- Bachelors Degree and at least 2 years of healthcare revenue cycle experience.
In Lieu of a degree at least 4 years of healthcare revenue cycle experience. - Working knowledge of Medicare and NY Medicaid Inpatient and Outpatient reimbursement methodologies.
- Working knowledge of third party reimbursement methodology and drivers.
- Working knowledge of hospital inpatient and outpatient billing requirements (UB04 837i).
- Experience working with CPT HCPCs and ICD10 codes.
- Proficiency with an Acute Care Hospital Contract Management system.
- Proficiency in Microsoft Office Suite including Excel Word.
- Excellent written and verbal communication skills.
Preferred:
- Bachelors degree in Accounting Finance Health Information Management Health Administration Computer Science or related field.
- Medical Coding Certification through the American Academy of Professional Coders (AAPC) and/or the American Health Information Management Association (AHIMA).
- Experience in revenue recovery within Cerner Contract Management and Optum Payment Integrity Compass.
- Experience building contracts and modeling revenue in a Hospital Contract Management System.
- Experience reporting from healthcare decision support patient accounting contract management and/or claims scrubber systems.
- Experience working with Cerner Invision Patient Accounting.
Special Notes:Resume/CV should be included with the online application.
Posting Overview:This position will remain posted until filled or for a maximum of 90 days.An initial review of all applicants will occur two weeks from the posting date. Candidates are advised on the application that for full consideration applications must be received before the initial review date (which is within two weeks of the posting date).
If within the initial review no candidate was selected to fill the position posted additional applications will be considered for the posted position; however the posting will close once a finalist is identified and at minimal two weeks after the initial posting date. Please note that if no candidate were identified and hired within 90 days from initial posting the posting would close for review and possibly reposted at a later date.
- Stony Brook Medicine is a smoke free environment.Smoking is strictly prohibited anywhere on campus including parking lots and outdoor areas on the premises.
- All Hospital positions may be subject to changes in pass days and shifts as necessary.
- This position may require the wearing of respiratory protection which may prohibit the wearing of facial hair.
- This function/position maybe designated as essential. This means that when the Hospital is faced with an institutional emergency employees in such positions may be required to remain at their work location or to report to work to protect recover and continue operations at Stony Brook Medicine Stony Brook University Hospital and related facilities.
Prior to start datethe selected candidate must meet the following requirements:
- Successfully complete preemployment physical examination and obtain medical clearance from Stony Brook Medicines Employee Health Services*
- Complete electronic reference check with a minimum of three 3 professional references.
- Successfully complete a 4panel drug screen*
- Meet Regulatory Requirements for preemployment screenings.
- Provide a copy of any required New York State license(s)/certificate(s).
Failure to comply with any of the above requirements could result in a delayed start date and/or revocation of the employment offer.
*The hiring department will be responsible for any fee incurred for examination.
Stony Brook University is committed to excellence in diversity and the creation of an inclusive learning and workingenvironment. All qualified applicants will receive consideration for employment without regard to race color national origin religion sex pregnancy familial status sexual orientation gender identity or expression age disability genetic information veteran status and all other protected classes under federal or state laws.
If you need a disabilityrelated accommodation please call the University Office of Equity and Access at.
In accordance with the Title II Crime Awareness and Security Actacopy of our crime statistics can be viewedhere.
Visit ourWHY WORK HEREpage to learn about thetotal rewardswe offer.
Stony Brook University Hospital consistent with our shared core values and our intent to achieve excellence remains dedicated to supporting healthier and more resilient communities both locally and globally.
Anticipated Pay Range:
The salary range (or hiring range) for this position is $64945 $79169 / year.
The above salary range represents SBUHs good faith and reasonable estimate of the range of possible compensation at the time of posting. The specific salary offer will be based on the candidates validated years of comparable experience. Any efforts to inflate or misrepresent experience are grounds for disqualification from the application process or termination of employment if hired.
Some positions offer annual supplemental pay such as:
- Location pay for UUP CSEA & PEF fulltime positions $3400.
Your total compensation goes beyond the number in your paycheck. SBUH provides generous leave health plans and a state pension that add to your bottom line.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
