Revenue Cycle Specialist – A/R

This is a fully remote position, open to applicants in New York.

📋 Description

• Investigate and address trends in payment denials through thorough follow-up on accounts receivable.

• Formulate and implement strategies and procedures aimed at minimizing denials and optimizing reimbursements.

• Utilize the practice management system to examine accounts receivable trends and request payments from insurers and patients.

• Draft appeal letters for claims that are unpaid or inaccurately compensated.

• Resolve claim edits within the practice management billing system.

• Support the training of both current and new employees on departmental policies and systems.

• Stay updated on managed care and third-party payer policies and procedures.

• Review and submit requests for refunds and write-offs.

• Approve and execute write-offs as required.

• Carry out other related tasks as assigned.

⛳️ Requirements

• High school diploma or GED is required.

• Approximately 3-5 years of experience in medical billing, with a focus on accounts receivable.

• Understanding of third-party reimbursement processes.

• Familiarity with medical terminology.

• Previous experience with an electronic medical record (eMR) system.

• Proficiency in Microsoft Excel and other reporting tools for data sorting, filtering, and summarization.

• Ability to work independently and make sound judgments.

• Excellent communication and interpersonal skills.

• Strong analytical and critical thinking abilities.

• Strong organizational skills and a keen attention to detail.

• Capability to multitask and prioritize effectively in a dynamic environment.

• Aptitude for managing confidential information with the highest level of discretion.

• Professional demeanor.

• Ability to collaborate effectively with departmental faculty, staff, and institutional representatives.

• Proficiency in MS Office Suite and database applications.

• A dedicated home workspace that supports a healthy work environment.

🏝️ Benefits

• Opportunity for remote work.

• A dedicated home workspace that fosters a healthy work environment.

• Monday to Friday work schedule.

• 35 hours of work per week.