Revenue Cycle Specialist

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

📋 Description

• Conduct research and resolve payment discrepancies and account variances to maintain accurate account balances and payment applications.

• Handle assigned Athenahealth worklists by reviewing patient accounts and determining suitable resolutions based on payment, adjustments, and account activities.

• Investigate unapplied, misapplied, unidentified, and unallocated payments, and take corrective actions as needed.

• Review and process patient and insurance refunds in accordance with departmental policies and regulatory standards.

• Verify deposits and reconcile payment activities using bank portals, payer portals, internal reporting, and supporting systems.

• Retrieve remittance information and supporting documentation essential for completing payment research and account resolution.

• Utilize Athenahealth as the primary workflow platform while employing Tableau and LK Oasis for account analysis and research.

• Monitor and respond to departmental communications, including shared mailboxes, adhering to established service level expectations.

• Identify recurring payment or account issues, and communicate trends, workflow barriers, and opportunities for improvement to leadership.

• Collaborate with internal Revenue Cycle departments, vendors, payers, and other stakeholders to address account-related issues.

• Assist with audits, special projects, process improvement initiatives, and cross-functional departmental activities as assigned.

• Maintain established standards for productivity, quality, and accuracy.

• Comply with HIPAA regulations, company policies, and confidentiality requirements while protecting Protected Health Information (PHI).

⛳️ Requirements

• High School Diploma, GED, or an equivalent qualification is required.

• A minimum of one (1) year of experience in healthcare revenue cycle, medical billing, payment posting, payment reconciliation, refunds, banking, accounting, collections, or a related area.

• Strong analytical and problem-solving abilities.

• Capability to interpret payment activities, identify discrepancies, and determine suitable resolutions.

• Proficiency in Microsoft Office applications, particularly Excel and Outlook.

• Excellent written and verbal communication skills.

• Strong organizational abilities and attention to detail.

• Ability to prioritize tasks, manage multiple assignments, and meet deadlines.

• Capacity to work independently while also contributing to a collaborative team environment.

• Proven commitment to quality, accuracy, and continuous improvement.

• Effective communication skills in a virtual environment.

🏝️ Benefits

• Medical coverage

• Dental coverage

• Life coverage

• Disability coverage

• Vision coverage

• FSA coverage

• 401k savings plan