This site uses cookies. To find out more, see our Cookies Policy

Sr. Revenue Cycle Specialist (CAU) in Westchester, New York at The Jewish Board

Date Posted: 2/12/2019

Job Snapshot

Job Description

OVERVIEW:

The Revenue Cycle Speciailist will ensure that all services are billed and follow up on all third party insurances, including Government Payers, Managed Care and commercial carriers. Assist the Accounts Receivable Manager.

RESPONSIBILITIES include but not limited to:

  • Specific to payer and or Service Unit each reprehensive is responsible for electronic billing and follow up through Fund-EZ/MyAvatar within the HIPPA Billing guidelines.
  • Analyze and review claims for accuracy prior to transmitting electronically.
  • Reporting and analyzing HIPPA 277 Responses.
  • Ensure all claims are submitted with a goal of zero errors.
  • Verifies completeness and accuracy of all paper claims prior to submission.
  • Accurately post all insurance payments by line item.
  • Timely follow up on insurance claim denial, exceptions or exclusions.
  • Meet deadlines.
  • Prepare and process refunds with necessary documentation and submit to Account Manager for approval.
  • Utilize monthly aging accounts receivable reports to follow up on unpaid claims aged over 30 days.
  • Make necessary arrangements for medical record requests, completion of additional information request, etc. as requested by insurance companies.
  • Respond to inquiries from insurance companies, clients and providers.
  • Regularly attend monthly staff meetings and continuing educational sessions as requested.
  • Perform additional duties as requested.

REQUIREMENTS:

  • Bachelor’s Degree from a four year college or university and a minimum of two (2) years of experience as a medical biller analyst, Associates Degree in Business with minimum of 4 experience as a medical biller or minimum of seven years experience as a medical biller.
  • Experience with electronic billing systems required.
  • Strong knowledge of Microsoft Office, including Excel
  • Excellent verbal and written communication skills.
  • Ability to prioritize and organize assignments.
  • Ability to meet strict deadlines. Proficient PC skills including Microsoft Office applications and demonstrated understanding of Insurance billing.