Revenue Cycle Support Specialist

AtlantiCare

United States

On-site

USD 24,631 - 35,748

Part time

14 days+

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Benefits offered by this job

Generous Paid Time Off (PTO)

Medical, Prescription Drug, Dental & Vision Insurance

Retirement Plans with employer contributions

Tuition Reimbursement

Job summary

AtlantiCare is seeking a Revenue Cycle Support Specialist responsible for managing various revenue cycle applications and ensuring accurate claims and reports. Key responsibilities include NJ State reporting, vendor onboarding, and maintaining financial applications.

The ideal candidate must have a High School Diploma along with HFMA certification or related qualifications within 6 months. Join to support billing and insurance operations with significant growth opportunities and employee benefits.

Qualifications

1-3 years of experience in hospital, medical practice, or healthcare.
Experience with Scheduling, Registration, Insurance verification, or billing required.

Responsibilities

Support NJ State reporting through claims processing vendor.
Execute, format, and distribute billing and accounting reports.
Set up and onboard Business Office vendors in STAR/Oracle.

Skills

Data validation

Reconciliation

Billing and insurance knowledge

Education

High School Diploma

HFMA: CRCR or Litmos Certification

Job description

Position Summary

The Revenue Cycle Support Specialist is responsible for supporting all Revenue Cycle departments in various ways. The specialist serves as the system administrator for many revenue cycle applications and is responsible for providing or deactivating user access to an application, unlocking or resetting passwords, and maintaining databases of these systems.

Responsibilities

Responsible for NJ State reporting through the appointed claims processing vendor, including uploading claim files, correcting rejected claims, reconciling Star visits to State accepted claims, and updating tables as new requirements are released by the State.
Execute, format, and distribute reports; perform data validation and inputting data promptly and accurately, including the I9999 billing and accounting report, Medicaid Expansion Report, First and Second of the Month reports. Specialists rotate coming in on the 1st of the month, if it falls on a weekend or holiday.
Set up and onboard all Business Office vendors, establishing criteria for each vendor in STAR/Oracle tables; add and remove new or invalid insurance plans to STAR and Oracle.
Make changes to billing parameters, Claim Load and Edit parameters, UB load and edit parameters, HCPCS tables, 837 parameters, and adjust suspense days in the STAR Master table.
Maintain table updates in multiple financial applications.
Run all vendor scripts in Boston Work Station weekly, Run all business office adjustment scripts for month end, and execute scripts as sent by the Revenue Cycle Team.
Perform daily room charge reconciliation to ensure accounts have the correct amount billed days; advise revenue integrity of any fallouts and add or delete days as directed.
Assist in troubleshooting issues and concerns affecting the department to ensure smooth operations.
Participate in organization and department testing of new or enhancements for all Revenue Cycle applications.
Follow all confidentiality and security policies.

Qualifications

Education: High School Diploma required.
License/Certification: HFMA: CRCR or Litmos Certified Professional Revenue Cycle Master required, or must be obtained within 6 months of employment; must pass exam within 2 attempts to maintain position.
Experience: 1-3 years in Hospital, Medical practice or healthcare with Scheduling, Registration, Insurance verification or billing.

Performance Expectations

Ability to demonstrate competencies as established on the Assessment and Evaluation Tool for this position.

Work Environment

There is a potential for exposure to hazards and risk of the hospital environment, including exposure to infectious disease, hazardous substances, and potential injury. This position requires sitting, standing, walking, stooping and data key entry a majority of the workday. Works with such equipment as computer terminal, fax machine, printer, fax, phone and copier.

Reporting Relationship

This position reports to department leadership.

Total Rewards