Revenue Cycle Specialist
We are offering a $1,000 sign on bonus!
Family Service Association is seeking to hiring a full time, 40 hours per week, Revenue Cycle Specialist. Hours are Monday - Friday from 8 a.m. to 5 p.m.
The Revenue Cycle Specialist, reporting to the Director of Financial Services, plays a critical role in managing the financial operations of the organization by overseeing the end-to-end revenue cycle process. This position is responsible for ensuring the accurate and timely processing of patient accounts, from initial point of service through payment receipt. Key responsibilities include reviewing and processing insurance claims, verifying patient insurance information, resolving billing issues, managing denials, and ensuring compliance with healthcare regulations and payer requirements.
Duties and Responsibilities:
- Review all insurance updates, including fee schedules and notify appropriate personnel of changes
- Monitor accounts receivable aging reports and take necessary actions to address overdue accounts
- Verify insurance coverage and eligibility, updating patient accounts as needed
- Contact software vendors to rectify issues within the software
- Process end-stage billing functions, in all systems, including editing deposits, researching failed claims, completing claim and payment approval and following up on any errors or questionable items.
- Follow up on unpaid or denied claims, working with insurance companies to resolve issues, ensure prompt payment, and update billing data based on changes in plan benefits or contract information
- Monitor the status of denials, appeals, and claim errors by using folders/work queues and conducting routine
- Periodic follow up on previously researched claims items. Prepare and sends written appeals when necessary with appropriate documentation
- Review and process all write-offs received from staff
- Respond to reasonable expectations of Agency and/or Supervisor
- Minimum education requirement of an Associate’s Degree or equivalent is required
- This individual requires a detail-oriented, analytical professional with a strong understanding of healthcare billing, coding, and revenue cycle management
- Proficient in Excel
- At least five years of billing and/or electronic medical record systems experience is preferred
- Medical, dental, vision insurance
- Long term disability insurance
- Life insurance
- 403b pension plan
- Flexible spending account
- Three weeks paid vacation
- Twelve paid holidays
- Generous earned sick time
Family Service Association is a comprehensive private, non-profit social service agency dedicated to the development and implementation of services designed to provide strength and support to individuals and families throughout southeastern Massachusetts. Headquartered in Fall River, Family Service Association strives to increase the capacity of individuals and families to cope with the stresses of family life and interpersonal relationships in a positive, productive and health-improving manner. This agency is a leading provider of professional social services in the South Coast region of Massachusetts, with a 135-year tradition of high quality.
Family Service Association is an Equal Opportunity Employer. Make a difference and join our team today!