Revenue Cycle Specialist—Full Cycle
MAX Surgical Specialty Management · Parsippany, NJ · 3 wk ago
HybridFull-time
We need to output HTML fragment with sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. We must not repeat job title. Must not include Job ID etc. Remove boilerplate like EEO, AI statement, etc. Must preserve all substantive info.
We need to parse the posting.
Job description: "Join Max Surgical Specialty Management ... as a Revenue Cycle Specialist—Full Cycle." That's the role description. We'll have an About the role section maybe summarizing that.
Responsibilities: The bullet list under "What You'll Do:" includes many items. We'll put them in
- . Requirements: maybe "High School Diploma required, Medical Billing and/or Coding Certification highly preferred" etc. Also "3+ years of hands-on experience in healthcare revenue cycle management, with a proven track record of optimizing processes". Also "Proficient in all Microsoft Office applications as well as medical office software". Also "Proven experience in healthcare billing". Also "Sound knowledge of health insurance providers". Also "Strong interpersonal and organizational skills". Also "Excellent customer service skills". Also "The ability to work in a fast-paced environment". Could be split into Requirements, Qualifications, Skills. But we need to decide which sections to include based on content. We have "What You’ll Bring:" which includes qualifications/requirements/skills. Could map to Requirements (education, experience), Qualifications (certifications), Skills (technical, interpersonal). But we can also combine. We have "Perks of the Job:" which includes benefits: competitive salaries, health insurance, 401k, PTO, career growth. That's Benefits section. Pay: Not explicitly stated beyond "Highly competitive salaries". That's vague; we should not create Pay section unless posting actually states them. It says "Highly competitive salaries & annual performance and compensation reviews". That's somewhat specific? It's still vague but mentions salaries. The instruction: never create Pay/Schedule/Benefits sections unless the posting actually states them. It does state "Highly competitive salaries & annual performance and compensation reviews". That is mention of salary/compensation. So we could include a Pay section with that sentence. However we also have Benefits section already covering health insurance, 401k, PTO, career growth. The Pay section could be just that sentence. Schedule: Not mentioned. No schedule info. So we should not create Schedule section. Thus sections: About the role, Responsibilities, Requirements (maybe education+experience), Qualifications (certification?), Skills (technical & interpersonal), Benefits, Pay. We need to avoid filler like "commensurate with experience". Not present. We must not repeat job title as heading. We must output only HTML fragment, no /, no markdown fences. Let's craft. About the role: a paragraph describing the role: "Join Max Surgical Specialty Management ... as a Revenue Cycle Specialist—Full Cycle. Responsible for end-to-end revenue cycle management for assigned offices, including insurance processing, claims submission, denial management, patient coordination, etc." But we must preserve all substantive information; we can summarize but not invent or summarize away detail. The instruction: "Preserve ALL substantive information; do NOT invent or summarize away detail." That means we should not omit details; we can rephrase but must keep all info. Summarizing may be okay if we keep all details? It's ambiguous. Safer to keep the details as list items under Responsibilities, and About the role can be a short paragraph that captures the essence but not omit details. However we risk losing some detail if we paraphrase. But we can include a brief overview that doesn't omit any specifics; the specifics are in Responsibilities list. So About the role can be a brief description: "The Revenue Cycle Specialist—Full Cycle manages the full revenue cycle process for assigned offices, ensuring clean claims submission, handling denials, coordinating payments, and supporting clinical and administrative teams." That's derived from the posting but not omitting any specifics? It's a summary but still captures the gist. Might be acceptable. Responsibilities: list each duty from "What You'll Do:" as
- . Need to ensure we include all items. Let's extract list: - Review all patient insurance information needed to complete the billing, collections, appeal, and/or cash processes to ensure clean claims submission to insurance carriers - Review all charges, coding and prepare for claims for electronic submission - Work error reports from clearing house - Obtain required attachments for claims submission from various EMR’s - Resolve billing discrepancies and claim denials through follow-up with insurance companies - Review and interpret dental EOBs (Explanation of Benefits), including patient deductibles, co-pays, and insurance/third-party correspondence - Research and navigate insurance policies, benefits, and exclusions to provide accurate information to patients & management team - Monitor outstanding claims and follow up with insurances to ensure timely payments - Follow up to all third-party payers and self-pay accounts documenting appropriate information thoroughly on accounts - Demonstrate a professional image in dealing with the public, patients, clinical offices, and insurance carriers - Review credit-balance accounts on a weekly basis - Submit corrected claims or appeals to insurances carrier for both Medical & Dental - Perform appropriate adjustments, when required - Gather payor trends and provide feedback to management - Identify and resolve specific coding issues, providing feedback to management - Work with internal revenue cycle and administrative teams to identify and manage 3rd party payor denials, overpayment, and underpayment issues - Contact patients regarding coordination of benefits, insurance payments mailed to patient, and outstanding patient balance - Communicate with leadership, patients, and insurance representatives to clarify billing discrepancies - Communicate with healthcare providers, patients, and insurance representatives to clarify billing duplicates? Actually there are two similar lines: "Communicate with leadership, patients, and insurance representatives to clarify billing discrepancies" and "Communicate with healthcare providers, patients, and insurance representatives to clarify billing discrepancies". We'll keep both as separate items (they are slightly different audience). - Perform any and all other duties as assigned We'll keep them. Requirements: Education and experience: "High School Diploma required, Medical Billing and/or Coding Certification highly preferred", "3+ years of hands-on experience in healthcare revenue cycle management, with a proven track record of optimizing processes". Also maybe "Proven experience in healthcare billing" (but that's similar to experience). We'll include. Qualifications: Could be certifications? But we already mentioned certification highly preferred. Could treat as Qualifications: "Medical Billing and/or Coding Certification". But we already have it in Requirements. Might be redundant. Perhaps better to have Requirements (education + experience) and Skills (technical & interpersonal). The "What You’ll Bring:" list includes: High School Diploma required, Medical Billing and/or Coding Certification highly preferred, 3+ years of hands-on experience..., Proficient in all Microsoft Office applications as well as medical office software, Proven experience in healthcare billing, Sound knowledge of health insurance providers, Strong interpersonal and organizational skills, Excellent customer service skills, The ability to work in a fast-paced environment. We could split: Requirements: Education & Experience (HS diploma, certification preferred, 3+ years experience). Qualifications: maybe none left? Or we could treat Qualifications as "Medical Billing and/or Coding Certification". But we already have certification in Requirements. Could combine. Better: Have sections: About the role, Responsibilities, Requirements (education + experience), Skills (technical & interpersonal), Benefits, Pay. We need to include "Proficient in all Microsoft Office applications as well as medical office software", "Sound knowledge of health insurance providers", "Strong interpersonal and organizational skills", "Excellent customer service skills", "Ability to work in a fast-paced environment". Those are skills. Thus: Requirements: - High School Diploma required - Medical Billing and/or Coding Certification highly preferred - 3+ years of hands-on experience in healthcare revenue cycle management, with a proven track record of optimizing processes - Proven experience in healthcare billing (maybe redundant but we can keep) Skills: - Proficient in all Microsoft Office applications as well as medical office software - Sound knowledge of health insurance providers - Strong interpersonal and organizational skills - Excellent customer service skills - Ability to work in a fast-paced environment Benefits (from Perks): - Highly competitive salaries & annual performance and compensation reviews (maybe this is Pay, but we can include in Benefits? Actually it's compensation. We'll treat as Pay section.) - Competitive health insurance and benefits, including medical, dental, vision, disability, and more - 401k retirement savings plan that includes employer match - Generous Paid Time Off, sick leave, and paid holidays - Advance your career growth with opportunities in the most extensive growing oral surgery practice in the Northeast Pay: - Highly competitive salaries & annual performance and compensation reviews But we have duplication: The salary line appears both in Benefits and Pay. Better to put salary line only in Pay, and other items in Benefits. Thus Benefits: - Competitive health insurance and benefits, including medical, dental, vision, disability, and more - 401k retirement savings plan that includes employer match - Generous Paid Time Off, sick leave, and paid holidays - Advance your career growth with opportunities in the most extensive growing oral surgery practice in the Northeast Pay: - Highly competitive salaries & annual performance and compensation reviews Now About the role paragraph: we can write: "The Revenue Cycle Specialist—Full Cycle manages the end‑to‑end revenue cycle process for assigned offices, ensuring clean claims submission, handling denials, coordinating payments, and supporting clinical and administrative teams." Check if any substantive info omitted: The posting also mentions "As an Insurance Processor, you will be an integral part of the RCM team as well as each office you support." That's part of role. We could incorporate: "As an Insurance Processor, you will be an integral part of the RCM team and each office you support." Add to About the role. Thus About the role: "As an Insurance Processor, you will be an integral part of the RCM team and each office you support. The Revenue Cycle Specialist—Full Cycle manages the end‑to‑end revenue cycle process for assigned offices, ensuring clean claims submission, handling denials, coordinating payments, and supporting clinical and administrative teams." Now we need to ensure we didn't miss any duty: Let's double-check the list from posting: - Review all patient insurance information needed to complete the billing, collections, appeal, and/or cash processes to ensure clean claims submission to insurance carriers - Review all charges, coding and prepare for claims for electronic submission - Work error reports from clearing house - Obtain required attachments for claims submission from various EMR’s - Resolve billing discrepancies and claim denials through follow-up with insurance companies - Review and interpret dental EOBs (Explanation of Benefits), including patient deductibles, co-pays, and insurance/third-party correspondence - Research and navigate insurance policies, benefits, and exclusions to provide accurate information to patients & management team - Monitor outstanding claims and follow up with insurances to ensure timely payments - Follow up to all third-party payers and self-pay accounts documenting appropriate information thoroughly on accounts - Demonstrate a professional image in dealing with the public, patients, clinical offices, and insurance carriers - Review credit-balance accounts on a weekly basis - Submit corrected claims or appeals to insurances carrier for both Medical & Dental - Perform appropriate adjustments, when required - Gather payor trends and provide feedback to management - Identify and resolve specific coding issues, providing feedback to management - Work with internal revenue cycle and administrative teams to identify and manage 3rd party payor denials, overpayment, and underpayment issues - Contact patients regarding coordination of benefits, insurance payments mailed to patient, and outstanding patient balance - Communicate with leadership, patients, and insurance representatives to clarify billing discrepancies - Communicate with healthcare providers, patients, and insurance representatives to clarify billing discrepancies - Perform any and all other duties as assigned We'll include all. Now format HTML. We'll use maybe not required; just