Revenue Operations Specialist NonProfit

About the role

AHRC New York City is seeking a Revenue Operations Specialist. The Revenue Operations Specialist is expected to mentor, aide and assist Revenue Operations Coordinators as needed. In addition, the Revenue Operations Specialist will provide back‑up to the Revenue Operations Manager or Clinical Billing Manager as necessary to ensure all billing/posting deadlines are obtained.

Essential Responsibilities

• Serve as super user of the billing software systems and act as a mentor and resource to other team members and department‑based users in development of skill sets and application knowledge.
• Conduct analytical investigation and take necessary action for rejected or denied claims, including submission of appeals, correction and resubmission of claims, secondary billing after primary payer response, or completion of self‑pay billing/write‑off actions.
• Review system aging accounts on a weekly basis to conduct appropriate follow‑up activities.
• Apply analytical strategies to identify inconsistencies or trends in weekly billing and posting activities that may indicate system functionality issues or breakdowns in program/clinic practices affecting billing or collection.
• Collaborate with inter‑agency departments regarding billing, collections, and compliance matters.
• Prepare self‑pay, liability billing, or other forms of vouchers and billing as needed.
• Handle Medicaid, Medicare, and/or Managed Care billing, posting, and reconciliation across multiple billing systems, clearinghouses, and billing portals.
• Work with the compliance department on billing changes, voids, or write‑offs that may be necessary to complete and perform the applicable action.
• Work with management to improve billing practices, guidelines, and department procedures to ensure efficiency, reduce denials, maximize reimbursements, and promote faster payments.
• Assist in training or retraining current and new employees on use of systems and departmental policies and procedures.
• Independently lead initiatives assigned by management and coordinate tasks as necessary to deliver results.
• Perform back‑up duties as defined to cover for vacancies, vacations, extended leaves of absence, or as the department requires to maintain billing deadlines.
• Perform ad‑hoc tasks as assigned.

Qualifications

• Analytical problem‑solving ability to diagnose and troubleshoot root problems with process, payer, and system functionality that impact revenue cycle objectives.
• Associate Degree in Healthcare Administration, Business Administration, or equivalent job‑related experience (Bachelor’s Degree desired).
• Minimum of three years experience in a physician’s office, clinic, hospital business office, or related area dealing with insurance follow‑up and denial management, or two years experience in atypical billing, OPWDD, Medicaid Waiver, Article 16, and/or Article 31 billing and denial management.
• Intermediate to expert‑level experience with Microsoft Word and Excel.
• Strong adaptability to old and new billing …

Pay

Compensation: $55,000‑$60,000 per year plus a very generous and comprehensive benefit package.

Benefits

A very generous and comprehensive benefit package is offered. (See additional benefit information below.)