Stony Brook University
Job Description - Revenue Specialist (2503737)
Position Summary At Stony Brook Medicine, a Revenue Specialist will provide operational support within the hospital’s Patient Accounting Department. The position will support day-to-day business functions including but not limited to billing, claims analysis appeals, follow‑up, financial assistance and customer service.
Duties
Prepare and submit hospital claims; review denials; investigate coding issues; audits.
Follow‑up on rejected or denied claims, improper payments and coding issues.
Process appeals.
Liaise with third‑party billing and collection agencies.
Identify issues and patterns with claims/insurance companies and review to increase revenue and prevent unnecessary denials.
Assist the supervisor in scheduling, timesheet, leave requests, performance programs and evaluations.
Assist the supervisor in training and make recommendations to improve policy and procedures for the unit as well as the office.
Investigate and accurately update COB, including refund request letters, reports, mail, etc.
Other duties as assigned.
Qualifications Required:
Bachelor’s degree in Accounting, Business, Health Information Management or related field with a minimum of 6 months business experience, preferably in a healthcare setting; or an Associate’s degree and at least 6 months of business experience, preferably in revenue cycle, medical billing or follow‑up; or, in lieu of a degree, at least 2 years of business experience, preferably in revenue cycle, medical billing or follow‑up.
Excellent written and oral communication skills.
Proficiency with Microsoft Office.
Preferred:
Experience investigating, reviewing, and following up on rejected and denied insurance claims and/or experience using claims scrubber systems.
Experience with inpatient and outpatient billing requirements (UB‑04/837i) and/or CMS Medicare and New York Medicaid reimbursement methodologies.
Knowledge of third‑party payer reimbursement and managed care contracts.
Experience investigating, reviewing and following‑up on rejected/denied inpatient and outpatient hospital claims.
Knowledge of CPT, HCPCS and ICD‑10 coding principles.
Experience with Cerner Invision and/or Cerner Millennium Patient Accounting.
Experience in Insurance Verification.
Experience working in Medicare FSS DDE system.
Please Note:
Verification of degree (e.g., diploma or official transcript) is required for this role. Upload of documentation must be included with your application for consideration.
Special Notes
Resume/CV should be included with the online application.
Posting Overview This position will remain posted until filled or for a maximum of 90 days. An initial review of all applicants will occur two weeks from the posting date. Candidates are advised that for full consideration, applications must be received before the initial review date (within two weeks of the posting date). If no candidate is selected during the initial review, additional applications will be considered for the posted position; however, the posting will close once a finalist is identified, and at a minimum, two weeks after the initial posting date. Please note, if no candidate is identified and hired within 90 days from initial posting, the posting would close for review, and possibly reposted at a later date.
Pre‑Employment Requirements
Successfully complete pre‑employment physical examination and obtain medical clearance from Stony Brook Medicine's Employee Health Services.
Complete electronic reference check with a minimum of three (3) professional references.
Successfully complete a 4‑panel drug screen.
Meet regulatory requirements for pre‑employment screenings.
Provide a copy of any required New York State license(s)/certificate(s).
Failure to comply with any of the above requirements could result in a delayed start date and/or revocation of the employment offer.
EEO Statement Stony Brook University is committed to excellence in diversity and the creation of an inclusive learning and working environment. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, pregnancy, familial status, sexual orientation, gender identity or expression, age, disability, genetic information, veteran status and all other protected classes under federal or state laws.
Anticipated Pay Range The salary range (or hiring range) for this position is $49,683 – $60,563 per year. The specific salary offer will be based on the candidate’s validated years of comparable experience. Any efforts to inflate or misrepresent experience are grounds for disqualification from the application process or termination of employment if hired.
#J-18808-Ljbffr
Position Summary At Stony Brook Medicine, a Revenue Specialist will provide operational support within the hospital’s Patient Accounting Department. The position will support day-to-day business functions including but not limited to billing, claims analysis appeals, follow‑up, financial assistance and customer service.
Duties
Prepare and submit hospital claims; review denials; investigate coding issues; audits.
Follow‑up on rejected or denied claims, improper payments and coding issues.
Process appeals.
Liaise with third‑party billing and collection agencies.
Identify issues and patterns with claims/insurance companies and review to increase revenue and prevent unnecessary denials.
Assist the supervisor in scheduling, timesheet, leave requests, performance programs and evaluations.
Assist the supervisor in training and make recommendations to improve policy and procedures for the unit as well as the office.
Investigate and accurately update COB, including refund request letters, reports, mail, etc.
Other duties as assigned.
Qualifications Required:
Bachelor’s degree in Accounting, Business, Health Information Management or related field with a minimum of 6 months business experience, preferably in a healthcare setting; or an Associate’s degree and at least 6 months of business experience, preferably in revenue cycle, medical billing or follow‑up; or, in lieu of a degree, at least 2 years of business experience, preferably in revenue cycle, medical billing or follow‑up.
Excellent written and oral communication skills.
Proficiency with Microsoft Office.
Preferred:
Experience investigating, reviewing, and following up on rejected and denied insurance claims and/or experience using claims scrubber systems.
Experience with inpatient and outpatient billing requirements (UB‑04/837i) and/or CMS Medicare and New York Medicaid reimbursement methodologies.
Knowledge of third‑party payer reimbursement and managed care contracts.
Experience investigating, reviewing and following‑up on rejected/denied inpatient and outpatient hospital claims.
Knowledge of CPT, HCPCS and ICD‑10 coding principles.
Experience with Cerner Invision and/or Cerner Millennium Patient Accounting.
Experience in Insurance Verification.
Experience working in Medicare FSS DDE system.
Please Note:
Verification of degree (e.g., diploma or official transcript) is required for this role. Upload of documentation must be included with your application for consideration.
Special Notes
Resume/CV should be included with the online application.
Posting Overview This position will remain posted until filled or for a maximum of 90 days. An initial review of all applicants will occur two weeks from the posting date. Candidates are advised that for full consideration, applications must be received before the initial review date (within two weeks of the posting date). If no candidate is selected during the initial review, additional applications will be considered for the posted position; however, the posting will close once a finalist is identified, and at a minimum, two weeks after the initial posting date. Please note, if no candidate is identified and hired within 90 days from initial posting, the posting would close for review, and possibly reposted at a later date.
Pre‑Employment Requirements
Successfully complete pre‑employment physical examination and obtain medical clearance from Stony Brook Medicine's Employee Health Services.
Complete electronic reference check with a minimum of three (3) professional references.
Successfully complete a 4‑panel drug screen.
Meet regulatory requirements for pre‑employment screenings.
Provide a copy of any required New York State license(s)/certificate(s).
Failure to comply with any of the above requirements could result in a delayed start date and/or revocation of the employment offer.
EEO Statement Stony Brook University is committed to excellence in diversity and the creation of an inclusive learning and working environment. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, pregnancy, familial status, sexual orientation, gender identity or expression, age, disability, genetic information, veteran status and all other protected classes under federal or state laws.
Anticipated Pay Range The salary range (or hiring range) for this position is $49,683 – $60,563 per year. The specific salary offer will be based on the candidate’s validated years of comparable experience. Any efforts to inflate or misrepresent experience are grounds for disqualification from the application process or termination of employment if hired.
#J-18808-Ljbffr