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About the Role
As our Revenue Cycle Specialist, you'll play a vital role in ensuring accurate billing, timely collections, and seamless coordination with third-party payers, making a meaningful impact on both our patients and our organization.
Responsibilities
- Submits claims to Third Party Billing vendors for third party and government insurances.
- Posts payments received from third party and government insurances.
- Reviews Clearinghouse for clean claim submission.
- Applies necessary payment adjustments as they apply to Health Center patients/clients.
- Follows-up on outstanding claims for payments.
- Works with insurance companies on behalf of the clients regarding billing and insurance issues.
- Reviews claim submission status report and makes any necessary changes or corrections.
- Maintains an accurate year to date log of the number of claims submitted and total dollar amount of charges billed; submits monthly reports to Revenue Cycle Manager.
- Monitors outstanding AR and provides detailed monthly collection reports to Revenue Cycle Manager.
- Verifies accuracy of billing data and corrects any errors.
- Assists front desk staff with patient’s eligibility verification.
- Adheres to all Oneida Indian Nation Health Center services security and confidentiality policies and procedures in regards to all daily job functions and receives annual up-date training regarding each area.
- Performs other duties as assigned.
Requirements
- High school diploma.
- Two to three years’ experience in a medical billing or insurance office.
- Must be familiar with Medicare and Medicaid Billing, including their reimbursement rates and guidelines.
- Ability to understand the varying complexities of medical billing; this extends to different types of insurance plans and government assigned programs.
- Experience with Accounts Receivable and Collections.
- Must be familiar with Electronic Medical Records (EMR).
- Must have a working knowledge of CPT and ICD-9 coding.
- Computer experience to include Microsoft Word and Excel.
- Strong communication skills.
- Strong logistical skills, along with industry standard computer software literacy and a firm understanding of medical legality performed.
- Ability to stand/walk for long periods of time and lift up to 0 - 10 pounds.
Skills
- Microsoft Word
- Microsoft Excel
- Communication skills
- Logistical skills
- Industry standard computer software literacy
- Medical legality understanding
Experience Level
- Two to three years’ experience
Education Level
- High school diploma
Salary/Compensations
- $20.00 hourly
Benefits
- Paid weekly
- Variety of schedules
- Paid time off
- Tuition assistance
- Career-building professional development
- Discounts from dining to fuel to concerts
- Team Member appreciation events
- Quality healthcare and dental benefits
- A robust 401k retirement plan
- Dealer School
- Finance Scholarship Program
- Comprehensive medical, dental, and vision plans
- 401(k)
- Life insurance
- Paid holidays
- Team member assistance programs
- Wellness programs
- Upcoming 5,000-square-foot onsite medical center
- Training programs
- Complimentary shuttles
- Career development initiatives
About the Company
- We are Turning Stone Enterprises, a dynamic organization with a diverse range of business operations.
- Among our prominent offerings is the Turning Stone Resort Casino, which has received the prestigious Best of New York Gaming Resort award for an impressive six consecutive years.
- Complementing this flagship property, we operate satellite casinos like YBR Casino & Sports Book, Point Place Casino Hotel, and The Lake House at Sylvan Beach.
- Beyond gaming and hospitality, our portfolio also includes convenience stores, three 18 hole PGA-level golf courses, and other unique ventures.