Revenue Cycle Spec, Remittance & Credits - REMOTE

Overview

Title: Revenue Cycle Specialist, Remittance & Credits - Remote

Location: Remote

Work Days: Monday - Friday

Weekly Hours: 35.00

Exemption Status: Non-Exempt

Salary Range: $29.15 - $35.00 per hour (Salary range applicable for NYC offices as required under NYC Human Rights Law Int 1208-2018)

Position Summary

This role is responsible for senior-level functions related to remittance and credit resolution within the payment posting unit. The position is fully remote.

Responsibilities

• Process and handle all bulk electronic remittance payment files for medical and imaging practices.
• Resolve edits and credit work queues associated with remittance payment files.
• Perform reconciliatory duties related to remittance payment files.
• Maintain remittance audit tracking logs for all EFT payment sources across departments.
• Review accounts receivable for credit and debit posting discrepancies and determine appropriate resolution actions.
• Research posting inquiries and assist in gathering required documentation from EPIC, bank applications, and insurance portals.
• Review registration, demographic, and insurance eligibility issues to allocate payments, credits, and balance billing appropriately.
• Notate and report inconsistent or invalid financial transactions; monitor payment patterns and alert management to deviations.
• Process credit card authorizations received from PCI bank lock boxes.
• Handle incoming chargebacks, returned/unpaid items, bank adjustments, domestic and international wire transfers, interinstitutional transactions, research, global contracts, and specialized agreements.
• Assist in training current and new employees on systems and departmental policies and procedures.
• Perform other related duties as required.

Education

• High School Diploma required.

Experience

• Approximately 3 years of medical billing experience.
• Knowledge of medical terminology.
• Working knowledge of third-party payor reimbursement including Medicare, Medicaid, Managed Care, and Commercial Insurance.
• Experience maintaining a secured remote workspace compliant with HIPAA regulations for handling Protected Health Information (PHI).
• Previous office setting experience.
• Ability to work independently and maintain confidential and professional relationships.
• Limited in-office training and developmental sessions may be required.

Knowledge, Skills, and Abilities

• Excellent oral and written communication and interpersonal skills.
• Strong critical thinking and analytical skills.
• Proficiency with Microsoft Office Suite.
• Ability to function independently, exercise judgment, and organize work effectively.
• Ability to multitask and prioritize in a fast-paced environment.
• Knowledge of medical billing and coding.
• Experience using Epic or other Electronic Medical Records (EMR) systems.

Working Conditions / Physical Demands

• Adherence to institutional and departmental policies, objectives, and quality standards.
• Compliance with patient confidentiality, HIPAA, and PHI handling requirements, including maintaining a secured remote workspace.
• Mandatory overtime may be required to meet departmental needs at month-end.
• Limited in-office training and productivity sessions may be necessary.

Equal Opportunity Statement

The employer is committed to equal employment opportunity and does not discriminate based on legally protected statuses including race, ethnicity, citizenship, color, sex, pregnancy, age, creed, religion, disability, military or veteran status, sexual orientation, gender identity, genetic information, domestic violence victim status, familial or marital status, or any other characteristic protected by law. Candidates from historically underrepresented or marginalized groups are encouraged to apply.

Location

Remote position with potential salary range applicable for NYC-based employees.