Revenue Cycle Specialist

Job Requirements Starting Pay Rate: $20.00 hourly Join our team and help keep healthcare running smoothly behind the scenes! 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. What you will do as a Revenue Cycle Specialist 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. Who We Are 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. Requirements and Experience To be successful as a Revenue Cycle Specialist you'll need: 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. What we value Positivity – Team members who are passionate to learn, energetic to hit the ground running and willing to grow in a professional, team-oriented environment with a focus on guest service. Growth Opportunities – We offer a successful journey, including hands-on training and support to advance your career. Empowerment – We believe in our team members. With learning opportunities, career growth potential and recognition of outstanding performance, we encourage our team to take pride in their work. Benefits Why choose Turning Stone Enterprises? 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 Why You Will Appreciate Us At Turning Stone Enterprises, we prioritize the well-being and professional growth of our team members by offering an extensive array of benefits. From comprehensive medical, dental, and vision plans to a 401(k) and life insurance, we ensure your health and financial security. Our work-life balance support includes paid time off, paid holidays, and team member assistance programs. We’re also committed to wellness, with various programs and an upcoming 5,000-square-foot onsite medical center. With over 4,500 team members across Central New York, we focus on delivering exceptional experiences for both our guests and staff. Our resources include training programs, complimentary shuttles, and career development initiatives, helping you reach your professional goals. Whether you're starting your career or advancing it, join us for a rewarding journey of growth and success at Turning Stone Enterprises. We look forward to welcoming you to our team! #LI-DNI #J-18808-Ljbffr