Village Medical қолжетімді әрі жекелендірілген бастапқы медициналық көмек көрсетуге бағытталған, әсіресе 65 жастан асқан ересектерге ерекше көңіл бөлетін медициналық қызмет көрсетуші ұйым. Оның медициналық көмек көрсету үлгісі үйлестірілген топтар мен жеке күтім жоспарлары қолдайтын клиникадағы, үйдегі және виртуалды қабылдауларды біріктіреді. Village Medical 680-ден астам жерде, соның ішінде көптеген Walgreens дүкендерінің ішінде жұмыс істейді және қабылдаулар мен рецепттерді басқаруға арналған цифрлық құралдарды ұсынады. Компания денсаулық сақтау және медициналық сақтандыру салаларында жұмыс істейді әрі Medicare Advantage қоса алғанда, сақтандыру жоспарларының көпшілігін қабылдайды.
Revenue Cycle Specialist – New York Remote
Village Medical is seeking a Revenue Cycle Specialist to resolve patient-account discrepancies across its connected healthcare network. The role focuses on payment research, refunds, reconciliations, and Athenahealth worklists.
Сипаттама
- Investigate and correct payment discrepancies and account variances to maintain accurate balances and payment applications
- Manage assigned Athenahealth worklists by reviewing patient accounts and selecting resolutions based on payment, adjustment, and account activity
- Research unapplied, misapplied, unidentified, and unallocated payments, applying corrections when appropriate
- Review and issue patient and insurance refunds in line with department policies and regulatory requirements
- Validate deposits and reconcile payment activity using bank and payer portals, internal reports, and related systems
- Gather remittance details and supporting records needed for payment research and account resolution
- Use Athenahealth as the primary workflow system, with Tableau and LK Oasis supporting account analysis and research
- Monitor and answer department communications, including shared mailboxes, within established service-level expectations
- Track recurring payment and account issues and share trends, workflow obstacles, and improvement opportunities with leadership
- Partner with Revenue Cycle teams, vendors, payers, and other stakeholders to resolve account issues
- Contribute to audits, special projects, process improvements, and cross-functional department work as assigned
- Meet established productivity, quality, and accuracy expectations
- Protect Protected Health Information (PHI) by following HIPAA, company policies, and confidentiality requirements
Талаптар
- High school diploma, GED, or equivalent qualification
- At least one year of experience in healthcare revenue cycle, medical billing, payment posting, payment reconciliation, refunds, banking, accounting, collections, or a related area
- Strong analytical and problem-solving abilities
- Ability to interpret payment activity, spot discrepancies, and determine suitable resolutions
- Working proficiency with Microsoft Office, including Excel and Outlook
- Clear and effective written and verbal communication skills
- Highly organized with careful attention to detail
- Ability to prioritize competing work, manage multiple assignments, and meet deadlines
- Capacity to work independently while contributing effectively to a collaborative team
- Commitment to quality, accuracy, and ongoing process improvement
- Ability to communicate effectively in a virtual work environment
Артықшылықтар
- Medical insurance
- Dental insurance
- Life insurance
- Disability insurance
- Vision insurance
- Flexible spending account (FSA)
- 401(k) savings plan