Revenue Cycle Specialist
New Paltz, New York•Full-time
$19 - $21 hourly
$19 - $21 hourly
About the Job
Revenue Cycle Specialist – New Paltz, NY
Location: New Paltz, NY
Employment Type: Full-time
Pay: $19.00 – $21.00/hour
Employment Type: Full-time
Pay: $19.00 – $21.00/hour
Position Overview:
We are seeking a Revenue Cycle Specialist to join our team at a non-profit organization operating a network of federally qualified health centers (FQHCs) dedicated to ensuring access to healthcare for all. Services include primary care, behavioral health, specialty care, and health education and advocacy.
In this role, you'll support revenue cycle management — assisting with billing, collections, and accounts receivable — to help keep care accessible to the community.
Why You'll Love Working Here:
- Competitive pay of $19.00–$21.00/hour.
- Full-time schedule.
- A collaborative, supportive federally qualified health center environment.
- Meaningful, mission-driven work improving patient outcomes and healthcare access.
Qualifications:
- High school diploma or GED required; Associate's in Business, Accounting, or Healthcare preferred.
- Medical Billing & Coding or Medical Administrative Assistant certification preferred.
- Minimum 3–6 months of related business-office experience.
- Basic understanding of medical billing and collections.
- Knowledge of CPT and ICD-10 coding.
- Proficiency in data entry and office software; familiarity with EHR (Epic preferred).
- Strong communication, attention to detail, ability to manage multiple priorities, customer-service orientation, and discretion with confidential information.
Responsibilities:
The Revenue Cycle Specialist supports senior staff in facilitating the collection of accounts receivable, performing administrative, data-entry, and customer-service duties in line with department and organizational policies.
- Maintain a complete understanding of designated accounts and ensure smooth A/R operations through proper follow-up.
- Review and process daily correspondence and Explanation of Benefits; post payments and denials accurately.
- Provide clerical support to senior representatives (paper claims, appeals spreadsheets, data maintenance).
- Communicate needed changes to management to facilitate collections.
- Manage assigned Aged Accounts Receivable via work queues and reports to ensure timely processing.
- Verify eligibility and enter patients' personal/insurance information as needed.
- Respond to phone, mail, email, and Epic CRM inquiries from patients, providers, and payers regarding balances.
- Coordinate with other departments, insurance companies, medical professionals, and patients.
- Identify claims-denial issues and escalate to the billing manager promptly.
- Maintain familiarity with fee schedules and annual CPT/ICD-10 coding updates.
- Review printed claim forms for accuracy; submit electronic claim and/or patient statement files as assigned.
- Post charges or payments as assigned; facilitate collection of patient balances.
- Support new-staff orientation and special projects as needed.
- Participate in performance-improvement activities.
- Maintain patient/employee confidentiality and observe all compliance policies.