Skip to content

Revenue Cycle Specialist

Employers
Members of the Nashoba Valley Chamber are provided the opportunity to post unlimited job openings at no fee. Click HERE to post your job or contact the Chamber office for assistance.

Non-members can post a job for a nominal fee. Contact the Chamber office for assistance.

 

Job Seekers

Sign up for job alerts

Click HERE to be added to our monthly email of current job postings.

Posted: 04/12/2020

Location: Ayer, MA Department: Finance

The Revenue Cycle Specialist supports the finance organization with various duties related to billing and collection of customer accounts. The position also acts as a patient-focused liaison to assist customers with access to our products through the referral process. This position requires the ability to interact professionally with patients, insurance companies, institutions (including state programs, clinics, and other health professionals), as well as Cambrooke employees. The Revenue Cycle Specialist must be able collect and disseminate information relative to the company’s operating procedures and goals.

This position is in the Corporate office in Ayer, MA. The core hours of operation are 8:30 am to 5:30 pm.

Examples of Work Performed
  • Ensure Cambrooke has necessary documentation to start the referral process.
  • Contact healthcare professionals, state agencies, and payers (insurance companies) for clinical documents, eligibility, benefits, authorization, and any other items to ensure payment on an as needed basis (e.g., when authorization expires).
  • Provide assistance and guidance for patient(s) and their families working through eligibility and prior authorization process with payers.
  • Make and receive calls regarding the CAMBROOKEcare process.
  • Work with Pharmacy Benefit Managers (PBM) and Durable Medical Equipment companies to ensure that patient(s) and their families can obtain the formula and medical foods they require.
  • Billing insurance 3rd party and institutions.
  • Processing of cash receipts and creation of deposits.
  • Research and resolution of internal and external credit clients’ billing queries.
  • Collection calls with insurance and institutions.
  • Filing and e-filing of A/R.
  • Interacting with Client Services and Reimbursement team to resolve or avoid issues.
  • Assisting with month end/year end close and reporting.
  • Work collaboratively with client services and regional sales teams.
  • Maintain medical records in compliance with HIPAA rules and regulations.
  • Adhering to all company SOPs with regards quality and safety.
  • Other duties as assigned.
Minimum Qualification Requirements

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Must be results and people-orientated having the ability to balance business and relationship considerations.
  • Ability to get along with diverse personalities at all organizational levels; tactful, mature and flexible.
  • Ability to perform multi-faceted projects in conjunction with day-to-day activities.
  • Ability to think analytically and to assist with new initiatives which support and enhance the organizational mission and values.
  • Ability to successfully function and manage workflow during high volume, critical situations. Ability to take proactive steps to prepare for critical situations.
  • Working knowledge of commercial and state payers claim processing and procedures (including Medicare, Medicaid and WIC).
  • Compassionate and drive to ensure patient(s) and their families receive optimal coverage, so they can receive Cambrooke products with the least financial impact on them.
  • Strong team player with excellent written and verbal skills.
  • Ability to work in a seated position for 8 hours daily.
  • Ability to utilize a telephone, headset, and computer.
  • Detailed oriented with a strong mathematical aptitude.
  • Punctuality, a strong work ethic, and an eagerness to share and communicate with the Cambrooke team are required.
Education and/or Experience
  • Minimum High School Diploma or equivalent; College degree a plus.
  • 2 years work experience in medical billing, eligibility, authorization, and interaction with payers.
  • Understanding of HCSPC and ICD10 coding.
  • Working knowledge of commercial and state payers claim processing and procedures (including Medicare, Medicaid, and WIC).
  • Experience in an Accounting/Finance position.
  • Advanced proficiency in Microsoft Word, PowerPoint, and Outlook.
  • Detailed oriented with a strong mathematical aptitude.
  • Must maintain information security with regard to all company’s proprietary information.
  • Knowledge of SalesForce a plus.

Scroll To Top