Revenue Operations Specialist - Non-Profit
Core
Mentor Revenue Operations Coordinators and provide backup to managers to ensure billing deadlines are met across multiple billing systems.
Role type
Revenue Operations Specialist (billing & denial management)
Builds
Billing cycles, payment postings, and appeals for clients at AHRC NYC
Domain
Non-profit healthcare / Medicaid & Medicare billing
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Analytical problem solving, denial management, Medicaid/Medicare billing, Microsoft Excel/Word, system troubleshooting, compliance adherence
Preferred skills
Bachelor's degree in Healthcare/Business Administration, experience in physician office/clinic/hospital billing
Technologies
Multiple billing software systems, external payer portals, government sites
Responsibilities
Submit appeals for denied claims, correct and resubmit claims, review system aging accounts, identify billing inconsistencies, collaborate on compliance matters, prepare self-pay vouchers, train employees on systems and policies, lead assigned initiatives, perform backup duties
Seniority
Mid-level, hands-on IC