1,324 Revenue Cycle Management jobs in the United States

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000 colleagues serve people in more than 160 countries.

Working at Abbott

At Abbott, you can do work that matters, grow, and learn, care for yourself and family, be your true self and live a full life. You’ll also have access to:

• Career development with an international company where you can grow the career you dream of.
• Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar year.
• An excellent retirement savings plan with high employer contribution
• Tuition reimbursement, the Freedom 2 Save student debt program and FreeU education benefit - an affordable and convenient path to getting a bachelor’s degree.
• A company recognized as a great place to work in dozens of countries around the world and named one of the most admired companies in the world by Fortune.
• A company that is recognized as one of the best big companies to work for as well as a best place to work for diversity, working mothers, female executives, and scientists.

The Opportunity

This position works out of our Livermore, CA location in the Heart Failure division.

As the Manager, Revenue Cycle Management you will lead and manage the company’s healthcare cash posting process within Revenue Cycle management team on EMR, including leading payor EDI enrollments and lockbox communications. This is a role that will support the company in meeting its financial and strategic goals but must also be comfortable operating in the day-to-day details. Additional responsibilities include recruiting, training, developing, and managing inhouse on-shore , off-shore team.

What You’ll Work On

• Lead and manage the company’s healthcare cash posting and lockbox activities , including Medicaid, Medicare, Managed Care, and third-party payors transactions on multiple EMR’s and other applications
• Ensure all revenue cycle activities comply with federal, state, and payer regulations, including HIPAA and other applicable standards in cash transactions.
• Lead payment review processes, oversee compliance with insurance payment regulations and payer requirements.
• Support organizational audits and financial reviews while upholding the highest standards of ethical practices.
• Lead in terms of setting up EMR systems, as well as a strong capacity to implement Payor & Billing, cash posting “set-up” rules and logic within an EMR system. Trouble shoot large 835 transaction related isues.
• Experience in working on any of the EMRs like Brightree, Xifin, Epic/ Cerner and others
• General ledger maintenance, financial analysis, reporting, and compliant cash posting management consistently
• Strong understanding of healthcare revenue cycle processes, payer regulations, and compliance requirements. NY CDPAP experience or FMS/self-direction experience in revenue cycle with another vendor or MCO/State Medicaid Agency
• Provide regular updates to executive leadership on revenue cycle performance, financial health and KPI’s of Revenue Cycle management
• Lead, direct, evaluate, and develop a team of cash posting professionals to ensure accounting activities are completed accurately and on time.

Required Qualifications

• Associates Degree in Health Care administration, Finance/Accounting, or related field. Or equivalent years of experience.

• Minimum 7 years in relevant experience

• Revenue cycle experience

• Cash posting and reconciliation experience

Preferred Qualifications

• Preferred HFMA or other Revenue Cycle license or certificate

• Masters Degree (± 18 years) MBA, CPA, CMA

• Knowledge of Accounting & Finance

Apply Now

Learn more about our health and wellness benefits, which provide the security to help you and your family live full lives:

Follow your career aspirations to Abbott for diverse opportunities with a company that can help you build your future and live your best life. Abbott is an

Equal Opportunity Employer, committed to employee diversity.

Connect with us at on Facebook at and on Twitter @AbbottNews.

The base pay for this position is $112,000.00 – $224,000.00. In specific locations, the pay range may vary from the range posted.

**Extraordinary Careers. Endless Possibilities.**
**With the nation's largest home infusion provider, there is no limit to the growth of your career.**
Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 8,000 team members including 5,000 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients, customers and team members.
Join a company that is taking action to develop an inclusive, respectful, engaging and rewarding culture for all team members. At Option Care Health your voice is heard, your work is valued, and you're empowered to grow. Cultivating a team with a variety of talents, backgrounds and perspectives makes us stronger, innovative, and more impactful. Our organization requires extraordinary people to provide extraordinary care, so we are investing in a culture that attracts, hires and retains the best and brightest talent in healthcare.
**Job Description Summary:**
Supervises Intake and Reimbursement Processes within the revenue cycle center in order to maintain a high quality of service while ensuring timely payment for services provided. Responsible for supervising staff, process, and productivity for the assigned area(s) including intake, billing, collections, and cash posting. Works closely with the Manager, Revenue Cycle Management to assist with achieving financial goals and staff development.
**Job Description:**
**Job Responsibilities (listed in order of importance and/or time spent)**
+ Assists Revenue Cycle Manager with monitoring adherence to policies and procedures, and performing audits as designated.
+ Assists with monitoring and evaluating Intake and Reimbursement employee productivity and performance to goal.
+ Assists with training new Revenue Cycle employees and conduct ongoing training and skills assessments as necessary.
+ Assists revenue cycle staff with any day to day issues and escalating issues when necessary to the Revenue Cycle Manager.
+ Verifies that all appropriate paperwork has been obtained, completed and is accurate prior to billing. Assists Intake and Reimbursement employees with escalated issues to maintain a high quality of service and ensure payment for services provided.
+ Assures the timely and accurate submission of invoices to the responsible payer for services and products provided.
+ Assures that timely and accurate follow up activity is performed on to maintain a high quality of service and timely payment.
+ Develops, monitors, coaches and manages staff, ensuring the development of employees through orientation, training establishing objectives, communication of rules, constructive discipline. Builds employee morale, motivation and loyalty and fosters a team-like environment.
**Supervisory Responsibilities**
Does this position have supervisory responsibilities? (i.e. hiring, recommending/approving promotions and pay increases, scheduling, performance reviews, discipline, etc.) No
**Basic Education and/or Experience Requirements**
+ High School Diploma or equivalent
+ 1 year of related supervisory experience, or 2-5yrs of revenue cycle management experience showing demonstrated progression.
**Basic Qualifications**
+ Intermediate level skill in Microsoft Excel (for example: using SUM function, setting borders, setting column width, inserting charts, using text wrap, sorting, setting headers and footers and/or print scaling).
+ Intermediate level skill in Microsoft Word (for example: inserting headers, page breaks, page numbers and tables and/or adjusting table columns).
+ Basic skill level in Microsoft PowerPoint (for example: inserting, rearranging, hiding and deleting slides, navigating between slides, increasing list level, adding, centering and editing text, changing views, inserting a table or a note, moving objects, printing outline view and/or running a slide show).
**Travel Requirements: (if required)** N/A
**Preferred Qualifications & Interests (PQIs)**
+ Previous Infusion Reimbursement or Intake/Admissions experience.
_This job description is to be used as a guide for accomplishing Company and department objectives, and only covers the primary functions and responsibilities of the position. It is in no way to be construed as an all-encompassing list of duties._
Due to state pay transparency laws, the full range for the position is below:
Salary to be determined by the applicant's education, experience, knowledge, skills, and abilities, as well as internal equity and alignment with market data.
Pay Range is $56,714.95-$94,547.42
**Benefits:**
-Medical, Dental, & Vision Insurance
-Paid Time off
-Bonding Time Off
-401K Retirement Savings Plan with Company Match
-HSA Company Match
-Flexible Spending Accounts
-Tuition Reimbursement
-myFlexPay
-Family Support
-Mental Health Services
-Company Paid Life Insurance
-Award/Recognition Programs
_Option Care Health subscribes to a policy of equal employment opportunity, making employment available without regard to race, color, religion, national origin, citizenship status according to the Immigration Reform and Control Act of 1986, sex, sexual orientation, gender identity, age, disability, veteran status, or genetic information._

For over 40 years, Option Care Health has provided adult and pediatric patients with an alternative to hospital infusion therapy. With more than 2,900 clinical experts, Option Care Health is able to provide high-quality infusion services for nearly all patients with acute and chronic conditions across the United States, resulting in high quality outcomes at a significantly reduced cost. Option Care Health has more than 70 infusion pharmacies and 100 alternate treatment sites. We are guided by our purpose to provide extraordinary care that changes lives through a comprehensive approach to care along every step of the infusion therapy process including: intake coordination, insurance authorization, resources for financial assistance, education and customized treatments.

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000 colleagues serve people in more than 160 countries.
**Working at Abbott**
At Abbott, you can do work that matters, grow, and learn, care for yourself and family, be your true self and live a full life. You'll also have access to:
+ Career development with an international company where you can grow the career you dream of.
+ Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar year.
+ An excellent retirement savings plan with high employer contribution
+ Tuition reimbursement, the Freedom 2 Save ( student debt program and FreeU ( education benefit - an affordable and convenient path to getting a bachelor's degree.
+ A company recognized as a great place to work in dozens of countries around the world and named one of the most admired companies in the world by Fortune.
+ A company that is recognized as one of the best big companies to work for as well as a best place to work for diversity, working mothers, female executives, and scientists.
**The Opportunity**
This position works out of our Livermore, CA location in the Heart Failure division.
As the Manager, Revenue Cycle Management you will lead and manage the company's healthcare cash posting process within Revenue Cycle management team on EMR, including leading payor EDI enrollments and lockbox communications. This is a role that will support the company in meeting its financial and strategic goals but must also be comfortable operating in the day-to-day details. Additional responsibilities include recruiting, training, developing, and managing inhouse on-shore , off-shore team.
**What You'll Work On**
+ Lead and manage the company's healthcare cash posting and lockbox activities , including Medicaid, Medicare, Managed Care, and third-party payors transactions on multiple EMR's and other applications
+ Ensure all revenue cycle activities comply with federal, state, and payer regulations, including HIPAA and other applicable standards in cash transactions.
+ Lead payment review processes, oversee compliance with insurance payment regulations and payer requirements.
+ Support organizational audits and financial reviews while upholding the highest standards of ethical practices.
+ Lead in terms of setting up EMR systems, as well as a strong capacity to implement Payor & Billing, cash posting "set-up" rules and logic within an EMR system. Trouble shoot large 835 transaction related isues.
+ Experience in working on any of the EMRs like Brightree, Xifin, Epic/ Cerner and others
+ General ledger maintenance, financial analysis, reporting, and compliant cash posting management consistently
+ Strong understanding of healthcare revenue cycle processes, payer regulations, and compliance requirements. NY CDPAP experience or FMS/self-direction experience in revenue cycle with another vendor or MCO/State Medicaid Agency
+ Provide regular updates to executive leadership on revenue cycle performance, financial health and KPI's of Revenue Cycle management
+ Lead, direct, evaluate, and develop a team of cash posting professionals to ensure accounting activities are completed accurately and on time.
**Required Qualifications**
+ Associates Degree in Health Care administration, Finance/Accounting, or related field. Or equivalent years of experience.
+ Minimum 7 years in relevant experience
+ Revenue cycle experience
+ Cash posting and reconciliation experience
**Preferred Qualifications**
+ Preferred HFMA or other Revenue Cycle license or certificate
+ Masters Degree (± 18 years) MBA, CPA, CMA
+ Knowledge of Accounting & Finance
Apply Now ( more about our health and wellness benefits, which provide the security to help you and your family live full lives:** ( your career aspirations to Abbott for diverse opportunities with a company that can help you build your future and live your best life. Abbott is an
Equal Opportunity Employer, committed to employee diversity.
Connect with us at , on Facebook at and on Twitter @AbbottNews.
The base pay for this position is $112,000.00 - $224,000.00. In specific locations, the pay range may vary from the range posted.
An Equal Opportunity Employer
Abbot welcomes and encourages diversity in our workforce.
We provide reasonable accommodation to qualified individuals with disabilities.
To request accommodation, please call or email

**Extraordinary Careers. Endless Possibilities.**
**With the nation's largest home infusion provider, there is no limit to the growth of your career.**
Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 8,000 team members including 5,000 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients, customers and team members.
Join a company that is taking action to develop an inclusive, respectful, engaging and rewarding culture for all team members. At Option Care Health your voice is heard, your work is valued, and you're empowered to grow. Cultivating a team with a variety of talents, backgrounds and perspectives makes us stronger, innovative, and more impactful. Our organization requires extraordinary people to provide extraordinary care, so we are investing in a culture that attracts, hires and retains the best and brightest talent in healthcare.
**Job Description Summary:**
Responsible for the timely, accurate submission of invoices to responsible payer, of any type, for all services and products provided. Evaluates payments received and application to the patient account. Follows-up with responsible parties to ensure the receipt of timely, accurate payments. Assists with Billing and Collection Training and completes "second level" appeals to payers.
**Job Description:**
**Job Responsibilities:**
+ Submits timely, accurate invoices to payer for products and services provided. Understands the terms and fee schedule for all contracts for which invoices are submitted. Correctly determines quantities and prices for drugs billed. Verifies that the services and products are correctly authorized and that required documentation is on file. Ensures that invoices are submitted for services and products that are properly ordered and confirmed as provided.
+ Evaluates payments received for correctness and applies payments accurately to the system. Verifies that payments received are correct according to the fee schedule. Applies the payment correctly to the patient account. Ensures that secondary bills and patient invoices are mailed within 48 hours of receipt of payment. Notifies the Reimbursement Manager if there are overpayments and/or duplicate payments for the same service. Transfers payments belonging to other offices within 48 hours of receipt.
+ Follows up on invoices submitted to ensure prompt and timely payment. Calls to verify that claims submitted were received and are in processing. Sends letters to the patient or responsible party when their insurance carrier fails to make payment reasonable time frame. Generates and mails statements and collections letters. Follows-up on all denials within 48 hours of receipt.
+ Ensures compliance with policies and guidelines outlined in the contract terms and fee schedule. Follows HIPPA guidelines when accessing and sharing patient information to maintain patient and business confidentiality.
Supervisory Responsibilities: i.e. hiring, recommending/approving promotions and pay increases, scheduling, performance reviews, discipline, etc.
No
**Basic Education and/or Experience Requirements:**
+ High School Diploma or equivalent.
+ 0 - 6 months previous Infusion Reimbursement or Intake/Admissions experience
**Basic Qualifications & Interests:**
+ Basic level skill in Microsoft Excel (for example: opening a workbook, inserting a row, selecting font style and size, formatting cells as currency, using copy, paste and save functions, aligning text, selecting cells, renaming a worksheet, inserting a column, selecting a chart style, inserting a worksheet, setting margins, selecting page orientation, using spell check and/or printing worksheets).
+ Basic level skill in Microsoft Word (for example: opening a document, cutting, pasting and aligning text, selecting font type and size, changing margins and column width, sorting, inserting bullets, pictures and dates, using find and replace, undo, spell check, track changes, review pane and/or print functions).
This job description is to be used as a guide for accomplishing Company and department objectives, and only covers the primary functions and responsibilities of the position. It is in no way to be construed as an all-encompassing list of duties.
Due to state pay transparency laws, the full range for the position is below:
Salary to be determined by the applicant's education, experience, knowledge, skills, and abilities, as well as internal equity and alignment with market data.
Pay Range is $16.61-$26.96
**Benefits:**
-Medical, Dental, & Vision Insurance
-Paid Time off
-Bonding Time Off
-401K Retirement Savings Plan with Company Match
-HSA Company Match
-Flexible Spending Accounts
-Tuition Reimbursement
-myFlexPay
-Family Support
-Mental Health Services
-Company Paid Life Insurance
-Award/Recognition Programs
_Option Care Health subscribes to a policy of equal employment opportunity, making employment available without regard to race, color, religion, national origin, citizenship status according to the Immigration Reform and Control Act of 1986, sex, sexual orientation, gender identity, age, disability, veteran status, or genetic information._

For over 40 years, Option Care Health has provided adult and pediatric patients with an alternative to hospital infusion therapy. With more than 2,900 clinical experts, Option Care Health is able to provide high-quality infusion services for nearly all patients with acute and chronic conditions across the United States, resulting in high quality outcomes at a significantly reduced cost. Option Care Health has more than 70 infusion pharmacies and 100 alternate treatment sites. We are guided by our purpose to provide extraordinary care that changes lives through a comprehensive approach to care along every step of the infusion therapy process including: intake coordination, insurance authorization, resources for financial assistance, education and customized treatments.

**Extraordinary Careers. Endless Possibilities.**
**With the nation's largest home infusion provider, there is no limit to the growth of your career.**
Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 8,000 team members including 5,000 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients, customers and team members.
Join a company that is taking action to develop an inclusive, respectful, engaging and rewarding culture for all team members. At Option Care Health your voice is heard, your work is valued, and you're empowered to grow. Cultivating a team with a variety of talents, backgrounds and perspectives makes us stronger, innovative, and more impactful. Our organization requires extraordinary people to provide extraordinary care, so we are investing in a culture that attracts, hires and retains the best and brightest talent in healthcare.
**Job Description Summary:**
Responsible for the timely, accurate submission of invoices to responsible payer, of any type, for all services and products provided. Evaluates payments received and application to the patient account. Follows-up with responsible parties to ensure the receipt of timely, accurate payments. Assists with Billing and Collection Training and completes "second level" appeals to payers.
**Job Description:**
**Job Responsibilities:**
+ Submits timely, accurate invoices to payer for products and services provided. Understands the terms and fee schedule for all contracts for which invoices are submitted. Correctly determines quantities and prices for drugs billed. Verifies that the services and products are correctly authorized and that required documentation is on file. Ensures that invoices are submitted for services and products that are properly ordered and confirmed as provided.
+ Evaluates payments received for correctness and applies payments accurately to the system. Verifies that payments received are correct according to the fee schedule. Applies the payment correctly to the patient account. Ensures that secondary bills and patient invoices are mailed within 48 hours of receipt of payment. Notifies the Reimbursement Manager if there are overpayments and/or duplicate payments for the same service. Transfers payments belonging to other offices within 48 hours of receipt.
+ Follows up on invoices submitted to ensure prompt and timely payment. Calls to verify that claims submitted were received and are in processing. Sends letters to the patient or responsible party when their insurance carrier fails to make payment reasonable time frame. Generates and mails statements and collections letters. Follows-up on all denials within 48 hours of receipt.
+ Ensures compliance with policies and guidelines outlined in the contract terms and fee schedule. Follows HIPPA guidelines when accessing and sharing patient information to maintain patient and business confidentiality.
Supervisory Responsibilities: i.e. hiring, recommending/approving promotions and pay increases, scheduling, performance reviews, discipline, etc.
No
**Basic Education and/or Experience Requirements:**
+ High School Diploma or equivalent.
+ 0 - 6 months previous Infusion Reimbursement or Intake/Admissions experience
**Basic Qualifications & Interests:**
+ Basic level skill in Microsoft Excel (for example: opening a workbook, inserting a row, selecting font style and size, formatting cells as currency, using copy, paste and save functions, aligning text, selecting cells, renaming a worksheet, inserting a column, selecting a chart style, inserting a worksheet, setting margins, selecting page orientation, using spell check and/or printing worksheets).
+ Basic level skill in Microsoft Word (for example: opening a document, cutting, pasting and aligning text, selecting font type and size, changing margins and column width, sorting, inserting bullets, pictures and dates, using find and replace, undo, spell check, track changes, review pane and/or print functions).
This job description is to be used as a guide for accomplishing Company and department objectives, and only covers the primary functions and responsibilities of the position. It is in no way to be construed as an all-encompassing list of duties.
Due to state pay transparency laws, the full range for the position is below:
Salary to be determined by the applicant's education, experience, knowledge, skills, and abilities, as well as internal equity and alignment with market data.
Pay Range is $16.50-$25.53
**Benefits:**
-Medical, Dental, & Vision Insurance
-Paid Time off
-Bonding Time Off
-401K Retirement Savings Plan with Company Match
-HSA Company Match
-Flexible Spending Accounts
-Tuition Reimbursement
-myFlexPay
-Family Support
-Mental Health Services
-Company Paid Life Insurance
-Award/Recognition Programs
_Option Care Health subscribes to a policy of equal employment opportunity, making employment available without regard to race, color, religion, national origin, citizenship status according to the Immigration Reform and Control Act of 1986, sex, sexual orientation, gender identity, age, disability, veteran status, or genetic information._

For over 40 years, Option Care Health has provided adult and pediatric patients with an alternative to hospital infusion therapy. With more than 2,900 clinical experts, Option Care Health is able to provide high-quality infusion services for nearly all patients with acute and chronic conditions across the United States, resulting in high quality outcomes at a significantly reduced cost. Option Care Health has more than 70 infusion pharmacies and 100 alternate treatment sites. We are guided by our purpose to provide extraordinary care that changes lives through a comprehensive approach to care along every step of the infusion therapy process including: intake coordination, insurance authorization, resources for financial assistance, education and customized treatments.

The Aspen Group (TAG) is one of the largest and most trusted retail healthcare business support organizations in the U.S. and has supported over 20,000 healthcare professionals and team members at more than 1,300 health and wellness offices across 48 states in four distinct categories: dental care, urgent care, medical aesthetics, and animal health. Working in partnership with independent practice owners and clinicians, the team is united by a single purpose: to prove that healthcare can be better and smarter for everyone. TAG provides a comprehensive suite of centralized business support services that power the impact of five consumer-facing businesses: Aspen Dental, ClearChoice Dental Implant Centers, WellNow Urgent Care, Chapter Aesthetic Studio, and Lovet Pet Health Care. Each brand has access to a deep community of experts, tools and resources to grow their practices, and an unwavering commitment to delivering high-quality consumer healthcare experiences at scale.
As a reflection of our current needs and planned growth we are very pleased to offer a new opportunity to join our dedicated team as a **Revenue Cycle Management (RCM) Supervisor** .
RCM Supervisors care for the people who care for patients by providing expert business support to our healthcare organization. With focus on achieving daily/ weekly/ monthly goals, training and developing team members, quality control, and team management to produce productive performance expectations. Supervisors will be working with insurance companies, patient services, collections and leading a team.
**Essential Responsibilities:**
+ RCM Supervisors lead teams performing insurance adjudication, customer service, and patient collection job functions that require superior service and attention to detail.
+ Bring better care to the front lines by supporting the execution and achievement of functional areas and company goals.
+ Partners with internal departments to resolve issues related to all tasks and assignments supporting the business.
+ Point of contact for internal and external customer inquiries, which entails contacting insurance companies and/or addressing patient inquiries.
+ Uses software and company systems to source, obtain, process, audit and analyze standard data reporting and presenting.
+ Responds to and resolves issues related to claim adjudication, patient and billing inquiries.
+ Vendor relationships and accountability.
+ May be required to monitor position related productivity and quality standards.
+ Other duties as assigned.
**Requirements/Qualifications:**
+ Education Level: Bachelor's degree preferred or 2 - 3 years' relevant experience.
+ Job related/Industry experience preferred.
+ Excellent verbal and written communication skills.
+ Excellent organizational and time management skills.
+ Excellent problem solving/analysis collaboration.
+ Self-motivated individual with leadership qualities and strong attention to detail.
+ Base Pay Range: $58,000-68,000 annually(Actual pay may vary based on experience, performance, and qualifications),and this role will be based on-site in East Syracuse, NY.
+ A generous benefits package that includes paid time off, health, dental, vision, and 401(k) savings plan with match.
+ If you are an applicant residing in California, please view our privacy policy here:

**Extraordinary Careers. Endless Possibilities.**
**With the nation's largest home infusion provider, there is no limit to the growth of your career.**
Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 8,000 team members including 5,000 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients, customers and team members.
Join a company that is taking action to develop an inclusive, respectful, engaging and rewarding culture for all team members. At Option Care Health your voice is heard, your work is valued, and you're empowered to grow. Cultivating a team with a variety of talents, backgrounds and perspectives makes us stronger, innovative, and more impactful. Our organization requires extraordinary people to provide extraordinary care, so we are investing in a culture that attracts, hires and retains the best and brightest talent in healthcare.
**Job Description Summary:**
Responsible for the timely, accurate submission of invoices to responsible payer, of any type, for all services and products provided. Evaluates payments received and application to the patient account. Follows-up with responsible parties to ensure the receipt of timely, accurate payments. Assists with Billing and Collection Training and completes "second level" appeals to payers.
**Job Description:**
**Job Responsibilities:**
+ Submits timely, accurate invoices to payer for products and services provided. Understands the terms and fee schedule for all contracts for which invoices are submitted. Correctly determines quantities and prices for drugs billed. Verifies that the services and products are correctly authorized and that required documentation is on file. Ensures that invoices are submitted for services and products that are properly ordered and confirmed as provided.
+ Evaluates payments received for correctness and applies payments accurately to the system. Verifies that payments received are correct according to the fee schedule. Applies the payment correctly to the patient account. Ensures that secondary bills and patient invoices are mailed within 48 hours of receipt of payment. Notifies the Reimbursement Manager if there are overpayments and/or duplicate payments for the same service. Transfers payments belonging to other offices within 48 hours of receipt.
+ Follows up on invoices submitted to ensure prompt and timely payment. Calls to verify that claims submitted were received and are in processing. Sends letters to the patient or responsible party when their insurance carrier fails to make payment reasonable time frame. Generates and mails statements and collections letters. Follows-up on all denials within 48 hours of receipt.
+ Ensures compliance with policies and guidelines outlined in the contract terms and fee schedule. Follows HIPPA guidelines when accessing and sharing patient information to maintain patient and business confidentiality.
Supervisory Responsibilities: i.e. hiring, recommending/approving promotions and pay increases, scheduling, performance reviews, discipline, etc.
No
**Basic Education and/or Experience Requirements:**
+ High School Diploma or equivalent.
+ 0 - 6 months previous Infusion Reimbursement or Intake/Admissions experience
**Basic Qualifications & Interests:**
+ Basic level skill in Microsoft Excel (for example: opening a workbook, inserting a row, selecting font style and size, formatting cells as currency, using copy, paste and save functions, aligning text, selecting cells, renaming a worksheet, inserting a column, selecting a chart style, inserting a worksheet, setting margins, selecting page orientation, using spell check and/or printing worksheets).
+ Basic level skill in Microsoft Word (for example: opening a document, cutting, pasting and aligning text, selecting font type and size, changing margins and column width, sorting, inserting bullets, pictures and dates, using find and replace, undo, spell check, track changes, review pane and/or print functions).
This job description is to be used as a guide for accomplishing Company and department objectives, and only covers the primary functions and responsibilities of the position. It is in no way to be construed as an all-encompassing list of duties.
Due to state pay transparency laws, the full range for the position is below:
Salary to be determined by the applicant's education, experience, knowledge, skills, and abilities, as well as internal equity and alignment with market data.
Pay Range is $17.87-$29.78
**Benefits:**
-Medical, Dental, & Vision Insurance
-Paid Time off
-Bonding Time Off
-401K Retirement Savings Plan with Company Match
-HSA Company Match
-Flexible Spending Accounts
-Tuition Reimbursement
-myFlexPay
-Family Support
-Mental Health Services
-Company Paid Life Insurance
-Award/Recognition Programs
_Option Care Health subscribes to a policy of equal employment opportunity, making employment available without regard to race, color, religion, national origin, citizenship status according to the Immigration Reform and Control Act of 1986, sex, sexual orientation, gender identity, age, disability, veteran status, or genetic information._

For over 40 years, Option Care Health has provided adult and pediatric patients with an alternative to hospital infusion therapy. With more than 2,900 clinical experts, Option Care Health is able to provide high-quality infusion services for nearly all patients with acute and chronic conditions across the United States, resulting in high quality outcomes at a significantly reduced cost. Option Care Health has more than 70 infusion pharmacies and 100 alternate treatment sites. We are guided by our purpose to provide extraordinary care that changes lives through a comprehensive approach to care along every step of the infusion therapy process including: intake coordination, insurance authorization, resources for financial assistance, education and customized treatments.

**Extraordinary Careers. Endless Possibilities.**
**With the nation's largest home infusion provider, there is no limit to the growth of your career.**
Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 8,000 team members including 5,000 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients, customers and team members.
Join a company that is taking action to develop an inclusive, respectful, engaging and rewarding culture for all team members. At Option Care Health your voice is heard, your work is valued, and you're empowered to grow. Cultivating a team with a variety of talents, backgrounds and perspectives makes us stronger, innovative, and more impactful. Our organization requires extraordinary people to provide extraordinary care, so we are investing in a culture that attracts, hires and retains the best and brightest talent in healthcare.
**Job Description Summary:**
Responsible for the timely, accurate submission of invoices to responsible payer, of any type, for all services and products provided. Evaluates payments received and application to the patient account. Follows-up with responsible parties to ensure the receipt of timely, accurate payments. Assists with Billing and Collection Training and completes "second level" appeals to payers.
**Job Description:**
**Job Responsibilities:**
+ Submits timely, accurate invoices to payer for products and services provided. Understands the terms and fee schedule for all contracts for which invoices are submitted. Correctly determines quantities and prices for drugs billed. Verifies that the services and products are correctly authorized and that required documentation is on file. Ensures that invoices are submitted for services and products that are properly ordered and confirmed as provided.
+ Evaluates payments received for correctness and applies payments accurately to the system. Verifies that payments received are correct according to the fee schedule. Applies the payment correctly to the patient account. Ensures that secondary bills and patient invoices are mailed within 48 hours of receipt of payment. Notifies the Reimbursement Manager if there are overpayments and/or duplicate payments for the same service. Transfers payments belonging to other offices within 48 hours of receipt.
+ Follows up on invoices submitted to ensure prompt and timely payment. Calls to verify that claims submitted were received and are in processing. Sends letters to the patient or responsible party when their insurance carrier fails to make payment reasonable time frame. Generates and mails statements and collections letters. Follows-up on all denials within 48 hours of receipt.
+ Ensures compliance with policies and guidelines outlined in the contract terms and fee schedule. Follows HIPPA guidelines when accessing and sharing patient information to maintain patient and business confidentiality.
Supervisory Responsibilities: i.e. hiring, recommending/approving promotions and pay increases, scheduling, performance reviews, discipline, etc.
No
**Basic Education and/or Experience Requirements:**
+ High School Diploma or equivalent.
+ 0 - 6 months previous Infusion Reimbursement or Intake/Admissions experience
**Basic Qualifications & Interests:**
+ Basic level skill in Microsoft Excel (for example: opening a workbook, inserting a row, selecting font style and size, formatting cells as currency, using copy, paste and save functions, aligning text, selecting cells, renaming a worksheet, inserting a column, selecting a chart style, inserting a worksheet, setting margins, selecting page orientation, using spell check and/or printing worksheets).
+ Basic level skill in Microsoft Word (for example: opening a document, cutting, pasting and aligning text, selecting font type and size, changing margins and column width, sorting, inserting bullets, pictures and dates, using find and replace, undo, spell check, track changes, review pane and/or print functions).
This job description is to be used as a guide for accomplishing Company and department objectives, and only covers the primary functions and responsibilities of the position. It is in no way to be construed as an all-encompassing list of duties.
Due to state pay transparency laws, the full range for the position is below:
Salary to be determined by the applicant's education, experience, knowledge, skills, and abilities, as well as internal equity and alignment with market data.
Pay Range is $17.02-$28.38
**Benefits:**
-Medical, Dental, & Vision Insurance
-Paid Time off
-Bonding Time Off
-401K Retirement Savings Plan with Company Match
-HSA Company Match
-Flexible Spending Accounts
-Tuition Reimbursement
-myFlexPay
-Family Support
-Mental Health Services
-Company Paid Life Insurance
-Award/Recognition Programs
_Option Care Health subscribes to a policy of equal employment opportunity, making employment available without regard to race, color, religion, national origin, citizenship status according to the Immigration Reform and Control Act of 1986, sex, sexual orientation, gender identity, age, disability, veteran status, or genetic information._

For over 40 years, Option Care Health has provided adult and pediatric patients with an alternative to hospital infusion therapy. With more than 2,900 clinical experts, Option Care Health is able to provide high-quality infusion services for nearly all patients with acute and chronic conditions across the United States, resulting in high quality outcomes at a significantly reduced cost. Option Care Health has more than 70 infusion pharmacies and 100 alternate treatment sites. We are guided by our purpose to provide extraordinary care that changes lives through a comprehensive approach to care along every step of the infusion therapy process including: intake coordination, insurance authorization, resources for financial assistance, education and customized treatments.

The Aspen Group (TAG) is one of the largest and most trusted retail healthcare business support organizations in the U.S., supporting 15,000 healthcare professionals and team members at more than 1,000 health and wellness offices across 47 states in three distinct categories: Dental care, urgent care, and medical aesthetics. Working in partnership with independent practice owners and clinicians, the team is united by a single purpose: to prove that healthcare can be better and smarter for everyone. TAG provides a comprehensive suite of centralized business support services that power the impact of five consumer-facing businesses: Aspen Dental, ClearChoice Dental Implant Centers, WellNow Urgent Care, Lovet Pet Health Care and Chapter Aesthetic Studio. Each brand has access to a deep community of experts, tools and resources to grow their practices, and an unwavering commitment to delivering high-quality consumer healthcare experiences at scale.
As a reflection of our current needs and planned growth we are very pleased to offer a new opportunity to join our dedicated team as **Revenue Cycle Management Specialist** based in our East Syracuse, NY office.
**Essential Responsibilities:**
+ RCM Specialists care for the people who care for our patients by performing insurance adjudication, customer service, and patient collection job functions that require superior service and attention to detail.
+ Bring better care to the front lines by supporting the execution and achievement of functional areas and company goals.
+ Partners with internal departments to resolve issues related to all tasks and assignments supporting the business.
+ Point of contact for internal and external customer inquiries, which entails contacting insurance companies and/or addressing patient inquiries.
+ Uses software and company systems to source, obtain, process, audit and analyze standard data reporting and presenting.
+ Plans, organizes, and executes tasks and activities with urgency and in accordance with managers' delegated assignments.
+ Responds to and resolves issues related to claim adjudication, patient and billing inquiries, while seeking managers guidance for non-routine inquiries or escalated concerns.
+ May be required to meet position related productivity and quality standards.
+ Other duties as assigned.
**Requirements/Qualifications:**
+ Education Level: High School diploma or equivalent.
+ Job related/Industry experience preferred.
+ Excellent verbal and written communication skills.
+ Excellent organizational and time management skills.
+ Excellent problem solving/analysis collaboration.
+ Self-motivated individual with strong attention to detail.
+ Leadership experience preferred.
+ Base Pay Range: $17.00 - 21.00 per hour(Actual pay may vary based on experience, performance, and qualifications.)
+ This position will be based on-site in our East Syracuse, NY office.
+ A generous benefits package that includes paid time off, health, dental, vision, and 401(k) savings plan with match.