Professional Revenue Cycle Specialist

Location: Egg Harbor Twp, NJ  |  Position Status: Full Time  |  Position Shift: Days
Minimum Requirements:
  • 5+ years of experience in professional revenue cycle, professional operations or other related healthcare experience.
  • Excellent computer skills with high competency in MS Excel.
  • Strong communication skills.
  • Certification from MGMA within 12–18 months from date of hire.

The professional revenue cycle specialist will be responsible for revenue cycle processes that support AtlantiCare professional revenue cycle areas as designated by leadership. This position will focus on ensuring and performing revenue cycle processes in a timely and accurate manner. The revenue cycle processes could include, but are not limited to, charge capture, analyzing pre-bill edits, third-party denials, payment posting, claim processing and preparing relevant reports regarding trends based on the needs of the operational area as assigned.

The revenue cycle specialist will be responsible for developing, producing, validating and distributing standard management and ad hoc reports as requested by end users and management This position will obtain, manipulate and analyze data from a variety of sources, including, but not limited to, electronic medical record system, physician and hospital billing systems, external vendor practice management systems and payer claims portals.

This position will handle questions, complaints or problems and perform all tasks in accordance with industry standard best practices, AtlantiCare company policies and departmental procedures.

  • EDUCATION: High school diploma. Associate's degree preferred.
  • LICENSE/CERTIFICATION: Certification from MGMA within 12–18 months from date of hire. Expectation to become active member of a professional healthcare association to advance the overall knowledge of healthcare. Obligated to progress a track to attaining professional certifications in functional specialty areas of the revenue cycle, e.g., financial, practice management, medical coding medical billing.
  • EXPERIENCE: 5+ years of experience in professional revenue cycle, professional operations or other related healthcare experience. Excellent computer skills with a high competency in MS Excel. Strong communication skills. Revenue cycle basic knowledge is required at time of hire.

Demonstrates the technical competencies as established on the Assessment and Evaluation Tool.

This position requires repetitive motion, fingering, hearing, pushing, reaching, reading, calculating, seeing, speaking, standing and walking a majority of the time. This position also works with such equipment as a computer terminal, fax machine, copier and telephone. Occasional driving also required. The essential functions for this position are listed on the Assessment and Evaluation Tool.

This position reports to department leadership.

The above statement reflects the general details considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all work requirements that may be inherent in the position.
AtlantiCare is an equal opportunity employer that takes affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disability.
Amanda Pastore
Talent Acquisition Partner
Applicants only. We are not accepting inquiries or solicitations from recruiters/search firms.

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Live the beach-life balance you’ve always wanted

Whether you lead an active life or love leisure, you’ll enjoy working and living in the beach communities of New Jersey’s southeastern shore.

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Benefits & Wellness

We believe that healthcare should be a rewarding career. That’s why we offer excellent compensation, exceptional health and wellness benefits, and internal resources and programs to support professional growth for our team members. Here, you’ll find everything you need to pursue your calling of caring for others, knowing that you’re working for an organization dedicated to your overall well-being.

Inclusion & Diversity

Diversity and inclusion are at the heart of what makes AtlantiCare a great organization. We recognize and celebrate individual differences as dimensions that enrich our workforce and allow us to be more creative, flexible and competitive. Our inclusive culture welcomes our employees to freely contribute their diverse ideas, background, talents and experiences to make this a place where everyone can be, and do, their best work together.

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Great Location

For many, the shore communities of southeastern New Jersey are vacation destinations, but for AtlantiCare employees, they’re home. Working at AtlantiCare allows you to experience shore life year-round. Here, you’ll find natural beauty, world-class entertainment, rich history, amazing arts, abundant outdoor recreation, shopping, sophisticated dining and plenty of family-friendly events all within communities you’ll love to call home.

Working Here

The spirit of collaboration is alive and well at AtlantiCare. We empower our teams to be agents of change within our system. We encourage growth and support advancement. Our shared vision for advancing the health of the communities and people we serve guides us to do what’s right for each patient, our healthcare delivery system and the practice of medicine as a whole. We teach, grow and advance medicine together.

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