Job Listing: Revenue Cycle Manager
Location: Bethlehem, PA
Job Type: Full-Time

About Us:
A multi-specialty practice and infusion center located in Bethlehem, PA. We are seeking a skilled and experienced Revenue Cycle Specialist/Certified Medical Coder/Biller to join our team.

Key Responsibilities:

• Process and coordinate all electronic charges for billing and claim submission.
• Verify patient insurance eligibility and ensure accurate billing to insurance companies and patients.
• Act as an authorization specialist and manage the collection of payments from patients, insurance companies, and government programs.
• Maintain and update provider credentialing and patient demographic information.
• Ensure fee schedules are current and maintain billing manuals with knowledge of CPT and ICD-10 coding.
• Reconcile electronic claims, document rejections, and generate statistical data and daily reports.
• Perform monthly audits on charges billed, procedures performed, and unbilled procedures.
• Handle billing and coding for Medicaid, Medicare, managed care, and third-party payers.
• Monitor reimbursement rates and liaise with insurance companies for optimal financial health.
• Stay updated on state and federal insurance compliance regulations.
• Negotiate insurance contracts effectively.

Qualifications:

• Minimum of 3 years of medical billing experience with strong knowledge of revenue cycle management.
• At least 5 years of experience in hematology/oncology and gastroenterology billing required.
• Bachelor’s degree (BS) required; MBA preferred.
• CPC (AAPC), CCS (AHIMA), or CCA (AHIMA) certification preferred.
• Proficient in CPT and ICD-10 codes, HCFA 1500 forms, and physician billing.
• Familiarity with state and federal insurance compliance regulations.
• Strong contract negotiation skills.

Benefits:

• 401(k)
• Health, Dental, Vision, and Life Insurance
• Paid Time Off

Schedule:

• Monday to Friday (In-person position)

Work Location:
Bethlehem, PA

Application Process: Please submit your resume and a cover letter detailing your relevant experience and why you are a great fit for this position by applying to this post or via email to: etraina@onesourcestaffing.com. We look forward to reviewing your application.

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