Revenue Cycle Specialist

Claris Vision was formed in 2011, bringing together some of New England’s top eye care practices to provide the most comprehensive spectrum of vision care services available in the region. Claris Vision’s team of leading physicians are dedicated to providing the best clinical care, utilizing leading technology, and ensuring an individualized experience and high-quality care plan for each patient.

Job Summary:

A Revenue Cycle Specialist works primarily in health-related fields to ensure financial success for hospitals and other healthcare facilities. One typically works in an office filling out paperwork and calculating health care payment to maintain the finances of their facilities. Revenue Cycle Specialists might also work with accountants, financial analysts, and human resources professionals to oversee each financial decision made by the facility.

Duties/Responsibilities:

• Monitors overall medical billing operations
• Identifies and implements strategies to improve internal and customer processes
• Incorporates and executes quality assurance processes related to ensuring accurate customer billing activity
• Reviews and analyzes customer accounts, identifies trends and issues, and recommends solutions
• Collaborate with other team members to improve overall team environment
• Provides a high level of customer service to both practices and patients by identifying and efficiently resolving insurance and other billing-related issues
• Maintains strict confidentiality; adheres to all HIPAA guidelines/ regulations.
• Must have a clear understanding of company policies, including the company manual, and department policies.

Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions.

Required Skills/Abilities:

• Certified Ophthalmology Coder preferred, Certified Professional Coder required.
• Must have 1 year experience with ophthalmology coding.
• Exceptional Customer Experience – Understands and anticipates customer needs, takes action to meet customer’s needs. Strives to exceed customer expectations.
• Proactive- Keep others informed. Ask for help when needed, brings service challenges to supervisor.
• Drive for Results – Strives for improving the delivery of services with a commitment to continuous improvement.
• Focus on Efficiency – Utilizes technology, innovation, and process improvements to continuously improve efficiency and effectiveness.
• Teamwork- Participates as a team member and establishes strong working relationships with teammates and across the organization.
• Celebrates Change- Receptive to new ideas and responds to changes with flexibility and optimism.
• Continues Learning and Improvement- Acknowledges own strengths and development needs and works to strengthen capabilities.
• Must possess the physical, mental, and cognitive skills needed to complete essential tasks, including abilities such as learning, remembering, focusing, categorizing, and integrating information for comprehension, problem-solving, and timely decision-making.
• Ability to work in a constantly changing environment
• Excellent organization skills
• Analytical and problem-solving skills
• Ability to work easily and cooperatively with other departments
• Ability to work independently
• Maintain strict confidentiality of patients’ medial records
• Extremely accurate with attention to details, policies, and procedures
• Computer skills
• Microsoft Office applications skills

Education and Experience:

• High school diploma or equivalent
• Extensive educational background in business, accounting, and finance

Physical Requirements:

• Talk and hear
• Stand, walk, use hands and fingers to handle or feel, reach with hands and arms
• Sit, climb, balance, stood, kneel, crouch, or crawl
• Lift and move up to 10 pounds
• Close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus

 Other duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

 We are committed to a policy of non-discrimination and equal employment opportunity. All patients, employees, applicants, and other constituents of our clinical groups will be treated with respect and dignity regardless of race, national origin, gender, age, religion, disability, veteran status, marital/domestic partner status, parental status, sexual orientation, and gender identity and/or expression, other dimensions of diversity or common human decency. We value diversity in thought and culture and welcome highly skilled, capable, competent, collegial members to our team.