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Revenue Cycle Specialist - Full Time - Days
Mohawk Valley Health System
Utica, NY, USA
Posted on Sep 11, 2025
Job Summary
Reporting directly to the Manager of Revenue Cycle, the Revenue Cycle Specialist position is responsible to maintain the technical functions between the mainframe billing system and the claim scrubbing system to ensure billing is accurate, timely and in compliance with regulatory requirements. Assists in denial management and root cause analysis to prevent lost reimbursement. Key involvement in the monitoring, auditing of revenue cycle staff to ensure the efficient work flow and maximize cash collections.
Core Job Responsibilities
Report Writing and Analysis
- The Revenue Cycle Specialist (RCS) produces, distributes and analyzes all Revenue Cycle reports to drive Revenue Integrity and the prevention of loss reimbursement. Detailed analysis of the Revenue Cycle reports are to be summarized and distributed to drive process improvement.
Technical Skills
- The Revenue Cycle Specialist (RCS) monitors and analyzes Revenue Cycle System reports to ensure billing is accurate, timely and in accordance with regulatory billing requirements. The attention to detail of system upgrades/changes and testing prior to implementation. Assists the Revenue Integrity Coordinator (RIC) with updates to the charge master when required.
Problem Solving
- The Revenue Cycle Specialist (RCS) investigates, analyzes and solves issues spanning across the revenue cycle for the purposes of improving efficiency, quality and timeliness.
Support
- The Revenue Cycle Specialist (RCS) supports all departments of the revenue cycle by providing ad hoc reporting, research and analysis. RCSs are responsible for implementing and monitoring processes throughout the Revenue Cycle.
Education/Experience Requirements
Required:
- Associates in Business Discipline, Health Administration or Related Field
Preferred:
- 4-year college degree in Business Discipline, Health Administration or Related Field
- Minimum three (3) years experience in billing, insurance, and office procedures in hospital or other related setting
- Knowledge of CMS coding/billing regulations.
Licensure/Certification Requirements
Disclaimer
Qualified applicants will receive consideration for employment without regard to their age, race, religion, national origin, ethnicity, age, gender (including pregnancy, childbirth, et al), sexual orientation, gender identity or expression, protected veteran status, or disability.
Successful candidates might be required to undergo a background verification with an external vendor.
Job Details
Req Id 93689
Department REVENUE CYCLE
Shift Days
Shift Hours Worked 8.00
FTE 1
Work Schedule SALARIED GENERAL
Employee Status A1 - Full-Time
Union Non-Union
Pay Range .