Revenue Cycle Specialist – Revenue Recovery and Retention
Stony Brook University, Setauket-East Setauket, New York, United States
Revenue Cycle Specialist – Revenue Recovery and Retention (2600334)
Position Summary: At Stony Brook Medicine the Revenue Cycle Specialist will work within the Revenue Recovery and Retention Unit of the hospital’s business office to analyze, track and pursue the payment of Managed Care under‑paid and denied accounts receivable.
Duties / Responsibilities
Analyze Managed Care payment variances; track and pursue under‑paid and denied accounts.
Assist in validating Contract Management system changes including encounter qualifiers and payment rates and methodologies.
Assist in educating new staff regarding Managed Care Contracts, CM System and Denials & Appeals process.
Provide operational support for Senior Revenue Cycle Specialist as required.
Provide analysis and reporting as needed.
Qualifications Required:
Bachelor's Degree and at least 2 years of healthcare revenue cycle experience; in lieu of a degree, at least 4 years of healthcare revenue cycle experience.
Working knowledge of Medicare and NY Medicaid Inpatient and Outpatient reimbursement methodologies.
Working knowledge of third party reimbursement methodology and drivers.
Working knowledge of hospital inpatient and outpatient billing requirements (UB‑04, 837i).
Experience working with CPT/HCPCs and ICD‑10 codes.
Proficiency with an Acute Care Hospital Contract Management system.
Proficiency in MS Office Suite including Excel and Word.
Excellent written and verbal communication skills.
Preferred:
B.S. Accounting or Finance, Health Information Management, Health Administration, Computer Science or related field.
Medical Coding Certification through the American Academy of Professional Coders (AAPC) and/or the American Health Information Management Association (AHIMA).
Experience in revenue recovery within Cerner Contract Management and Optum Payment Integrity Compass.
Experience building contracts and modeling revenue in a Hospital Contract Management System.
Experience reporting from healthcare decision support, patient accounting, contract management and/or claims scrubber systems.
Experience working with Cerner Invision Patient Accounting.
Please Note: Verification of degree (e.g., diploma or official transcript) is required for this role. Upload of documentation must be included with your application for consideration. Special Notes Resume/CV should be included with the online application.
Pay Range Salary range (hiring range) for this position is $68,921 – $80,752 per year. The above salary range represents SBUH’s good faith and reasonable estimate of the range of possible compensation at the time of posting. The specific salary offer will be based on the candidate’s validated years of comparable experience. Any efforts to inflate or misrepresent experience are grounds for disqualification from the application process or termination of employment if hired.
Some positions offer annual supplemental pay such as: Location Pay for UUP full‑time positions ($4,000).
Job Details Job Number: 2600334
Job Field: Administrative & Professional (non-Clinical)
Primary Location: Stony Brook University Hospital, New York, NY
Schedule: Full‑time, Day Shift (8:30 am–5:00 pm), Pass Days: Sat, Sun.
Posting Start Date: Feb 19, 2026
Posting End Date: Mar 22, 2026 3:59 AM
Equal Employment Opportunity Stony Brook University is committed to excellence in diversity and the creation of an inclusive learning and working environment. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, pregnancy, familial status, sexual orientation, gender identity or expression, age, disability, genetic information, veteran status and all other protected classes under federal or state laws.
If you need a disability‑related accommodation, please call the University Office of Equity and Access at (631) 632‑6280.
In accordance with the Title II Crime Awareness and Security Act a copy of our crime statistics can be viewed here.
Visit our WHY WORK HERE page to learn about the total rewards we offer.
Stony Brook University Hospital, consistent with our shared core values and our intent to achieve excellence, remains dedicated to supporting healthier and more resilient communities, both locally and globally.
#J-18808-Ljbffr
Duties / Responsibilities
Analyze Managed Care payment variances; track and pursue under‑paid and denied accounts.
Assist in validating Contract Management system changes including encounter qualifiers and payment rates and methodologies.
Assist in educating new staff regarding Managed Care Contracts, CM System and Denials & Appeals process.
Provide operational support for Senior Revenue Cycle Specialist as required.
Provide analysis and reporting as needed.
Qualifications Required:
Bachelor's Degree and at least 2 years of healthcare revenue cycle experience; in lieu of a degree, at least 4 years of healthcare revenue cycle experience.
Working knowledge of Medicare and NY Medicaid Inpatient and Outpatient reimbursement methodologies.
Working knowledge of third party reimbursement methodology and drivers.
Working knowledge of hospital inpatient and outpatient billing requirements (UB‑04, 837i).
Experience working with CPT/HCPCs and ICD‑10 codes.
Proficiency with an Acute Care Hospital Contract Management system.
Proficiency in MS Office Suite including Excel and Word.
Excellent written and verbal communication skills.
Preferred:
B.S. Accounting or Finance, Health Information Management, Health Administration, Computer Science or related field.
Medical Coding Certification through the American Academy of Professional Coders (AAPC) and/or the American Health Information Management Association (AHIMA).
Experience in revenue recovery within Cerner Contract Management and Optum Payment Integrity Compass.
Experience building contracts and modeling revenue in a Hospital Contract Management System.
Experience reporting from healthcare decision support, patient accounting, contract management and/or claims scrubber systems.
Experience working with Cerner Invision Patient Accounting.
Please Note: Verification of degree (e.g., diploma or official transcript) is required for this role. Upload of documentation must be included with your application for consideration. Special Notes Resume/CV should be included with the online application.
Pay Range Salary range (hiring range) for this position is $68,921 – $80,752 per year. The above salary range represents SBUH’s good faith and reasonable estimate of the range of possible compensation at the time of posting. The specific salary offer will be based on the candidate’s validated years of comparable experience. Any efforts to inflate or misrepresent experience are grounds for disqualification from the application process or termination of employment if hired.
Some positions offer annual supplemental pay such as: Location Pay for UUP full‑time positions ($4,000).
Job Details Job Number: 2600334
Job Field: Administrative & Professional (non-Clinical)
Primary Location: Stony Brook University Hospital, New York, NY
Schedule: Full‑time, Day Shift (8:30 am–5:00 pm), Pass Days: Sat, Sun.
Posting Start Date: Feb 19, 2026
Posting End Date: Mar 22, 2026 3:59 AM
Equal Employment Opportunity Stony Brook University is committed to excellence in diversity and the creation of an inclusive learning and working environment. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, pregnancy, familial status, sexual orientation, gender identity or expression, age, disability, genetic information, veteran status and all other protected classes under federal or state laws.
If you need a disability‑related accommodation, please call the University Office of Equity and Access at (631) 632‑6280.
In accordance with the Title II Crime Awareness and Security Act a copy of our crime statistics can be viewed here.
Visit our WHY WORK HERE page to learn about the total rewards we offer.
Stony Brook University Hospital, consistent with our shared core values and our intent to achieve excellence, remains dedicated to supporting healthier and more resilient communities, both locally and globally.
#J-18808-Ljbffr