Revenue Cycle Specialist – Revenue Recovery and Retention
Stony Brook Medicine, Setauket-East Setauket, New York, United States
Overview
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. 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. Notes and Requirements
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. Posting Overview and Conditions
This position will remain posted until filled or for a maximum of 90 days. An initial review of all applicants will occur two weeks from the posting date. For full consideration, applications must be received before the initial review date (within two weeks of the posting date). If no candidate is identified in the initial review, additional applications may be considered; however, the posting will close once a finalist is identified, and at minimum two weeks after the initial posting date. If no candidate is identified and hired within 90 days from initial posting, the posting may close for review and be reposted at a later date. Work Environment and Compliance
Stony Brook Medicine is a smoke free environment. Smoking is prohibited anywhere on campus, including parking lots and outdoor areas. All Hospital positions may be subject to changes in pass days and shifts as necessary. This position may require wearing respiratory protection and may prohibit facial hair. This function/position may be designated as “essential.” In emergencies, employees may be required to remain at or report to work to protect and continue operations. Pre-Start Requirements
Before start date, the selected candidate must: Successfully complete pre-employment physical examination and obtain medical clearance from Stony Brook Medicine\'s Employee Health Services* Complete electronic reference check with a minimum of three professional references. Successfully complete a 4-panel drug screen* Meet Regulatory Requirements for pre-employment screenings. Provide a copy of any required New York State license(s)/certificate(s). Failure to comply with any of the above requirements could result in a delayed start date and/or revocation of the employment offer. Note:
The hiring department will be responsible for any fee incurred for examination. Legal Notice
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. Additional Information
Anticipated Pay Range: The salary range for this position is $68,921 - $80,752 / year. The above salary range represents a good faith estimate at posting. The specific offer will be based on validated experience. Some positions offer annual supplemental pay such as Location Pay for UUP full-time positions ($4,000). Your total compensation goes beyond the number in your paycheck. Stony Brook University Hospital provides generous leave, health plans, and a state pension that add to your bottom line. Official Job Title:
TH Instructional Support Associate Job Field:
Administrative & Professional (non-Clinical) Primary Location:
US-NY-East Setauket Department/Hiring Area:
Patient Accounting Schedule:
Full-time Posting Start Date:
Feb 19, 2026 Posting End Date:
Mar 22, 2026, 3:59:00 AM Salary:
$68,921 - $80,752 / year Salary Grade:
SL2 SBU Area:
Stony Brook University Hospital
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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. 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. Notes and Requirements
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. Posting Overview and Conditions
This position will remain posted until filled or for a maximum of 90 days. An initial review of all applicants will occur two weeks from the posting date. For full consideration, applications must be received before the initial review date (within two weeks of the posting date). If no candidate is identified in the initial review, additional applications may be considered; however, the posting will close once a finalist is identified, and at minimum two weeks after the initial posting date. If no candidate is identified and hired within 90 days from initial posting, the posting may close for review and be reposted at a later date. Work Environment and Compliance
Stony Brook Medicine is a smoke free environment. Smoking is prohibited anywhere on campus, including parking lots and outdoor areas. All Hospital positions may be subject to changes in pass days and shifts as necessary. This position may require wearing respiratory protection and may prohibit facial hair. This function/position may be designated as “essential.” In emergencies, employees may be required to remain at or report to work to protect and continue operations. Pre-Start Requirements
Before start date, the selected candidate must: Successfully complete pre-employment physical examination and obtain medical clearance from Stony Brook Medicine\'s Employee Health Services* Complete electronic reference check with a minimum of three professional references. Successfully complete a 4-panel drug screen* Meet Regulatory Requirements for pre-employment screenings. Provide a copy of any required New York State license(s)/certificate(s). Failure to comply with any of the above requirements could result in a delayed start date and/or revocation of the employment offer. Note:
The hiring department will be responsible for any fee incurred for examination. Legal Notice
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. Additional Information
Anticipated Pay Range: The salary range for this position is $68,921 - $80,752 / year. The above salary range represents a good faith estimate at posting. The specific offer will be based on validated experience. Some positions offer annual supplemental pay such as Location Pay for UUP full-time positions ($4,000). Your total compensation goes beyond the number in your paycheck. Stony Brook University Hospital provides generous leave, health plans, and a state pension that add to your bottom line. Official Job Title:
TH Instructional Support Associate Job Field:
Administrative & Professional (non-Clinical) Primary Location:
US-NY-East Setauket Department/Hiring Area:
Patient Accounting Schedule:
Full-time Posting Start Date:
Feb 19, 2026 Posting End Date:
Mar 22, 2026, 3:59:00 AM Salary:
$68,921 - $80,752 / year Salary Grade:
SL2 SBU Area:
Stony Brook University Hospital
#J-18808-Ljbffr