Revenue Specialist
Stony Brook Medicine, Setauket-East Setauket, NY, United States
Position Summary
At Stony Brook Medicine, a
Revenue Specialist
will provide operational support within the hospital’s Patient Accounting Department. The position will support day‑to‑day business functions including, but not limited to, billing, claims analysis, appeals, follow‑up, financial assistance and customer service.
Duties of a Revenue Specialist
Prepare and submit hospital claims, review denials, investigate coding issues and conduct audits.
Follow‑up on rejected or denied claims, improper payments and coding issues.
Process appeals.
Liaise with third‑party billing and collection agencies.
Identify issues and patterns with claims/insurance companies and review to increase revenue and prevent unnecessary denials.
Assist the supervisor in scheduling, timesheet, leave requests, performance programs and evaluations.
Assist the supervisor in training and make recommendations to improve policy and procedures for the unit as well as the office.
Investigate and accurately update COB, including refund request letters, reports, mail, etc.
Other duties as assigned.
Required Qualifications
Bachelor’s degree in Accounting, Business, Health Information Management or related field with a minimum of 6 months business experience, preferably in a healthcare setting; or an Associate’s degree and at least 6 months of business experience, preferably in a healthcare setting such as revenue cycle, medical billing, or follow‑up experience; or in lieu of degree, at least 2 years of business experience, preferably in a healthcare setting such as revenue cycle, medical billing, or follow‑up experience.
Excellent written and oral communication skills.
Proficiency with Microsoft Office.
In depth knowledge and experience with investigating, reviewing, and following up on rejected/denied insurance claims and/or experience using claims scrubber system.
Preferred Qualifications
Experience investigating, reviewing, and following up on rejected, denied insurance claims and/or experience using claims scrubber systems.
Experience with Inpatient and Outpatient billing requirements (UB-04/837i) and/or CMS Medicare and New York Medicaid reimbursement methodologies.
Knowledge of third‑party payer reimbursement and managed care contracts.
Experience investigating, reviewing and following‑up on rejected/denied inpatient and outpatient hospital claims.
Knowledge of CPT, HCPCS and ICD‑10 coding principles.
Experience with Cerner Invision and/or Cerner Millennium Patient Accounting.
Experience in Insurance Verification.
Experience working in Medicare FSS DDE system.
Special Notes Resume/CV should be included with the online application.
Posting Overview 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. Candidates are advised that for full consideration, applications must be received before the initial review date (within two weeks of the posting date). If no candidate is selected by the initial review, additional applications will be considered but the posting will close once a finalist is identified, at least two weeks after the initial posting date. If no candidate is identified and hired within 90 days from the initial posting, the posting will close for review and may be reposted later.
Pre‑Employment Requirements
Successfully complete a pre‑employment physical examination and obtain medical clearance from Stony Brook Medicine’s Employee Health Services.
Complete an 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).
Other Requirements Failure to comply with any of the above requirements could result in a delayed start date and/or revocation of the employment offer.
EEO Statement 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.
Salary and Compensation Anticipated Pay Range: $49,683 – $60,563 per year. The 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. Some positions offer annual supplemental pay such as Location Pay for UUP full‑time positions ($4,000).
Job Details
Official Job Title: Instructional Support Assistant
Job Field: Finance
Primary Location: US‑NY‑East Setauket
Department/Hiring Area: Patient Accounting
Schedule: Full‑time
Posting Start Date: Mar 16, 2026
Posting End Date: Apr 15, 2026, 10:59:00 PM
Salary: $49,683 – $60,563 per year
Salary Grade: SL1
SBU Area: Stony Brook University Hospital
Other Information Stony Brook Medicine is a smoke‑free environment. Smoking is strictly prohibited anywhere on campus, including parking lots and outdoor areas on the premises. All hospital positions may be subject to changes in pass days and shifts as necessary. This position may require the wearing of respiratory protection, which may prohibit the wearing of facial hair.
Facilities and Commitment 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
Revenue Specialist
will provide operational support within the hospital’s Patient Accounting Department. The position will support day‑to‑day business functions including, but not limited to, billing, claims analysis, appeals, follow‑up, financial assistance and customer service.
Duties of a Revenue Specialist
Prepare and submit hospital claims, review denials, investigate coding issues and conduct audits.
Follow‑up on rejected or denied claims, improper payments and coding issues.
Process appeals.
Liaise with third‑party billing and collection agencies.
Identify issues and patterns with claims/insurance companies and review to increase revenue and prevent unnecessary denials.
Assist the supervisor in scheduling, timesheet, leave requests, performance programs and evaluations.
Assist the supervisor in training and make recommendations to improve policy and procedures for the unit as well as the office.
Investigate and accurately update COB, including refund request letters, reports, mail, etc.
Other duties as assigned.
Required Qualifications
Bachelor’s degree in Accounting, Business, Health Information Management or related field with a minimum of 6 months business experience, preferably in a healthcare setting; or an Associate’s degree and at least 6 months of business experience, preferably in a healthcare setting such as revenue cycle, medical billing, or follow‑up experience; or in lieu of degree, at least 2 years of business experience, preferably in a healthcare setting such as revenue cycle, medical billing, or follow‑up experience.
Excellent written and oral communication skills.
Proficiency with Microsoft Office.
In depth knowledge and experience with investigating, reviewing, and following up on rejected/denied insurance claims and/or experience using claims scrubber system.
Preferred Qualifications
Experience investigating, reviewing, and following up on rejected, denied insurance claims and/or experience using claims scrubber systems.
Experience with Inpatient and Outpatient billing requirements (UB-04/837i) and/or CMS Medicare and New York Medicaid reimbursement methodologies.
Knowledge of third‑party payer reimbursement and managed care contracts.
Experience investigating, reviewing and following‑up on rejected/denied inpatient and outpatient hospital claims.
Knowledge of CPT, HCPCS and ICD‑10 coding principles.
Experience with Cerner Invision and/or Cerner Millennium Patient Accounting.
Experience in Insurance Verification.
Experience working in Medicare FSS DDE system.
Special Notes Resume/CV should be included with the online application.
Posting Overview 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. Candidates are advised that for full consideration, applications must be received before the initial review date (within two weeks of the posting date). If no candidate is selected by the initial review, additional applications will be considered but the posting will close once a finalist is identified, at least two weeks after the initial posting date. If no candidate is identified and hired within 90 days from the initial posting, the posting will close for review and may be reposted later.
Pre‑Employment Requirements
Successfully complete a pre‑employment physical examination and obtain medical clearance from Stony Brook Medicine’s Employee Health Services.
Complete an 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).
Other Requirements Failure to comply with any of the above requirements could result in a delayed start date and/or revocation of the employment offer.
EEO Statement 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.
Salary and Compensation Anticipated Pay Range: $49,683 – $60,563 per year. The 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. Some positions offer annual supplemental pay such as Location Pay for UUP full‑time positions ($4,000).
Job Details
Official Job Title: Instructional Support Assistant
Job Field: Finance
Primary Location: US‑NY‑East Setauket
Department/Hiring Area: Patient Accounting
Schedule: Full‑time
Posting Start Date: Mar 16, 2026
Posting End Date: Apr 15, 2026, 10:59:00 PM
Salary: $49,683 – $60,563 per year
Salary Grade: SL1
SBU Area: Stony Brook University Hospital
Other Information Stony Brook Medicine is a smoke‑free environment. Smoking is strictly prohibited anywhere on campus, including parking lots and outdoor areas on the premises. All hospital positions may be subject to changes in pass days and shifts as necessary. This position may require the wearing of respiratory protection, which may prohibit the wearing of facial hair.
Facilities and Commitment 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