Location: Portsmouth, NH, US, 03801

Description:

JOB SUMMARY:

The Revenue Operations Specialist will provide support to both the Accounts Receivable Cash Application team and the Revenue Operations Commercial Denials team. This position will be responsible for the timely and accurate transactional processing of key revenue cycle functions in compliance with internal and external audit parameters, and for supporting monthly close processes. Additionally, this role will follow core reimbursement processes to ensure the accurate pricing and adjudication of DME claims in order to obtain accurate payment to minimize the financial burden of Novocure and our patients. This position will be responsible for collaborating with and supporting the Revenue Operations and Accounts Receivable teams.

This is a full-time, non-exempt position reporting to the Supervisor, Accounts Receivable and is based in Portsmouth, NH. Candidates must be located within commutable distance to our Portsmouth office to work a hybrid schedule.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Post incoming cash payments to outstanding accounts receivables
Process write-offs and adjustments consistent with Novocure policies
Perform month end closing procedures within established timeframes
Interpret Explanation of Benefits (EOB) for all types of insurances
Communicate with leadership in a timely manner regarding payer and account issues
Knowledge on how to perform insurance benefit verifications to confirm active coverage
Ability to follow-up on outstanding insurance balances via phone and insurance websites in a timely manner with minimal supervision
Investigate and resolve all incorrect payments and payment variances with minimal supervision
Ability to escalate trended payer changes in behavior as identified
Support the submission of claims projects
Understand and navigate government and commercial technical and medical necessity claim and appeal processes
Review medical records and draft patient summaries to be used in appeals
Draft appeal letters based off denial reason
Submit and track the status of appeals for technical and medical necessity claims
Successfully overturn appeals by problem solving and creative thinking
Review and prioritize insurance appeal follow-up on accounts in a timely manner
Identify and escalate contracting implementation challenges and opportunities
Establish and maintain positive working relationships with internal and external partners
Support internal and external audits as necessary
Work on any projects assigned to the team as necessary
Perform all other duties or priorities assigned by leadership as needed

QUALIFICATIONS/KNOWLEDGE:

High school diploma preferred, or equivalent level of coursework in Accounting/Finance will be considered
2-4 years’ experience in third party medical billing, DME billing experience preferred
Finance-focused background with relevant work experience in revenue cycle, billing, and/or collections
Familiarity with basic medical and insurance terminology preferred
Familiarity with Microsoft Office and SAP preferred

Strong interpersonal, written, and oral communication skills
Strong data entry skills
Detail-oriented, organized and works with a high degree of accuracy
Ability to identify problems and set priorities
Ability to work independently with minimal supervision
Ability to work cooperatively in a fast-paced office setting

OTHER:

Ability to lift up to 20 pounds

Novocure is taking a responsible approach to creating environments that allow us to strive to extend survival in some of the most aggressive forms of cancer by developing and commercializing our innovative therapy.

As part of our commitment to health and safety, COVID-19 vaccines are required for our current U.S. employees. As an Equal Opportunity Employer it is our policy to provide reasonable accommodations to any qualified individual, who, because of a medical condition, or sincerely held religious belief/practice, receives an exemption from the vaccination requirement, if such accommodation would not result in an undue hardship for the company.

For more information regarding the Novocure’s COVID-19 vaccination requirement, exemptions, and verification of vaccination status please ask the Talent Acquisition Team.

ABOUT NOVOCURE:

Our vision

Patient-forward: aspiring to make a difference in cancer.

Our patient-forward mission

Together with our patients, we strive to extend survival in some of the most aggressive forms of cancer by developing and commercializing our innovative therapy.

Our patient-forward values

– innovation

– focus

– drive

– courage

– trust

– empathy

#LI-LP1

Nearest Major Market: Portsmouth
Nearest Secondary Market: Boston

Novocure

New Jobs

Revenue Operations Specialist

Intern Revenue Operations (m/w/d)