Operational Specialist
$61,288–$80,136 year
On-siteNew York, United States or Manhattan, New York, United States
Job Summary
Support investigation and resolution of assigned hospital A/R accounts and billing escalations under the guidance of Senior Specialists or management. Perform detailed account reviews to identify billing errors, payer issues, or workflow gaps contributing to delayed or incorrect resolution. Execute defined process improvement activities, including workflow updates, job aid revisions, and validation of operational changes. Participate in workflow observation, side-by-side shadowing, and data review to support identification of improvement opportunities. Assist with testing and validation of workflow or system changes impacting hospital billing and A/R processes. Maintain accurate documentation and tracking of assigned work, escalations, and outcomes. Escalate complex, high-risk, or unresolved issues to Senior Specialists or management with clear findings and supporting detail. Apply CARES principles and the LEARN model when supporting resolution of patient billing concerns.
Required Qualifications
- Associate's Degree
- 1-3 years of relevant work experience
- equivalent combination or training
- relevant work experience
- ability to effectively communicate with all levels of the organization
Desired Qualifications
- advanced hospital A/R expertise
- Clear and professional verbal and written communication skills
- Strong attention to detail
- ability to follow defined workflows and escalation protocols
- Ability to manage multiple assigned tasks while meeting deadlines
- Willingness to learn and apply hospital billing and A/R concepts in a fast-paced environment
- Collaborative approach
- ability to work effectively with peers and leadership
- Demonstrates accountability, reliability, and professionalism
- Supports a respectful and consistent patient experience by applying CARES principles
- Communicates clearly with patients and internal partners regarding billing questions, next steps, and follow-up expectations
- Applies the LEARN model when supporting resolution of patient billing concerns
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