[Hiring] Revenue Cycle Specialist II @E.N.T. Specialty Partners

Role Description

Primarily responsible for handling all incoming patient billing inquiries for all ENT Specialty Partners offices and settling account balances. Is able to resolve claim issues by utilizing knowledge of company policies and procedures, medical coding, insurance reimbursement practices, and collection laws.

Position Responsibilities:

• Accurate data entry of information into the computer system
• Provide reimbursement assistance to patients while providing superior customer service and respect to patients and their families
• Follow appropriate HIPAA guidelines to provide medical records to primary care provider, insurance carriers, referred providers, and patients per patient request
• Timely and accurate filing and billing of all patient transactions
• Handle incoming calls from patients and triage billing inquiries regarding outstanding balances
• Take payments over the phone
• Make outbound calls to patients/guarantors regarding outstanding balances and offer payment options
• Review patient account balances and determine that appropriate actions have been previously taken by billing, payment posting, and AR follow up
• Answer/respond to correspondence related to patient accounts
• Posting of charges, payments, adjustments, and related activities in EHR
• Work well individually or in a team environment accomplishing set goals
• Ability to maintain confidentiality
• Performs other related duties as assigned

Qualifications

• High School Diploma or equivalent
• Understanding insurance remits and remark codes (REQUIRED)
• Minimum 3 years recent experience in medical billing, claims processing, and collections
• Minimum 3 years recent experience handling incoming patient calls for post adjudicated claims for providers
• Excellent customer service skills with an understanding of delivering information to a patient/customer in a timely manner
• Bilingual in English/Spanish preferred, but not required
• Understanding of medical claims and terminology
• Basic math skills and accurately process money transactions (must be able to read & understand an EOB)
• Experience with office equipment: multi-functional printer/copier/fax, multi-line phone system, calculator, postage machine, and so on
• Must be proficient using the computer, data entry, and have above average typing skills
• Experience with MS Office, EMR/EPM systems
• Experience with eClinical Works Practice Management system preferred
• Prior experience with ENT specialty a plus