[Hiring] Revenue Cycle Specialist - Patient Accounts and Billing @Proliance Surgeons

Role Description

The role of the Revenue Cycle Specialist is a valued member of our Revenue Cycle team. As a Revenue Cycle Specialist, you will work remotely and be responsible for overseeing bill processes including:

• Charge entry
• Billing
• Claims
• Patient AR
• Insurance AR

You will also post payments, handle credit resolutions, along with other revenue cycle functions.

Location: Proliance Edmonds Orthopedic Center

Schedule: Monday - Friday, 8:00am - 5:00pm

We are seeking a detail-oriented and motivated Revenue Cycle Specialist to join our Billing Office team. This role focuses primarily on managing patient statements, patient account follow-up, and resolving patient billing inquiries. The ideal candidate is organized, customer-service oriented, and experienced in healthcare billing processes.

Qualifications

• High School diploma or GED
• Minimum 1-2 years medical billing experience
• CPC or other equivalent certification
• Orthopedic Coding Experience a plus
• Experience with Nextgen and Amkai Billing Systems preferred

Requirements

• Verify information for claims is correct prior to billing
• Review Surgical coding for accuracy prior to billing
• Process all Primary, Secondary, and tertiary claims and address any edits or rejections
• Post all patient payments
• Post all Insurance and third-party payments
• Credit Resolution for both Insurance and Self pay credits
• Insurance AR
• Patient AR
• Process bad debt
• Answer phones
• Complete duties and assist others as directed
• Must follow all policies as introduced during new teammate On-Boarding, updated real-time and outlined in Teammate Handbook

Knowledge, Skills and Abilities

• High level of independence, adaption, and accuracy
• Ability to navigate online Payor portals and websites
• Ability to effectively use Office equipment
• Basic knowledge of Microsoft Office Word and Outlook
• Superior customer service skills
• Great interpersonal skills; demonstrating patience, composure, and cooperation; working well with all patients, physicians, and staff
• Understanding of and adherence to all safety, risk management and precautionary procedures, including the consistent respect for confidentiality (HIPAA)
• Using time efficiently, with meticulous attention to detail, accuracy, and completion
• Ability to manage multiple factors for the best result
• Resourcefulness in addressing first level problems and tenacity to see things through to solution
• Ability to remove oneself personally from given situations, remaining objective
• Able to adapt to change, delays or unexpected events while maintaining a positive mindset
• Clear oral and written communication
• Ability to provide feedback to improve performance
• Self-motivated; able to work following specific guidelines and in accordance with detailed instructions; measure self against standard of excellence, overcome obstacles and challenges with little supervision

Work Environment/Physical Demands

The work environment/physical demands described here are representative of those that must be met by a teammate to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable differently abled persons to perform the essential functions.