Revenue Cycle Specialist II – AR & Denials Follow-Up

This is a fully remote position, open to applicants in District of Columbia, +4 more states.

📋 Description

• Mainly accountable for efficient billing and collections for all ENT Specialty Partners locations.

• Capable of resolving claim issues by applying knowledge of company policies and procedures, medical coding, insurance reimbursement practices, and collection laws.

• This role entails managing all accounts receivable follow-up, including denials, reconsiderations, and appeals.

• Responsible for precise data entry of information into the computer system.

• Offer reimbursement support to patients while ensuring excellent customer service and respect towards patients and their families.

• Adhere to appropriate HIPAA guidelines when providing medical records to primary care providers, insurance carriers, referred providers, and patients upon request.

• Thrive both individually and within a team environment to achieve established goals.

• Ensure timely and accurate processing of all patient transactions, including billing, invoices, and insurance claims.

• Monitor claim statuses and proactively contact and follow up with insurance carriers regarding denials.

• Respond to correspondence related to patient accounts.

• Post charges, payments, adjustments, and related activities in the Electronic Health Record (EHR) system.

• Collaborate with providers, as needed, to address incomplete information to ensure accurate account and claim adjudication.

• Answer phone calls, take messages, and return calls as necessary.

• Maintain confidentiality at all times.

• Perform additional related duties as assigned.

⛳️ Requirements

• High School Diploma or equivalent is required.

• A minimum of 5 years of recent experience in medical billing and collections is necessary.

• Experience with the eClinicalWorks (eCW) billing system is preferred.

• Understanding of medical claims and coding is essential.

• Prior experience in medical billing and collections within a physician office setting is preferred.

• Basic math skills to accurately process monetary transactions (must be able to read and understand an Explanation of Benefits (EOB)).

• Familiarity with office equipment including multi-functional printer/copier/fax, multi-line phone system, calculator, postage machine, etc.

• Must possess proficiency in computer skills, data entry, and above-average typing skills.

• Experience with MS Office, EMR/EPM systems, and eClinicalworks is a plus.

• Prior experience in the ENT specialty is an advantage.

🏝️ Benefits

• This is a remote position – we are currently accepting applications only from candidates residing in Texas, Pennsylvania, Maryland, and Washington, DC.