Revenue Cycle Specialist II – Patient Billing & Collections

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

📋 Description

• Primarily tasked with addressing all incoming billing inquiries from patients across all ENT Specialty Partners locations and managing account balances.

• Resolve claim discrepancies by leveraging knowledge of company policies, medical coding, insurance reimbursement practices, and collection regulations.

• Ensure accurate data entry of information into the computer system.

• Offer reimbursement support to patients while delivering exceptional customer service and showing respect to patients and their families.

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

• Ensure timely and precise filing and billing of all patient transactions.

• Manage incoming calls from patients and triage billing inquiries regarding outstanding balances.

• Process payments over the phone.

• Make outbound calls to patients or guarantors concerning outstanding balances and present payment options.

• Review patient account balances to confirm that appropriate actions have been executed by billing, payment posting, and accounts receivable follow-up.

• Respond to correspondence related to patient accounts.

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

• Work effectively both independently and as part of a team to achieve set objectives.

• Maintain confidentiality at all times.

• Perform other related duties as assigned.

⛳️ Requirements

• High School Diploma or equivalent.

• Understanding of insurance remits and remark codes (REQUIRED).

• At least 3 years of recent experience in medical billing, claims processing, and collections.

• Minimum 3 years of recent experience handling incoming patient calls for post-adjudicated claims for providers.

• Excellent customer service skills, with a focus on delivering timely information to patients/customers.

• Bilingual in English/Spanish preferred, but not mandatory.

• Familiarity with medical claims and terminology.

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

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

• Must be skilled in computer usage, data entry, and possess above-average typing abilities.

• Experience with MS Office and EMR/EPM systems.

• Familiarity with eClinical Works Practice Management system preferred.

• Previous experience in the ENT specialty is a plus.

🏝️ Benefits

• None explicitly mentioned.