Revenue Cycle Specialist II – Patient Billing, Collections

This is a fully remote position, open to applicants in Maryland, +3 more states.

📋 Description

• Manage all incoming billing inquiries from patients for ENT Specialty Partners offices.

• Resolve account balances and address claim issues by utilizing company policies and procedures, medical coding, insurance reimbursement practices, and collection laws.

• Accurately input data into the computer system.

• Deliver reimbursement support and exceptional customer service to patients and their families.

• Adhere to HIPAA guidelines and provide medical records to authorized individuals upon request.

• Accurately and promptly file and bill patient transactions.

• Handle incoming calls and prioritize billing inquiries related to outstanding balances.

• Process payments over the phone.

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

• Assess patient account balances and determine the necessary prior actions for billing, payment posting, and accounts receivable follow-up.

• Respond to and address correspondence related to patient accounts.

• Post charges, payments, adjustments, and related activities in the EHR system.

• Maintain confidentiality and perform other related duties as assigned.

⛳️ Requirements

• High School Diploma or equivalent is required.

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

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

• A minimum of 3 years of recent experience managing incoming patient calls for post-adjudicated claims for providers.

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

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

• Familiarity with medical claims and terminology.

• Basic math proficiency and capability to accurately process monetary transactions; must be able to read and comprehend an Explanation of Benefits (EOB).

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

• Proficient in computer use, data entry, and possess above-average typing skills.

• Familiarity with MS Office and EMR/EPM systems.

• Experience with the eClinical Works Practice Management system is preferred.

• Previous experience in ENT specialty is a plus.

🏝️ Benefits

• Competitive salary with performance-based incentives.

• Comprehensive health benefits, including medical, dental, and vision coverage.

• Opportunities for professional development and continuing education.

• Supportive work environment with a focus on teamwork.

• Paid time off and flexible scheduling options.