RCM Billing Specialist

Job Details

Job Location: Brazos Valley Community Action Agency - College Station, TX 77840

Position Type: Full Time

Basic Function: The RCM Billing Specialist I is responsible for managing and processing patient billing, claims, and payments for healthcare services. This position requires strong attention to detail, excellent communication skills, and the ability to handle complex billing processes. The role involves ensuring that patient accounts are accurate, claims are submitted promptly, and outstanding balances are collected in a timely manner.

• Verify patient insurance coverage and eligibility prior to claim submission.
• Contact patients and insurance companies to follow up on outstanding claims and payments.
• Set up payment plans with patients when necessary and monitor adherence to payment schedules.
• Assesses accuracy of demographic and policy information within patient accounts.
• Responsible for charge and payment entry within medical software program.
• Prepare and submit medical claims to insurance companies and other payers, ensuring accuracy and compliance with industry regulations.
• Reconcile patient accounts by reviewing balances, payments, and adjustments.
• Investigate and resolve account discrepancies or billing issues.
• Document all collections activities and update patient account records accordingly.
• Assists in reconciling insurance deposits and patient collections.
• Coordinates with Front Desk staff regarding collection of current or past due patient balances, co-pays, deductibles, etc. Available to answer billing and charge related inquiries.
• Provide excellent customer service by answering patient inquiries regarding billing statements and insurance claims.
• Educate patients about their billing statements, payment options, and insurance coverage.
• Demonstrates respect and regard for the dignity of all patients, families, visitors and fellow employees to insure a professional, responsible and courteous environment.
• Promotes effective working relations and works effectively as part of a team to facilitate the department’s ability to meet its goals and objectives.
• Performs other duties as assigned.

• High School Diploma equivalent required.
• A minimum of 1 year of medical billing experience.

• 3 - 5 years of medical billing experience preferred.
• Some training or background in medical coding preferred.
• Knowledge of medical terminology and billing practices preferred.

Technical

Skills:

Knowledge of medical terminology and billing practices preferred.

Work is performed in a typical office environment with period work in a medical clinic setting.