Revenue Cycle Specialist – Patient Billing

Overview

$23 - $31 an hour

Join MAX Surgical Specialty Management, an innovative leader in the healthcare industry, as we embark on an exhilarating journey of growth and expansion! We are seeking a motivated and dynamic individual to join our Revenue Cycle Management Team as a Revenue Cycle Specialist – Patient Billing.

The Revenue Cycle Specialist – Patient Billing will be responsible for ensuring accurate and efficient patient account management while delivering exceptional customer service. By leveraging expertise in healthcare billing, financial arrangements, and conflict resolution, the position supports effective collections and fosters positive relationships with patients and stakeholders. Through collaboration and proficiency in technology, the role contributes to the financial integrity and operational success of the organization.

The successful candidate will be able to:

• Efficiently manage patient inbound and outbound calls, ensuring high-quality service and responsiveness to patient needs
• Analyze Explanation of Benefits (EOB) documents to understand and resolve patient billing issues
• Provide clear explanations and next steps to patients regarding their patient balance, insurance claims and or coverage
• Utilize critical thinking and problem-solving skills to address and resolve patient inquiries quickly
• Communicate effectively with other departments to facilitate quick resolution of patient needs
• Execute the completion of special projects related to department functions
• Monitors patient accounts aging of assigned practices
• Make outbound calls to patients / guarantors regarding outstanding balances and offer payment options
• Review patient account balances and determine that appropriate actions have been previously taken by billing, payment posting and AR follow up
• Communicate effectively, courteously, and professionally with patients, parents/legal guardians of their financial obligations
• Documents Financial arrangements in patient accounts
• Answer/respond to correspondence related to patient accounts
• Proficiently uses conflict resolution and problem-solving techniques in managing patient conflicts
• Send out monthly billing statements to collect overdue balances
• Manages and monitors collection efforts with 3rd party vendors
• Review account ledgers quickly and efficiently, making sure appropriate payments and adjustments were made
• Collaborates with the team on operating policies, AR collectability, refunds, and bad debts
• Responsible for working patient A/R collection opportunities on unpaid statements through provided work queues and or reports
• Based on departmental processes, responsible for escalating problem patient accounts to management with a clear explanation of the problem, if multiple statement balances are impacted and possible resolution
• Responsible for reviewing and submitting notifications of over payments (patient) according to RCM protocols and guidelines
• Obtain insurance, demographic, guarantor information and update patient profile as bill third party payers as appropriate
• Obtain insurance information, check eligibility for active coverage and update patient accounts accordingly
• Maintains required levels of productivity and quality while managing tasks to ensure timeliness of resolution
• Take payments over the phone
• Takes ownership of assignments; and other duties as assigned or requested
• Perform any and all other duties as assigned

• High School Diploma, Medical Billing and or Coding Certification highly preferred, not required
• 2+ years of hands-on experience in healthcare revenue cycle management, with a proven track record of optimizing processes
• Proficient in Microsoft Office applications and medical office software, leveraging technology to drive efficiency and accuracy in billing operations
• Proven experience in healthcare billing, you bring a deep understanding of industry standards and regulations, ensuring compliance and accuracy in all financial transactions
• Proven experience in customer service, preferably in a healthcare or financial setting
• Strong understanding of medical billing processes and insurance-related documentation
• Your strong interpersonal and…