Revenue Cycle Specialist

About This Role

Supporting patients with their billing inquiries is the core of this role within the Revenue Cycle department. This position involves managing a high volume of patient interactions, responding to inquiries, reviewing accounts, and resolving billing questions. The ideal candidate will have strong communication skills and a basic understanding of medical billing processes.

Responsibilities

• Answer multi-line phones for the billing department and manage a high volume of patient billing inquiries
• Respond to patient emails and correspondence regarding billing questions and account balances
• Explain patient statements, insurance processing, and patient financial responsibility
• Communicate with patients regarding sensitive financial matters in a professional and empathetic manner
• Review patient accounts to determine the cause of outstanding balances
• Investigate claim status, insurance payments, adjustments, and denials when reviewing patient accounts
• Utilize payer portals and practice management systems to research claim and payment activity
• Escalate unresolved insurance AR issues to the AR team when appropriate
• Process credit card and check payments through the merchant processing system
• Assist patients with payment arrangements and payment plans when appropriate
• Provide itemized receipts and account summaries upon request
• Resolve patient billing complaints and questions by reviewing account activity and claim history
• Coordinate with AR, coding, payment posting, and authorization teams when additional investigation is required
• Prepare write-off or refund requests with supporting documentation for managerial review when appropriate
• Document all patient interactions and account updates within the practice management system
• Maintain accurate records of billing inquiries and resolutions
• Respond to billing-related inquiries from clinic staff and internal departments
• Assist front desk teams with patient balance questions and billing clarification
• Assist with insurance records requests when needed
• Support coordination of accounts that have been sent to collections agencies

Requirements

• Knowledge of Commercial, Medicare, and Medicaid insurance guidelines
• Strong customer service skills with the ability to adapt and respond to patient escalation issues
• Excellent written and verbal communication skills, with the ability to explain complex billing information clearly to patients
• Strong attention to detail and organizational skills
• Strong mathematical and computer skills, including proficiency with G Suite applications