Revenue Cycle Management Specialist

Children's of Alabama • Hoover, AL

5d

About The Position

Pediatric ENT Associates is seeking a detail-oriented and experienced Revenue Cycle Management Specialist to support accurate billing and timely reimbursement for its growing ENT practice. The role includes preparing, reviewing, and submitting clean claims; monitoring claim status and following up on unpaid, denied, rejected, or underpaid claims; investigating and resolving billing discrepancies; appealing denied claims; and assisting with process improvements to enhance billing accuracy and revenue cycle performance. The specialist will communicate professionally with families regarding physician office billing.

Pediatric ENT Associates has provided comprehensive pediatric ENT care across the Southeast since 1999. The practice is the largest pediatric ENT group in Alabama, with six board-certified physicians and expertise in a broad range of pediatric ear, nose, and throat services, including cochlear implants, bone-anchored hearing aids, complex airway and sinus conditions, advanced hearing loss, congenital ear deformities, and vascular malformations. The practice provides care at Children’s of Alabama in Birmingham and Children’s South off I-459 and Acton Road. Its mission, together with Children’s Hospital of Alabama, is to provide high-quality pediatric health services in an environment that fosters excellence in research and medical education.

Requirements

• High school diploma or equivalent.
• At least 1–2 years of physician office and outpatient surgical coding experience.
• Knowledge of CPT, ICD-10, and HCPCS coding, insurance claims processing, and payer regulations.
• Proficiency with electronic health records (EHR).
• Ability to work efficiently in a fast-paced environment while maintaining accuracy, confidentiality, and professionalism.
• Strong communication, organization, and multitasking skills.
• Proficiency in medical terminology and medical coding.
• Ability to work independently and with a group to support the needs of the practice.

Nice To Haves

• Associate’s degree or certification in Professional Medical Billing or Healthcare Administration.
• At least three years of Otolaryngology physician office revenue cycle management experience.
• Epic experience.

Responsibilities

• Prepare, review, and submit clean claims.
• Monitor claim status and proactively follow up on unpaid, denied, rejected, or underpaid claims.
• Investigate and resolve billing discrepancies.
• Appeal denied claims.
• Assist with process improvements to enhance billing accuracy and optimize revenue cycle performance.
• Communicate professionally with families regarding physician office billing.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED