Revenue Cycle Specialist I - Billing Customer Service

Sonora Quest Laboratories / Laboratory Sciences of Arizona•Yakima, WA
•Onsite

About The Position

This position performs revenue cycle functions for patient, client, and third-party billing and operations while supporting departmental key performance indicators and the company’s mission and goals. Work is performed according to established policies and procedures, regulatory and accreditation requirements, and applicable professional standards. The role is onsite and handles approximately 45–55 inbound calls per day, resolving billing issues and responding to inquiries to support patient and provider satisfaction. The schedule is Monday through Friday between 7:00 a.m. and 5:30 p.m.

Requirements

  • High school diploma or equivalent.
  • One year of experience in a healthcare or corporate setting.
  • Ability to communicate complex issues clearly and efficiently, with strong verbal and written aptitude.
  • Working knowledge of billing, insurance, computer systems, and medical billing processes.
  • Ability to prioritize and complete multiple tasks.
  • Excellent written and verbal communication skills.
  • Excellent organizational skills.
  • Intermediate computer knowledge with various programs and software.
  • Ability to work independently and accurately with high volumes of data and minimal supervision.
  • Ability to effectively interface with patients and/or clients.
  • Basic working knowledge of Microsoft Office Suite, with an emphasis on Excel.
  • Ability to recognize problems, identify their causes, and determine solutions.

Nice To Haves

  • Understanding of CMS regulations.
  • Additional related education and/or experience.
  • Bilingual Spanish/English.
  • Experience in high-volume contact centers.
  • Strong de-escalation skills.
  • Medical, healthcare, or insurance experience.

Responsibilities

  • Complete data entry tasks, including account documentation, laboratory order entry, payment posting and reconciliation, and claims submissions, while meeting quality and productivity standards.
  • Resolve revenue cycle issues, including demographic updates and claim or error corrections involving appeals, denials, claim-status errors, and internal errors.
  • Obtain and accurately update missing information and verify eligibility.
  • Review and reconcile accounts and perform audits, including payment verification, posting adjustments, requesting refunds, and general account reconciliation.
  • Review automation exceptions, validate outputs, identify issues, and escalate workflow, data, or compliance concerns.
  • Escalate trends to leadership and stay current on departmental and compliance policies, procedures, laws, and regulations.
  • Provide excellent customer service to internal and external clients and patients through in-person interactions, phone calls, and written correspondence.
  • Handle billing inquiries and resolve billing issues while supporting client satisfaction.
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