Full Time (JR618)

Metis Practice Solutions•San Diego, CA

4d•Onsite

About The Position

Metis Practice Solutions is a professional management services organization that values caring, collaboration, and commitment to the independent medical practices in the San Diego community. We’re looking for a detail-oriented Revenue Cycle Specialist to be a critical part of our Revenue Cycle team. In this role, you’ll be part of a team responsible for charge submission, claim follow-up, appeals, and denial resolution while safeguarding patient and employee confidentiality.

Requirements

High school diploma or equivalent
3–5 years of medical billing experience
1–3 years of customer service experience
Experience with patient collections
Proficiency with Electronic Practice Management (EPM) and Electronic Medical Records (EMR) systems (EPIC)
Working knowledge of Microsoft Office
Strong grasp of medical terminology and insurance billing processes
Excellent written and verbal communication skills
Patience and professionalism when working with patients and insurers
Ability to multitask, prioritize, and stay organized under pressure
Comfortable with 10-key and basic math calculations
High level of discretion and commitment to patient confidentiality
Collaborative team player who can also work independently

Nice To Haves

Medical insurance billing certificate
Knowledge of CPT, ICD, and HCPCS coding
Familiarity with HMO/PPO, Medicare, Medicaid, and other payer guidelines

Responsibilities

Manage patient accounts receivable, including payment arrangements, collections, and follow-up on delinquent accounts
Handle inbound and outbound calls with patients and insurance carriers to resolve billing inquiries, verify eligibility and benefits, and check claim status
Work denials and appeals proactively, researching and resolving discrepancies to maximize reimbursement
Review and verify patient statements for accuracy prior to distribution
Serve as a liaison between patients, clients, and health plans — providing clear, compassionate billing support
Maintain strict compliance with HIPAA regulations and all federal, state, and local requirements
Follow established policies and procedures, and flag compliance concerns appropriately
Identify and act on opportunities to add value within the billing department