Revenue Cycle Specialist II - Patient Billing & Collections

E.N.T. Specialty Partners•Irving, TX

8d•Remote

About The Position

This is a remote position, and we are currently accepting applications only from candidates residing in Texas, Pennsylvania, Maryland, and Washington, DC. The Revenue Cycle Specialist II is primarily responsible for handling all incoming patient billing inquiries for all ENT Specialty Partners offices and settling account balances. This role requires the ability to resolve claim issues by utilizing knowledge of company policies and procedures, medical coding, insurance reimbursement practices, and collection laws.

Requirements

High School Diploma or equivalent
Understanding insurance remits and remark codes (REQUIRED)
Minimum 3 years recent experience in medical billing, claims processing and collections
Minimum 3 years recent experience handling incoming patient calls for post adjudicated claims for providers
Excellent customer service skills with an understanding of delivering information to a patient / customer in a timely manner
Understanding of medical claims and terminology
Basic math skills and accurately process money transactions (must be able to read & understand an EOB)
Experience with office equipment: multi-functional printer/copier/fax, multi-line phone system, calculator, postage machine, and so on
Must be proficient using the computer, data entry, and have above average typing skills
Experience with MS Office, EMR/EPM systems

Nice To Haves

Bilingual in English/Spanish preferred, but not required
Experience with eClinical Works Practice Management system preferred
Prior experience with ENT specialty a plus

Responsibilities

Accurate data entry of information into the computer system
Provide reimbursement assistance to patients while providing superior customer service and respect to patients and their families
Follow appropriate HIPAA guidelines
Provide medical records to primary care provider, insurance carriers, referred providers and patients per patient request
Timely and accurate filing and billing of all patient transactions
Handle incoming calls from patients and triage billing inquiries regarding outstanding balances
Take payments over the phone
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
Answer/respond to correspondence related to patient accounts
Posting of charges, payments, adjustments and related activities in EHR.
Work well individually or in a team environment accomplishing set goals
Ability to maintain confidentiality
Performs other related duties as assigned