Revenue Cycle Specialist – Patient Billing

MAX Surgical Specialty Management • Parsippany, NJ

2d

About The Position

MAX Surgical Specialty Management is seeking a Revenue Cycle Specialist – Patient Billing to join its Revenue Cycle Management Team. This role manages patient accounts accurately and efficiently while providing exceptional customer service. It uses healthcare billing expertise, financial arrangements, conflict resolution, and technology to support collections, positive patient and stakeholder relationships, and the organization’s financial integrity and operational success.

The specialist manages patient account inquiries and collections, reviews billing and insurance documentation, communicates financial obligations and payment options, updates patient information, and coordinates with internal departments and third-party vendors. The role also supports department projects and processes while meeting productivity, quality, and timeliness expectations.

Requirements

• High school diploma.
• At least 2 years of hands-on healthcare revenue cycle management experience.
• Proficiency with Microsoft Office applications and medical office software.
• Experience in healthcare billing and understanding of industry standards and regulations.
• Experience in customer service, preferably in a healthcare or financial setting.
• Strong understanding of medical billing processes and insurance-related documentation.
• Strong interpersonal and organizational skills, including the ability to multitask and prioritize in a fast-paced environment.
• Effective communication skills and empathy in working with patients and stakeholders.
• Ability to use problem-solving and conflict-resolution techniques.

Nice To Haves

• Medical Billing and/or Coding Certification is highly preferred but not required.

Responsibilities

• Manage inbound and outbound patient calls and respond to patient needs.
• Analyze Explanation of Benefits (EOB) documents to understand and resolve billing issues.
• Explain patient balances, insurance claims, coverage, and next steps to patients.
• Use critical thinking and problem-solving to resolve patient inquiries and conflicts.
• Communicate with other departments to facilitate resolution of patient needs.
• Complete special projects related to department functions.
• Monitor patient account aging for assigned practices.
• Contact patients and guarantors about outstanding balances and offer payment options.
• Review balances and verify that appropriate billing, payment posting, and accounts-receivable follow-up actions have occurred.
• Communicate courteously and professionally with patients, parents, and legal guardians about financial obligations.
• Document financial arrangements in patient accounts.
• Answer and respond to correspondence related to patient accounts.
• Send monthly billing statements to collect overdue balances.
• Manage and monitor collection efforts with third-party vendors.
• Review account ledgers and verify that appropriate payments and adjustments were made.
• Collaborate with the team on operating policies, accounts-receivable collectability, refunds, and bad debts.
• Work patient accounts-receivable collection opportunities for unpaid statements through provided work queues or reports.
• Escalate problematic patient accounts to management with an explanation of the issue, affected statement balances, and possible resolution, as appropriate under departmental processes.
• Review and submit notifications of patient overpayments according to revenue cycle management protocols and guidelines.
• Obtain and update insurance, demographic, and guarantor information, and bill third-party payers as appropriate.
• Obtain insurance information, check active coverage eligibility, and update patient accounts accordingly.
• Meet required productivity and quality levels and manage tasks to ensure timely resolution.
• Take payments over the phone.
• Take ownership of assignments and perform other duties as assigned or requested.

Benefits

• Competitive salaries and annual performance and compensation reviews.
• Competitive health insurance and benefits, including medical, dental, vision, and disability coverage.
• 401(k) retirement savings plan with employer match.
• Generous paid time off, sick leave, and paid holidays.
• Career growth opportunities.

What This Job Offers

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