Revenue Cycle Specialist – Patient Billing

MAX Surgical Specialty Management • Parsippany, NJ

1d • $23 - $31

About The Position

MAX Surgical Specialty Management is seeking a Revenue Cycle Specialist – Patient Billing to support accurate and efficient patient account management and provide exceptional customer service. The role uses healthcare billing knowledge, financial-arrangement expertise, conflict resolution, and technology to support collections, positive patient relationships, and the organization’s financial integrity and operational success.

The specialist manages patient inquiries and account balances, reviews billing and insurance documentation, coordinates with internal departments and third-party collection vendors, and works assigned accounts receivable opportunities. The position also maintains patient information, processes payments and overpayment notifications, and meets departmental productivity, quality, and timeliness expectations.

MAX Surgical Specialty Management is a surgeon-led management services organization supporting oral and maxillofacial surgery practices across the Northeast. The organization emphasizes clinical and surgeon autonomy, collaboration, advanced technology, and patient care.

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 knowledge of applicable industry standards and regulations.
• Customer service experience, 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 and empathy in providing customer service and fostering positive relationships with patients and stakeholders.

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 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 account balances and confirm appropriate billing, payment-posting, and accounts-receivable follow-up actions have been taken.
• Communicate professionally with patients and parents or legal guardians about financial obligations.
• Document financial arrangements in patient accounts.
• Answer and respond to correspondence related to patient accounts.
• Send monthly billing statements for overdue balances.
• Manage and monitor collection efforts with third-party vendors.
• Review account ledgers and verify appropriate payments and adjustments.
• 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 problem patient accounts to management with an explanation of the issue, affected statement balances, and possible resolution.
• Review and submit patient overpayment notifications 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.
• Maintain required productivity and quality levels and resolve tasks in a timely manner.
• Take payments over the phone.
• Take ownership of assignments and perform other duties as assigned or requested.

Benefits

• Highly competitive salaries and annual performance and compensation reviews.
• Competitive 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