Revenue Cycle Specialist (Remote)

Proliance Surgeons•Seattle, WA

2d•Remote

About The Position

The remote Revenue Cycle Specialist is a member of the Revenue Cycle team responsible for overseeing billing processes, including charge entry, billing, claims, patient accounts receivable, and insurance accounts receivable. The role also posts payments, handles credit resolutions, and performs other revenue cycle functions. Applicants must reside in WA, FL, NC, AZ, ID, OH, OR, TN, TX, or RI.

Requirements

High school diploma or GED.
Minimum of 1–2 years of medical billing experience.
CPC or equivalent certification.
High level of independence, adaptability, and accuracy.
Ability to navigate online payer portals and websites.
Ability to use office equipment effectively.
Basic knowledge of Microsoft Word and Outlook.
Superior customer service and interpersonal skills, including patience, composure, and cooperation with patients, physicians, and staff.
Understanding of and adherence to safety, risk management, precautionary procedures, and HIPAA confidentiality.
Efficient time management and meticulous attention to detail, accuracy, and task completion.
Ability to manage multiple factors, address first-level problems resourcefully, and follow issues through to resolution.
Ability to remain objective, adapt to changes, delays, or unexpected events, and maintain a positive mindset.
Clear oral and written communication.
Ability to provide feedback to improve performance.
Self-motivation and ability to follow guidelines and detailed instructions, work with little supervision, and measure performance against standards of excellence.

Nice To Haves

Orthopedic coding experience.
Experience with NextGen and Amkai Billing Systems.

Responsibilities

Verify claims information for accuracy before billing.
Review surgical coding for accuracy before billing.
Process primary, secondary, and tertiary claims and address edits or rejections.
Post patient payments.
Post insurance and third-party payments.
Resolve insurance and self-pay credits.
Work insurance accounts receivable.
Work patient accounts receivable.
Process bad debt.
Answer phones.
Complete other duties and assist others as directed.
Follow policies introduced during onboarding, updated in real time, and outlined in the Teammate Handbook.