Revenue Cycle Specialist

AccessHealth • Richmond, TX

3d • Onsite

About The Position

The Revenue Cycle Specialist verifies insurance eligibility online and by telephone, both before appointments and on the day of appointments for walk-in clients with new or updated insurance information. The position also helps update computerized patient demographic and billing information. The specialist reviews patient balances, deductibles, and copays; explains financial responsibilities; documents verification; and coordinates with clients, clinic staff, insurance companies, and the billing team to support accurate billing and collections. The role includes navigating provider portals, assisting with payment arrangements, and helping ensure patients are appropriately registered and directed within the clinic.

Requirements

• High school diploma or GED.
• Typing ability.
• One year of work experience in a medical setting, or three years of insurance verification experience and financial counseling.
• Familiarity with office machines, including a computer, calculator, fax, and photocopier.
• Familiarity with accounting principles and insurance billing.
• Helpful, positive attitude and ability to handle difficult staff and patients.
• High ethical standards and strong work ethic.
• Ability to multitask and strong customer service and problem-solving skills.
• Detail-oriented and able to work as part of a team.
• Ability to work with people of all socioeconomic levels.
• Commitment to advocating for quality health care and services.

Nice To Haves

• Medical Office Administration certificate.
• Bilingual ability in Spanish.

Responsibilities

• Verify insurance eligibility and document verification, including checking client accounts for outstanding balances and assisting clients with payment arrangements.
• Follow billing and collection rules.
• Review patient deductibles and copays, enter information into NextGen, and explain patient financial responsibilities.
• Discuss financial obligations with patients and make necessary arrangements.
• Answer questions from patients, clerical staff, and insurance companies.
• Work with the billing team to help ensure clean billing.
• Navigate provider online portals and systems.
• Meet individually with clients to determine financial objectives, risk tolerance, income, expenses, and assets, and refer patients to registration for additional services.
• Observe lobby activity to ensure patients are waiting in the appropriate area and/or have signed into the clinic.
• Accept job-related assignments and participate in training and development in new tasks and technologies.
• Comply with company policies, procedures, and regulatory requirements.
• Perform other duties as assigned by management.

What This Job Offers

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