The Onyx Group - Billing Admin Specialist

Tribe513 | The Onyx Group•Greenville, SC

18h•Onsite

About The Position

The Revenue Cycle Specialist is responsible for supporting multiple functions within the revenue cycle, including but not limited to newborn account processing, self-pay account management, and insurance verification. This role ensures timely and accurate reimbursement while delivering exceptional service to patients, payers, and internal stakeholders. This position requires adaptability, cross-functional collaboration, and the ability to manage evolving workflows as the organization transitions from eClinicalWorks (eCW) to Epic.

Requirements

High school diploma or equivalent required; Associate’s or Bachelor’s degree preferred
2+ years of experience in healthcare revenue cycle, patient accounting, or medical billing preferred
Experience working newborn accounts, self-pay balances, and insurance verification strongly preferred
Experience with eClinicalWorks (eCW) or EPIC is preferred
Strong understanding of insurance eligibility, benefits, and payer guidelines
Knowledge of claim submission processes
Ability to work in a fast-paced, evolving environment
Strong attention to detail and organizational skills
Excellent written and verbal communication skills
Ability to manage multiple priorities and adapt to change
Ability to sit at a computer terminal for long periods of time.
Ability to be physically in attendance at workstation at designated company office location during normal business hours designated for this position.
Ability to travel up to 10% of the time.
Ability to lift up to 20 lbs.

Responsibilities

Manage patient accounts to ensure accurate registration, insurance linkage, and timely claim submission
Work self-pay accounts, including balance review, payment arrangements, account resolution, and appropriate adjustments
Perform comprehensive insurance verification (eligibility, benefits, authorization requirements, coordination of benefits)
Ensure claims are accurate prior to submission and meet payer requirements
Review and resolve claim edits and rejections as assigned
Document account activity thoroughly and accurately within the practice management system
Educate patients on insurance coverage, financial responsibility, and payment options
Support payment plan setup in accordance with organizational guidelines
Maintain compliance with federal and state regulations related to patient billing
Actively participate in workflow redesign as the organization transitions from eCW to Epic
Complete required training and demonstrate competency in Epic revenue cycle modules
Provide feedback on system build, workflow efficiency, and operational gaps
Adapt to evolving job responsibilities and support cross-training initiatives
Maintain HIPAA compliance and safeguard protected health information
Follow established policies, procedures, and revenue cycle best practices
Meet productivity, quality, and performance benchmarks