Revenue Cycle Specialist (Remote)

Proliance Surgeons•Seattle, WA
•$22 - $38•Remote

About The Position

The Revenue Cycle Specialist is a remote member of Proliance Surgeons’ 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. The position is full-time, Monday through Friday, 8:00 a.m. to 5:00 p.m. Pacific Time. Applicants must reside in Washington, Florida, North Carolina, Arizona, Idaho, Ohio, Oregon, Tennessee, Texas, or Rhode Island. Proliance Surgeons describes its workplace as supportive of people from diverse backgrounds and focused on growth and development. It offers a comprehensive and competitive benefit and pay package. Compensation during the offer process is determined by factors including compensation structure, experience, qualifications, and internal equity.

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 effectively use office equipment.
  • Basic knowledge of Microsoft Word and Outlook.
  • Superior customer service skills.
  • Strong interpersonal skills, including patience, composure, and cooperation when working with patients, physicians, and staff.
  • Understanding of and adherence to safety, risk management, and precautionary procedures, including consistent respect for HIPAA confidentiality.
  • Efficient time management and meticulous attention to detail, accuracy, and completion.
  • Ability to manage multiple factors to achieve the best result.
  • Resourcefulness in addressing first-level problems and persistence in seeing them through to a solution.
  • Ability to remain objective and separate personal feelings from situations.
  • Ability to adapt to change, delays, or unexpected events while maintaining a positive mindset.
  • Clear oral and written communication.
  • Ability to provide feedback to improve performance.
  • Self-motivation and ability to work with little supervision, follow specific guidelines and detailed instructions, measure performance against standards, and overcome obstacles.

Nice To Haves

  • Orthopedic coding experience.
  • Experience with NextGen and Amkai billing systems.

Responsibilities

  • Verify information for claims is correct prior to billing.
  • Review surgical coding for accuracy prior to 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 duties and assist others as directed.
  • Follow policies introduced during new teammate onboarding, updated in real time, and outlined in the Teammate Handbook.

Benefits

  • Health coverage
  • 401(k) with match
  • Profit sharing
  • Paid time off
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