Revenue Cycle Specialist

SBD Medical Solutions Inc • Columbus, OH

10h

About The Position

The Patient Accounts & Revenue Cycle Specialist manages the financial lifecycle of patient services, from initial charge entry through final payment resolution. The role includes submitting clean claims to insurance payers, working denials and appeals, posting payments, and collecting patient balances. It also serves as a primary point of contact for patient billing inquiries and requires understanding insurance policies, CPT codes, and regulations to support the practice’s financial health while providing excellent customer service.

Requirements

• High school graduate or GED required.
• Demonstrated ability to achieve accuracy and consistency, with attention to detail when entering demographic information and confirming insurance.
• Excellent verbal and written communication skills.
• Proficient computer and electronic medical record system skills.
• Ability to adapt to unpredictable situations in the work setting and remain flexible.

Nice To Haves

• Insurance billing and/or coding experience preferred.
• Experience with eClinicalWorks preferred.

Responsibilities

• Receive hospital cards from physicians with hospital privileges, register patients in the electronic health record, and verify insurance coverage.
• Obtain additional authorizations for add-on procedures listed on hospital cards.
• Retrieve hospital medical records from portals and upload them to the electronic medical record according to standardized workflow.
• Call patients seen in the hospital by an SEC physician, schedule appropriate follow-up visits according to provider instructions, and estimate specialist office visit copays.
• Provide cross-coverage for the Insurance Verification team.
• Complete all assigned T and D jellybeans and actions accurately and promptly.
• Maintain strict confidentiality according to HIPAA privacy and security rules.
• Work denied hospital claims and obtain necessary retroactive authorizations.
• Submit clean insurance claims, work denials and appeals, post payments, collect patient balances, and respond to patient billing inquiries.

What This Job Offers

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