Revenue Cycle Specialist

Department: Revenue Cycle

Employment Type: Permanent - Full Time

Location: HQ

Reporting To: Revenue Cycle Manager

Description

What your day will look like

• Answer multi-line phones for the billing department and manage a high volume of patient billing inquiries
• Respond to patient emails and correspondence regarding billing questions and account balances
• Explain patient statements, insurance processing, and patient financial responsibility
• Communicate with patients regarding sensitive financial matters in a professional and empathetic manner

• Review patient accounts to determine the cause of outstanding balances
• Investigate claim status, insurance payments, adjustments, and denials when reviewing patient accounts
• Utilize payer portals and practice management systems to research claim and payment activity
• Escalate unresolved insurance AR issues to the AR team when appropriate

• Process credit card and check payments through the merchant processing system
• Assist patients with payment arrangements and payment plans when appropriate
• Provide itemized receipts and account summaries upon request

• Resolve patient billing complaints and questions by reviewing account activity and claim history
• Coordinate with AR, coding, payment posting, and authorization teams when additional investigation is required
• Prepare write-off or refund requests with supporting documentation for managerial review when appropriate

• Document all patient interactions and account updates within the practice management system
• Maintain accurate records of billing inquiries and resolutions

• Respond to billing-related inquiries from clinic staff and internal departments
• Assist front desk teams with patient balance questions and billing clarification

• Assist with insurance records requests when needed
• Support coordination of accounts that have been sent to collections agencies

Knowledge & Skills Needed to be Successful

• Knowledge of Commercial, Medicare, and Medicaid insurance guidelines
• Strong customer service skills with the ability to adapt and respond to patient escalation issues
• Excellent written and verbal communication skills, with the ability to explain complex billing information clearly to patients
• Strong attention to detail and organizational skills
• Strong mathematical and computer skills, including proficiency with G Suite applications
• Ability to prioritize and manage multiple workflows and a high volume of inquiries
• Ability to work in a fast-paced, results-oriented environment both independently and as part of a team
• Goal-oriented with strong problem-solving abilities

• Healthcare, hospital, or clinical patient service experience
• High School Diploma or higher

• At least 1+ years of healthcare billing, patient billing, or revenue cycle experience preferred
• At least 1+ years of customer service experience speaking with patients preferred.
• Familiarity with medical billing workflows and accounts receivable processes
• Experience working with EHR or practice management systems (NextGen, Athena, Epic, or similar)
• Understanding of patient statements, insurance adjudication, and patient financial responsibility

What Benefits do we offer Aspire Employees?

• Medical, Dental and Vision Insurance
• Generous Paid Time Off and Paid Holidays
• 401(k) + Generous Employer Match
• Free Allergy Testing and Discounted Treatments
• Gym Membership Discounts
• Life Insurance
• Employee Reward Program