Salary: Based on Experience
Reports To:Manager of Revenue & Affiliate Operations
Position Summary
Phoenix Ortho Injury isseekinga highly organized, detail-orientedRevenue Cycle Specialistto join our growing team in Stone Mountain, Georgia. This position plays a vital role in supporting the financial health of the organization by managing both medical billing and accounts receivable functions. The ideal candidate will have experience working within a healthcare environment,possessstrong knowledge of medical billing practices, and be comfortable communicating with outside organizationsregardingoutstanding balances and account resolution.
This role requires an individual who is proactive, persistent, professional, and capable of managing multiple priorities whilemaintainingexceptional attention to detail.Strong communicationskills and the ability to build professional relationships over the phone are essential.
Responsibilities
- Submit andmonitormedical claims for accuracy andtimelyreimbursement.
- Manage assigned accounts receivable and follow up on outstanding balances.
- Contact payers, attorneys, medical funding companies, and other responsible parties to resolve unpaid or underpaid accounts.
- Research payment discrepancies and work towardtimelyresolution.
- Review Explanation of Benefits (EOBs), remittance advice, and account activity toidentifybilling issues.
- Ensureaccuratecoding and billing practices are followed.
- Work collaboratively with internal departments to resolve billing questions and obtain supporting documentation.
- Maintainaccuratedocumentation of collection efforts and account activity within the practice management system.
- Identifybilling trends or recurring issues and recommend process improvements.
- Assistwith month-end reporting and revenue cycle projects as assigned.
- Maintain confidentiality while handling sensitive patient and financial information.
- Performadditionalrevenue cycle and billing duties as assigned.
Qualifications
Required
- Minimum of2 years of experiencein medical billing, accounts receivable, or healthcare revenue cycle management.
- Experience working within a physician practice, orthopedic practice, ambulatory surgery center, or other healthcaresetting.
- Strong understanding of medical billing processes and revenue cycle workflows.
- Working knowledge ofCPT, ICD-10, and HCPCS coding.
- Familiarity with orthopedic and interventional pain management billing is strongly preferred.
- Experience using healthcare practice management software and electronic medical record (EMR/EHR) systems.
- Strong telephone communication and negotiation skills.
- Excellent organizational skills with the ability to manage a large volume of accounts.
- Ability to prioritize tasks and work independently while meeting deadlines.
- Proficiency with Microsoft Office, including Excel and Outlook.
Preferred
- Experience managing complex accounts receivable.
- Knowledge of reimbursement methodologies and healthcare billing regulations.
- Experienceidentifyingand resolving claim denials.
- Familiarity with multiple payer types and reimbursement workflows.
Desired Characteristics
The ideal candidate is:
- Highly organized and detail oriented.
- Comfortable spendinga significant portionof the day on the phone.
- Professional, confident, and persistent when following up on outstanding accounts.
- Able to communicate effectively with both internal teams and external partners.
- Self-motivated and accountable.
- Process-driven with a continuous improvement mindset.
- Adaptable in a fast-paced, high-growth healthcare environment.
Benefits:
- Competitive salary based on experience and qualifications
- Comprehensive health insurance package including medical, dental, and vision coverage
- Retirement plan options available
- Paid time off for vacation, sick leave, and holidays
Why Join Phoenix Ortho Injury?
At Phoenix Ortho Injury, we are committed to providing exceptional orthopedic and interventional care while building an outstanding workplace culture. We invest in our employees, value collaboration, and provide opportunities for professional growth within a rapidly expanding healthcare organization.
If you enjoy solving problems, building relationships, and making a measurable impact on an organization's financial success,we'dlove to hear from you.