Revenue Cycle Specialist

Job Type

Full-time

Description

Spring in to your new career! Become a vital member of Coastal Pediatric Associate's Billing Department where you will be performing all aspects of the revenue cycle; including but not limited to, insurance AR, claims follow-up and reporting, patient billing, collections reporting, and claims submission in a timely, efficient manner. We are the largest and fastest growing pediatric practice in the Lowcountry. Join us at the Coast!

Benefits and Perks:

• Medical, Rx, Dental, Vision

• HSA, HRA, HIA

• Telehealth

• Life & Disability

• Employee Assistance Program

• Paid holidays and vacation

• 401k

• Convenient Locations & free parking

• Paid Volunteer Opportunities

• Education Assistance

Revenue Cycle Specialist Responsibilities to Include:

• Handles all billing questions, patient portal questions, patient cases and voicemails from parents/patients, insurance companies, law offices, and other CPA staff in a timely fashion (resolved within 72hrs)
• Financial counseling to guarantor/patient as needed, arrange payment plans per billing department/practice policies
• Collects co-payments, deductibles, and other out of pocket amounts via phone or other available means
• Manage patient, insurance, and collections AR by using best practices by Athena or other established workflows as directed including but not limited to: Patient Contact/Outreach, insurance carrier contact/outreach, and interdepartmental communications when needed to resolve the issue.

• High school diploma or equivalent
• Current working knowledge of ICD-10, CPT, HCPCS (Healthcare Common Procedure Coding System), Modifiers, and HIPAA
• Prior physician outpatient experience required
• Customer Service Experience (preferably in a medical office setting or call center)
• Basic understanding of a variety of health plans including but not limited to Medicaid Fee for Service, Managed Medicaid Plans, Federal Payers, and a variety of commercial payers
• Knowledge of the life of a revenue cycle
• Strong analytical skills for claims analysis and reporting
• Prior EMR software experience (ATHENA) preferred but not required
• Strong working knowledge in computer skills: Excel, Word, and other cloud-based computing
• Basic knowledge of pediatric coding practices, including but not limited to Federal Vaccine Program requirements (VFC)
• Prior Coding and or Insurance AR experience (CPC, CSS, CPB, or related certifications preferred but not required)
• Ability to speak, read and write effectively
• Ability to work independently without direct supervision
• Ability to coordinate, analyze, observe, make decisions, and meet deadlines, in a detail-oriented manner
• Ability to work weekdays