Physician Practice Revenue Cycle Specialist

Effingham Hospital, Inc.; Town of Springfield (WI); Sur place; USD 52 000 - 76 000; Plein temps

Résumé du poste

Effingham Hospital, Inc. seeks a Physician Practice Billing Specialist to support accurate reimbursement for physician services. The role processes claims, resolves denials, posts payments, and follows up on outstanding accounts with professional communication.

The position emphasizes HIPAA compliance, coding standards, and attention to detail in a fast-paced healthcare setting, serving patients and providers alike.

Qualifications

• Requires working knowledge of commercial insurance and government payer processes.
• At least two years of billing experience in a physician practice or hospital setting preferred.
• CPAR and/or billing certification is a plus.

Responsabilités

• Review, submit, and follow up on claims to ensure timely reimbursement.
• Post payments and reconcile accounts with accuracy.
• Respond to patient and payer inquiries with professional communication.
• Maintain compliance with HIPAA, payer requirements, and coding standards.
• Document account activity and report denial trends for process improvement.

Connaissances

Billing accuracy

Accounts receivable

HIPAA compliance

Customer service

Verbal & written communication

Formation

High school diploma

Outils

Microsoft Office

Description du poste

Effingham Hospital, Inc. seeks a Physician Practice Billing Specialist to support accurate reimbursement for physician services. The role processes claims, resolves denials, posts payments, and follows up on outstanding accounts with professional communication.

The position emphasizes HIPAA compliance, coding standards, and attention to detail in a fast-paced healthcare setting, serving patients and providers alike.