Rev Cycle Specialist - UB Biller

Jackson Hospital; Montgomery (AL); Hybrid; USD 42,000 - 62,000; Full time

Job summary

Jackson Hospital is seeking a Revenue Cycle Specialist to manage the clinic's professional billing and coding processes. The role involves handling queries from a third-party billing company, entering charges, and ensuring timely submissions and accurate month-end reporting.

The ideal candidate has a high school diploma, 1–2 years of medical billing experience, and preferably AAPC Physician Coding certification. Strong verbal and written communication is essential.

Qualifications

• High school diploma required.
• 1-2 years medical billing experience preferred.
• AAPC Physician Coding certification preferred.
• Excellent verbal and written communication skills.

Responsibilities

• Oversee revenue cycle for clinic professional billing.
• Resolve coding/billing errors from third-party billers.
• Enter hospital and provider charges; run end-of-month reports.
• Answer patient billing questions; support staff on billing queries.
• Act as system super-user for electronic medical records.
• Monitor daily charge submissions and partner with providers to correct issues.
• Educate clinics on revenue cycle processes, including registration and verification.
• Assist with prior authorizations and credentialing as needed.

Skills

Medical billing

Verbal communication

Written communication

Education

High school diploma

AAPC certification preferred

Tools

EMR system

Job description

High school diploma. Minimum of 1-2 years experience in medical billing in a physician office or physician office related setting. Certification in Physician Coding with AAPC preferred. Excellent verbal and written communication required, telephone etiquette, customer relations’ skills, CPT and ICD Coding. Computer literate. Manual dexterity and visual acuity necessary to utilize the PC and calculator. Ability to sit for prolonged periods of time. Verbal communication and hearing ability to communicate with a multitude of patients and customers.

Job Description

The Revenue Cycle Specialist is responsible for the revenue cycle of the Jackson Clinic professional billing process to ensure appropriate and timely coding, billing, and collections. The Revenue Cycle Specialist will be responsible for working queries sent from the 3rd party billing company to resolve errors, entering hospital charges for all providers, and working end of month reports to ensure accuracy. The Revenue Cycle Specialist will answer patient billing questions and act as a resource for staff for billing questions. In addition to revenue cycle, this position will be a super user of the electronic medical record and front-end processes of all primary care, walk-in, and specialty clinics. Monitors the daily submission of charges to the third party billing company for accuracy and timeliness, and follows up directly with providers to address billing issues. Facilitates all coding recommendations from third party billing company to individual providers daily. Works queries from 3rd party billing company to correct errors on denied claims. Completes the daily logs for point of service collections, cash reconciliation, payment posting, and bank deposits. Helps Revenue Cycle Manager educate appropriate revenue cycle processes in all clinic offices which include but not limited to patient registration, insurance verification, point of service collections, and provider coding. Assists various offices with prior authorizations for surgeries, procedures, special medication administration as needed. Assists the clinic administration with routine billing and month-end reporting. Reports to management any variances that occur in the billing process. Compiles physician stats at end of month for clinic administration. Works to enter all hospital charges, nursing home charges, and palliative care charges to submit to 3rd party billing company. Completes credentialing and appointment packets for physicians as needed. Performs all other duties as deemed necessary by the clinic administrator.

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