Revenue Cycle Financial Counselor & Collections Specialist

Proliance Surgeons, Inc.; Tacoma (WA); Hybrid; USD 40,000 - 70,000; Full time

Job summary

Join a forward-thinking organization as a Revenue Cycle Financial Counselor and Collections Specialist. This role is pivotal in ensuring smooth billing processes and patient financial interactions. You'll work in a hybrid environment, balancing remote work with onsite responsibilities. Your expertise in medical collections and strong communication skills will help foster positive patient relationships while meeting collection performance targets. This innovative firm values diversity and offers a comprehensive benefits package, making it a great place to grow your career in the healthcare sector.

Benefits

Health Coverage

401k with Match

Profit Sharing

Paid Time Off (PTO)

Qualifications

• 1-2 years of medical collections experience is required.
• CPC or equivalent certification is preferred.

Responsibilities

• Oversee billing processes including charge entry and claims.
• Contact patients regarding outstanding balances and payment plans.
• Ensure compliance with relevant laws and policies.

Skills

Medical Collections

Communication Skills

Time Management

Problem-Solving

Attention to Detail

Education

High School diploma or GED

CPC or equivalent certification

Tools

Nextgen Billing System

Amkai Billing System

Microsoft Office

Job description

Revenue Cycle Financial Counselor & Collections Specialist

Puget Sound Orthopedics Clinic Tacoma, Tacoma, Washington, United States of America

Job Description

Posted Tuesday, April 29, 2025 at 10:00 AM

Proliance Surgeons is one of the largest surgical practices in the country, with over 450 providers including over 200 board-certified physicians providing treatment at more than 100 care centers in Washington State.

At Proliance, our patients come from all walks of life and so do we. We hire, develop, and engage great people from diverse backgrounds, encouraging growth and development to make our organization a great place to work. We draw on our differences to create Exceptional Outcomes, Personally Delivered.

We offer a comprehensive and competitive benefits package including health coverage, 401k with match and profit sharing, PTO, and more. For details, visit our careers page at www.proliancesurgeons.com/careers.

Compensation during the offer process will be based on factors such as experience, qualifications, and internal equity.

Be Part of Who We Are!

Position Summary

The Revenue Cycle Specialist is a key member of our Revenue Cycle team, working remotely to oversee billing processes including charge entry, billing, claims, patient accounts receivable, and insurance receivable. Responsibilities also include posting payments, credit resolution, and other revenue cycle functions.

Schedule: Monday through Friday, 8:00 am - 4:30 pm

Location: Hybrid; 2-3 days onsite in Tacoma, with potential to transition to fully remote after training.

Key Duties and Responsibilities

• Create accurate cost estimates based on insurance coverage, procedure codes, and contracted rates.
• Review insurance benefits and verify patient eligibility prior to services.
• Communicate financial obligations, insurance coverage, and payment options clearly to patients.
• Proactively contact patients to discuss estimates and arrange pre-service payments or plans.
• Document all financial counseling activities and patient interactions.

Collections responsibilities include:

• Contact patients with outstanding balances via phone, email, and mailed statements.
• Set up, negotiate, and monitor payment plans.
• Resolve billing discrepancies and clarify underpayments or denials with insurance companies.
• Maintain detailed records of collection activities.
• Escalate delinquent accounts to external agencies when necessary.
• Maintain respectful and empathetic communication to preserve patient relationships.
• Ensure compliance with relevant laws and policies, including the Fair Debt Collection Practices Act.

Shared/General Responsibilities

• Maintain confidentiality and safeguard patient information (HIPAA).
• Collaborate with front desk, clinical staff, and billing departments for a smooth financial process.
• Identify trends or issues with insurance payers and report to leadership.
• Meet or exceed collection and counseling performance targets.

Education/Experience

• High School diploma or GED.
• 1-2 years of medical collections experience.
• CPC or equivalent certification.
• Experience with Nextgen and Amkai Billing Systems preferred.

Knowledge, Skills, and Abilities

• High independence, accuracy, and adaptability.
• Navigate online payor portals and websites effectively.
• Proficient with Office equipment and basic Microsoft Office applications.
• Excellent interpersonal skills; patience, composure, cooperation.
• Understanding of safety, risk management, and confidentiality policies (HIPAA).
• Efficient time management, meticulous attention to detail.
• Resourcefulness and persistence in problem-solving.
• Objectivity and ability to handle change positively.
• Clear communication skills, both oral and written.
• Self-motivated, able to work independently following guidelines.

Work Environment/Physical Demands

The work environment and physical demands are representative of those needed to perform the essential functions of this job. Reasonable accommodations may be provided for differently-abled individuals.