Revenue Cycle Specialist

SBD Medical Solutions Inc; Columbus (GA); On-site; USD 25,000 - 32,000; Full time

Job summary

SBD Medical Solutions Inc. is seeking a Patient Accounts & Revenue Cycle Specialist to manage the financial lifecycle of patient services—from charge entry to payment resolution.

You will submit clean claims, work denials and appeals, post payments, and collect patient balances while delivering excellent customer service.

Qualifications

• Demonstrates accuracy and attention to detail when entering demographic information and insurance data.
• Excellent verbal and written communication skills for patient interactions.
• Proficient with electronic medical record systems and related software.
• Flexibility to adapt to changing situations in a healthcare setting.

Responsibilities

• Register patients in the electronic health record and verify insurance coverage.
• Obtain additional authorizations for procedures from hospital staff.
• Retrieve and upload hospital records to the EMR per workflow.
• Communicate with patients about billing inquiries and schedule follow-ups as needed.
• Provide cross-coverage for the Insurance verification team.
• Maintain HIPAA privacy and security compliance.
• Work through denied hospital claims and support retro authorizations.

Skills

Attention to detail

Verbal and written communication

Adaptability

EMR proficiency

Education

High school diploma or GED

Insurance billing experience

Coding experience

Tools

eClinicalWorks

Job description

Description

The Patient Accounts & Revenue Cycle Specialist is a critical role responsible for managing the entire financial lifecycle of patient services, from initial charge entry to final payment resolution. Key duties include submitting clean claims to insurance payers, diligently working denials and appeals, posting payments, and collecting patient balances. This position serves as a primary point of contact for patients regarding billing inquiries, requiring a deep understanding of insurance policies, CPT codes, and regulations to ensure the financial health of the practice while providing excellent customer service

Responsibilities:

• Responsible for receiving hospital cards from all physicians with hospital privileges, registering patients in the electronic health record, and verifying insurance coverage
• Responsible for obtaining additional authorizations for add on procedures from hospital cards
• Responsible for retrieving hospital medical records from portals and uploading to the electronic medical record in-line with standardized workflow.
• Responsible for calling patients seen in the hospital by an SEC physician and accurately scheduling appropriate follow-up visits as ordered by provider instructions as well as estimating any specialist office visit copays.
• Provides cross-coverage for Insurance verification team.
• Timely and accurately completes all assigned T and D jellybeans and actions
• Maintains strict confidentiality according to HIPPA privacy and security rule
• Works denied hospital claims and obtain any necessary retro authorizations.

Requirements

Education and Qualifications:

• High school graduate or GED, required
• Insurance billing and/or coding experience preferred
• Experience with eClinicalWorks preferred

Job Skills:

• Demonstrates the ability to achieve accuracy and consistency - attention to detail when entering in demographic information and confirming insurance
• Demonstrates excellent verbal and written communication skills
• Demonstrates proficient computer/electronic medical record system skills
• Exhibits an ability to adapt to unpredictable situations within the work setting; ability to remain flexible

Compensation

Starting Hourly Pay:

$18.75 per hour

Salary based on experience-

Starting pay will be determined based on the candidate's relevant skills, qualifications, and experience.