Revenue Cycle Specialist

Southdale Pediatric Associates, Ltd.; Edina (MN); On-site; USD 42,000 - 58,000; Full time

Benefits offered by this job

401(k)

401(k) matching

Dental insurance

Employee assistance program

Employee discount

Flexible schedule

Health insurance

Life insurance

Paid time off

Referral program

Retirement plan

Vision insurance

Job summary

Southdale Pediatric Associates, Ltd. is an independent physician group caring for children since 1948. We are seeking a full-time Revenue Cycle Specialist to join our Revenue Cycle team in Edina, MN.

This position is responsible for managing a variety of patient account and insurance billing activities, including payment processing, account maintenance, insurance follow-up, payment plans, collections, and resolution of patient billing questions.

Qualifications

• High school diploma or GED.
• Strong attention to detail and commitment to accuracy.
• Strong organizational and time-management skills.
• Ability to manage multiple priorities and meet deadlines in a fast-paced environment.
• Proficiency with computers, Microsoft Excel, and multiple software systems.
• Ability to communicate professionally with patients, families, coworkers, and insurance representatives.
• Ability to maintain confidentiality and handle sensitive information appropriately.

Responsibilities

• Process and accurately apply patient payments received online, by phone, mail, and in person.
• Post insurance payments, adjustments, credits, and account activity.
• Review insurance explanations of benefits (EOBs) and identify payment discrepancies or incorrect adjustments.
• Follow up with insurance companies and payers to resolve claim and reimbursement issues.
• Prepare and submit insurance claims, appeals, and reconsiderations as needed.
• Answer patient and family questions regarding billing, insurance processing, account balances, and payment activity.
• Establish, monitor, and document patient payment plans.
• Review aging and delinquent accounts and coordinate appropriate follow-up or collection activity.
• Process patient refunds and account adjustments as authorized.
• Maintain accurate patient and guarantor account information and documentation.
• Use multiple software systems, payer websites, and Microsoft applications to complete daily revenue cycle activities.
• Use Microsoft Excel to organize, track, reconcile, and analyze account information.
• Protect patient information and maintain compliance with HIPAA and applicable billing and reimbursement requirements.
• Communicate professionally and courteously with patients, families, staff, insurance companies, and external partners.
• Stay current on payer requirements, revenue cycle practices, technology, and organizational procedures.
• Perform other related duties as assigned.

Skills

Attention to detail

Organizational skills

Time management

Multitasking

Communication skills

Confidentiality

Computer literacy

Education

High school diploma or GED

Tools

Microsoft Excel

Software systems

Job description

Description

Southdale Pediatric Associates, Ltd. is an independent physician group caring for children since 1948. Our mission is to provide high-quality medical care and outstanding customer service in a warm, welcoming environment. We are proud to have many employees who have been part of our organization for 20+ years and offer a stable, friendly, and challenging work environment.

We are seeking a full-time Revenue Cycle Specialist to join our Revenue Cycle team in Edina, MN. This position is responsible for managing a variety of patient account and insurance billing activities, including payment processing, account maintenance, insurance follow-up, payment plans, collections, and resolution of patient billing questions.

The ideal candidate is highly detail-oriented, organized, comfortable working independently, and able to confidently navigate multiple computer systems while maintaining accuracy, confidentiality, and excellent customer service.

Key Responsibilities

• Process and accurately apply patient payments received online, by phone, mail, and in person.
• Process and post insurance payments, adjustments, credits, and account activity.
• Review insurance explanations of benefits (EOBs) and identify payment discrepancies or incorrect adjustments.
• Follow up with insurance companies and payers to resolve claim and reimbursement issues.
• Prepare and submit insurance claims, appeals, and reconsiderations as needed.
• Answer patient and family questions regarding billing, insurance processing, account balances, and payment activity.
• Establish, monitor, and document patient payment plans.
• Review aging and delinquent accounts and coordinate appropriate follow-up or collection activity.
• Process patient refunds and account adjustments as authorized.
• Maintain accurate patient and guarantor account information and documentation.
• Use multiple software systems, payer websites, and Microsoft applications to complete daily revenue cycle activities.
• Use Microsoft Excel to organize, track, reconcile, and analyze account information.
• Protect patient information and maintain compliance with HIPAA and applicable billing and reimbursement requirements.
• Communicate professionally and courteously with patients, families, staff, insurance companies, and external partners.
• Stay current on payer requirements, revenue cycle practices, technology, and organizational procedures.
• Perform other related duties as assigned.

Qualifications

Required:

• High school diploma or GED.
• Strong attention to detail and commitment to accuracy.
• Strong organizational and time-management skills.
• Ability to manage multiple priorities and meet deadlines in a fast-paced environment.
• Proficiency with computers, Microsoft Excel, and multiple software systems.
• Ability to communicate professionally with patients, families, coworkers, and insurance representatives.
• Ability to maintain confidentiality and handle sensitive information appropriately.

Preferred:

• At least one year of experience in medical billing, insurance, collections, patient accounts, revenue cycle, or a related field.
• Experience with Microsoft Excel, including organizing, tracking, and reconciling data.
• Familiarity with medical terminology, EOBs, insurance processes, and basic ICD/CPT terminology.
• Experience working in a healthcare or medical office environment.

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Employee discount
• Flexible schedule
• Health insurance
• Life insurance
• Paid time off
• Referral program
• Retirement plan
• Vision insurance