Revenue Cycle Specialist

Talentify; Montgomery (AL); On-site; USD 42,000 - 64,000; Full time

Job summary

Jackson Clinic is seeking a Revenue Cycle Specialist to manage coding, billing and collections across primary care, walk-in and specialty clinics. You will handle charges, respond to third-party queries, and support front-end processes in the EMR.

The role requires a high school diploma and 1-2 years in medical billing; AAPC physician coding certification preferred. Strong communication, CPT/ICD coding skills, and ability to work with providers and patients are essential.

Qualifications

• High school diploma.
• 1–2 years medical billing experience in a physician office or related setting.
• Certification in Physician Coding (AAPC) preferred.
• Excellent verbal and written communication required; telephone etiquette and customer relations skills.
• Proficient CPT and ICD coding knowledge.
• Computer literate with ability to use PC and calculator.

Responsibilities

• Manage revenue cycle tasks including coding, billing and collections.
• Answer patient billing questions and assist staff with billing questions.
• Enter hospital charges for all providers and monitor daily submissions to 3rd party billing company.
• Generate end of month reports and reconcile logs for POS collections and payments.
• Resolve errors from 3rd party billing company and follow up with providers on billing issues.
• Act as super user for EMR and front-end processes across clinics.
• Prepare credentialing and appointment packets for physicians as needed.
• Assist administration with routine billing and month-end reporting; report variances to management.
• Compile physician stats at month-end.

Skills

Medical billing

CPT/ICD coding

Communication

Computer literacy

Prolonged sitting

Education

High school diploma

AAPC Certification (preferred)

Job description

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.

Qualifications

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.