Revenue Cycle Specialist

jacksonhospitalinternal; Montgomery (AL); On-site; USD 36,000 - 52,000; Full time

Job summary

Jackson Clinic seeks a Revenue Cycle Specialist to manage the professional billing process, ensure timely coding, billing and collections, and act as a resource for staff on billing questions. The role involves handling third-party bills, end-of-month reports, and credentialing packets for physicians.

AAPC certification is preferred, with 1–2 years of medical billing experience and strong CPT/ICD coding knowledge.

Qualifications

• 1–2 years of medical billing experience in a physician office or related setting.
• Certification in Physician Coding with AAPC preferred.
• Excellent verbal and written communication required; strong CPT/ICD coding knowledge.

Responsibilities

• Process hospital charges and submit to the 3rd party billing company.
• Resolve errors from the billing company and follow up on denied claims.
• Answer patient billing questions and serve as a billing resource for staff.
• Monitor daily charge submissions, cash reconciliation, and payment posting.
• Assist with month-end reporting and credentialing packets for physicians.

Skills

Verbal communication

Written communication

Telephone etiquette

Customer relations

Education

High school diploma

Tools

EMR system

CPT/ICD coding knowledge

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.

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.