Revenue Cycle Specialist

Waveny Care Network; Wilton (CT); On-site; USD 28,000 - 36,000; Full time

Job summary

Waveny Care Network in Wilton, CT seeks an experienced Billing Clerk to manage monthly private pay billing and insurance collections. You will audit claims, ensure timely payments, and collaborate with clinical and operations teams to resolve billing issues.

The role requires familiarity with revenue cycle processes, attention to detail, and the ability to work independently in a fast-paced healthcare setting. This on-site position offers growth opportunities within the billing department.

Qualifications

• Prior experience in revenue cycle, collections, or healthcare billing preferred.
• Strong data handling skills with large volumes.
• Proficient in Microsoft Excel.
• Ability to work independently.
• Excellent attention to detail.

Responsibilities

• Responsible for the regular and timely billing of monthly private pay accounts.
• Responsible for the accurate and timely collections of private pay, LTC insurance, and Medicaid billing.
• Audit monthly claims for necessary patient information prior to billing.
• Act as support for others within the department billing specialists.
• Track and report collections activity for private payers.
• Support in developing efficient processes, procedures, and effective communications on past due accounts receivables.
• Analyze and report on outstanding credit balances.
• Work effectively with clinical reimbursement department and operational team to resolve billing issues.
• Follow-up on unpaid services
• Maintain knowledge of current collection rules including flu billing.
• Positively represent company and department by communicating with patients about outstanding balances.
• Prepare accounts for write-off.
• Reconcile/Analyze month-end A/R and collection reports
• Prepare management A/R reports
• Maintain entries into agency billing system for payment application. Post payments for private pay.
• Verify services performed reflect what is billed.
• Cross training in all insurance billing and collections procedures.

Skills

Revenue cycle

Billing experience

Attention to detail

Excel proficiency

Independent worker

Data accuracy

Tools

Billing system

Excel

Job description

• Prior experience in revenue cycle, collections, or healthcare billing preferred
• Ability to work quickly and accurately with large volume detail data
• Microsoft Excel or related experience necessary
• Ability to work independently
• Great attention to detail

Responsibilities:

• Responsible for the regular and timely billing of monthly private pay accounts
• Responsible for the accurate and timely collections of private pay, LTC insurance, and Medicaid billing
• Audit monthly claims for necessary patient information prior to billing
• Act as support for others within the department billing specialists.
• Track and report collections activity for private payers
• Support in developing efficient processes, procedures, and effective communications on past due accounts receivables.
• Analyze and report on outstanding credit balances.
• Work effectively and efficiently with clinical reimbursement department and operational team in resolving billing issues in a timely manner.
• Follow-up on unpaid services
• Maintain knowledge of current collection rules including flu billing.
• Positively represent company and department by effectively communicating with patients and patient families regarding outstanding balances
• Prepare accounts for write-off.
• Reconcile/Analyze month-end A/R and collection (summary and detailed) reports
• Prepare management A/R reports
• Maintain entries into agency billing system for payment application. Post payments for private pay.
• Verify services performed accurately reflect what is being billed.
• Cross training within the billing department, in on all insurance billing and collections procedures.

Fitness Requirements:

Frequent sitting at a desk for document preparation. Periodic walking and standing for movement around the facility for meetings. Sporadic reaching, twisting and bending for office related tasks.

Travel Required

No .

Equal Opportunity Employer
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