Revenue Cycle Specialist

EOE Statement Blue Ridge Medical Center is an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.

The Revenue Cycle Specialist is responsible for all facets of the revenue cycle which includes but not limited to billing, coding, handling incoming payments, calculating patient intake costs and tracking accounts receivable to ensure accuracy. May also be assigned to special projects and must demonstrate a sincere dedication and loyalty to the mission, vision and core values of BRMC.

• Patient Information Collection:
  Collects and verifies patient information such as insurance coverage and demographics. Updates EHR as needed with new information.
• Patient Insurance Verification:
  Confirm insurances. Validate authorizations and plan's benefits and limits. Obtain copays, deductibles, and any Out of Pocket expenses and non-covered expenses.
• Communicate with patients to ensure understanding of insurance coverage for upcoming appointments.
• Review coding on claims for accuracy and specification.
• Work with providers to ensure proper and prompt billing and clean encounters.
• Prepare and/or review monthly billing statements.
• Process payments from insurance companies and patients.
• Research and correct insurance denials.
• Review and resolution of medical A/R – including contacting patients for payments, negotiating payment arrangements, sending accounts to collections.
• Stay current on all coding and billing regulations.
• Follow the No Surprise Act requirements.
• Other duties as assigned.

• High school diploma or equivalent required.
• Knowledge of medical and dental insurance programs and their eligibility and billing processes.
• Certified Biller or Coder preferred.
• 1 year of experience as a Revenue Cycle Specialist required.
• 1 year of Customer Service experience required.
• 1 year experience working with Electronic Health Records systems. eCW preferred.

• Excellent Customer Service skills a must.
• Strong interpersonal skills to establish productive working relationships with multidisciplinary team and support services.
• Strong computer and typing skills, experience with Microsoft Office, able to quickly learn new computer programs.
• Ability to communicate effectively in both written and verbal (in-person and by phone) form to patients, public and medical staff.
• Critical thinking to integrate facts, informed opinions, active listening and observations.
• Analytical skills to correct denials.
• Time management – ability to meet deadlines.
• Accurate data entry with attention to details.
• Decision making, problem solving and collaboration.
• A passion for helping others, their health and well-being.

Blue Ridge Medical Center must comply with the CMS mandate regarding COVID vaccines. All candidates who receive an employment offer from BRMC must be fully vaccinated and provide valid proof prior to the first day of employment. Candidates may submit a request for a medical or religious exemption, but it must be received and approved prior to the start date.

This full time position is a FLSA non-exempt position which may require work in excess of 40 hours per week. Work hours are Monday through Friday during variable hours of clinical operations which includes some Saturdays to meet the Center’s needs and accomplish the duties of this position.

Comply with and set example of compliance with BRMC’s policies/procedures/practices; comply with legal requirements for non-profit organizations.

Perform and complete duties under…