Revenue Cycle Specialist I Professional Billing and Collec | Support Center | Days

The Revenue Cycle Specialist I performs billing and collection activities for inpatient, outpatient, emergency, and professional services, covering insurance billing, claims denial review, payment applications, credit balance review, self‑pay collections, financial assistance, and bad debt applications.

• Hospital and Professional Billers – Perform initial billing on third‑party claims, review and correct billable claims, prepare and submit attachments, and comply with regulatory requirements.
• Hospital and Professional Insurance Collectors – Timely follow‑up on unpaid/denied accounts, outbound calls to patients and insurers, prepare appeal letters, review remittance advice, resolve payment discrepancies, and review credit balance accounts.
• Single Billing Office (SBO) Self‑Pay Collectors – Handle self‑pay accounts, financial assistance, collection agency assignments, provide customer service, set up payment plans, qualify for financial assistance, and manage bankruptcy and deceased accounts.
• Enterprise Billing (EB) Payment Posters – Apply insurance payments, process patient payments (cash, check, credit card), post lockbox and electronic files, reconcile cash, manage PLB accounts, investigate unidentified accounts, and process refunds.
• Organize work, prioritize tasks, meet deadlines, and maintain productivity and accuracy to reach collection goals.
• Model core values, build positive relationships, communicate effectively, resolve conflicts, collaborate with team, mentor new members, and drive continuous process improvement.
• Other duties as assigned.

• High School Diploma or GED (minimum).
• 1+ year experience in a healthcare setting.
• Background in hospital and/or professional accounts receivable.
• Working knowledge of self‑pay or insurance billing and collections, and insurance terminology.
• Working knowledge of UB04, CMS 1500, and Explanation of Benefits (EOB) interpretation.
• Working knowledge of CPT, ICD‑10, HCPCS, and modifiers.
• Working knowledge of medical reimbursement policies and procedures.

• Epic EHR experience.