Revenue Cycle Specialist Hospital Billing and Collection | Center

Revenue Cycle Specialist I – Hospital Billing and Collection (Support Center – Days)

1 day ago – Be among the first 25 applicants

Work Status: REGULAR FULL TIME | 80.00 Hours Every Two Weeks

Shift: Days

Pay Rate Type:
Hourly

Location:

Support Center

Salary Range:
Min = $17.67 |
Mid = $21.64 |
Max = $25.98

The Revenue Cycle Specialist I, under the direction of the Supervisor, performs all billing and collection activities for all inpatient, outpatient, emergency and professional services provided by Onvida Health. The specific job duties are comprised of a combination of responsibilities from among the various areas of Revenue Cycle operations including third‑party insurance billing and collections, payer denial review and appeal processing, payment applications, credit balance review and resolution, self‑pay billing and collections, financial assistance and bad debt applications.

The position requires a background in hospital and/or professional accounts receivable and working knowledge of reimbursement requirements of healthcare payers.

• Hospital and Professional Billers perform initial billing on third‑party claims, either electronically or on paper, review and correct all billable claims in billing software in accordance with payer‑specific guidelines, prepare and submit appropriate billing attachments, and comply with all government and third‑party payer regulatory requirements.
• Hospital and Professional Insurance Collectors perform timely follow‑up on unpaid, under‑paid, suspended, and denied accounts, utilize system work queues and reports, payer portals, and perform outgoing calls to patients and insurance companies to obtain necessary information for accurate billing and collections, prepare appeal letters with supporting documentation, review remittance advice, resolve payment discrepancies, and review credit balance accounts to resolve credit balances.
• Single Billing Office (SBO) Self‑Pay Collectors handle self‑pay accounts, including financial assistance and collection agency assignment, provide exemplary customer service, answer incoming patient calls, make outbound collection calls, set up payment plans, follow up on past‑due payment plans, identify patients with financial hardship, qualify for Financial Assistance, and handle bankruptcy and deceased accounts appropriately.
• Enterprise Billing (EB) Payment Posters apply insurance payments electronically or from paper Explanation of Benefits (EOBs) against the appropriate account, enter adjustments, denial codes, copays, deductibles and co‑insurance, process patient cash, check and credit card payments, conduct daily lockbox and electronic payment postings, reconcile cash collected, prepare daily bank deposits, handle cash clearing and PLB accounts, undistributed payments, credit balancing activities, investigate unidentified accounts and process refunds for patients and insurers.
• Organize work and accomplish results, prioritize individual and departmental workload, handle multiple tasks simultaneously, follow up on assignments and meet deadlines, and maintain productivity and accuracy to meet monthly collection goals.
• Set an example with behavior and attitude that exemplifies an eagerness to satisfy, develop positive relationships with clients, patients, co‑workers, payers, and enhance public relations through verbal communication.
• Contribute to team‑building efforts, interact, communicate, and collaborate with team members to maximize group effectiveness, mentor and assist in training fellow team members, address issues directly with coworkers, and contribute to ongoing improvement of work processes.
• Other duties as assigned.

High School Diploma or Equivalent

• 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

A career at Onvida Health is more than just a job. It’s a…