Healthcare Revenue Specialist

Role Overview

The Healthcare Revenue Specialist is responsible for managing patient billing processes, reconciling insurance payments, and accurately posting financial transactions related to healthcare services.

Primary Duties

• Ensure the accuracy of billing data and prepare invoices for submission.
• Address billing-related inquiries and communicate with patients and insurance providers.
• Submit insurance claims and post payments efficiently.
• Investigate and resolve claim denials by working with relevant parties.
• Review patient medical records to confirm billing accuracy.
• Handle delinquent accounts and interpret insurance benefits.
• Assist in managing referrals and obtaining authorizations.
• Prepare detailed financial reports and maintain accurate financial records.
• Support accounts receivable processes and ensure adherence to compliance standards.
• Provide administrative assistance and foster positive patient relations.
• Contribute to quality improvement initiatives and perform other assigned tasks.

Required Qualifications

• Bachelor's degree or comparable professional experience.
• At least two years of experience working within the healthcare revenue cycle.
• Familiarity with insurance payment processing, CPT and ICD coding.
• Proficient in Microsoft Office applications.

Preferred Qualifications

• Academic coursework in medical terminology.
• Experience with Epic or SIS healthcare information systems.
• Knowledge of billing procedures specific to ambulatory surgery centers.

Skills and Abilities

• Strong attention to detail and commitment to confidentiality.
• Ability to multitask and manage various responsibilities simultaneously.
• Effective communication skills, both written and verbal.
• Expertise in record-keeping and familiarity with medical billing practices.
• Competency in using computer systems and software tools.

Work Environment and Compensation

• Office-based professional setting with regular interaction among colleagues and patients.
• Flexible work hours to accommodate varying needs.
• Parking facilities available onsite.
• Compensation ranges from $30 to $36 per hour.