Revenue Cycle Claims Specialist

About the role

The RIT Billing/Collections Specialist plays a critical role in managing the financial operations related to patient billing and collections within a healthcare setting. This position is responsible for ensuring accurate and timely billing processes, resolving billing discrepancies, and facilitating effective communication between patients, insurance companies, and healthcare providers.

Responsibilities

• Prepare and submit accurate patient bills and insurance claims in accordance with healthcare policies and regulations.
• Review and reconcile billing statements to identify and resolve discrepancies or errors promptly.
• Communicate with patients, insurance providers, and internal departments to address billing inquiries and facilitate payment collections.
• Maintain detailed documentation of billing activities, payment plans, and collection efforts to support audit and compliance requirements.
• Monitor accounts receivable and implement follow-up procedures to ensure timely payment and reduce outstanding balances.

Requirements

• High school diploma or equivalent; associate degree or higher preferred.
• Minimum of 2 years experience in medical billing, collections, or related healthcare financial services.
• Familiarity with medical billing software and electronic health record (EHR) systems.
• Strong understanding of insurance claim processes, billing codes, and healthcare regulations.
• Excellent communication and organizational skills.

Preferred Qualifications

• Certification in medical billing or coding (e.g., CPC, CCA) is highly desirable.
• Experience working within a hospital or clinical environment.
• Knowledge of HIPAA compliance and patient privacy regulations.
• Proficiency with advanced billing software and data analysis tools.
• Demonstrated ability to handle complex billing issues and negotiate payment arrangements.