Revenue Cycle Specialist

Responsibilities and Accountabilities

• Perform insurance checks for upcoming Program appointments/services to determine eligibility and benefits coverage
• Work directly with patients/guarantors on gathering insurance information by telephone and/or face to face when prior information gathered is not correct or is missing
• Provide cost of care estimates and discuss financial arrangements when needed, and collect the appropriate amount of the patient's deductible and/or max out-of-pocket expenses
• Inform customers of the Financial Assistance Program if the patient is self-pay or if concerns are expressed
• Respond to inquiries regarding insurance and/or billing concerns, following up with the appropriate resource as needed
• Communicate with UR and Patient Account staff regarding billing inquiries
• Review/complete tickets within the billing workbench as assigned
• Advocate for coverage when necessary

Specific Skills

• Basic math and keyboarding skills
• Proficiency in Microsoft Office products, including Word, Excel, and Outlook
• Knowledge of health insurance eligibility, benefits, and claims processing
• Knowledge of Revenue Codes, CPT/HCPCS codes, and diagnosis codes
• Excellent customer service and communication skills
• Ability to maintain confidential information
• Ability to maintain a courteous and respectful manner in difficult or highly charged emotional interactions