Revenue Cycle Specialist II - AR & Denials Follow-Up

About the role

This is a remote position responsible for effective billing and collections for all ENT Specialty Partners offices. The role resolves claim issues by utilizing knowledge of company policies and procedures, medical coding, insurance reimbursement practices, and collection laws.

Responsibilities

• Responsible for all AR follow up including denials, reconsiderations, and appeals
• Accurate data entry of information into the computer system
• Provide reimbursement assistance to patients while providing superior customer service and respect to patients and their families
• Follow appropriate HIPAA guidelines; provide medical records to primary care provider, insurance carriers, referred providers and patients per patient request
• Work well individually and in a team-environment accomplishing set goals
• Timely and accurate filing and billing of all patient transactions (billing, invoices, and insurance claims, etc.)
• Monitor claim status, contact and follow up with insurance carriers on denials
• Answer/respond to correspondence related to patient accounts
• Posting of charges, payments, adjustments and related activities in EHR
• Coordinate with providers, when necessary, on incomplete information to assure proper account and claim adjudication
• Answer phones, take messages and return calls
• Ability to maintain confidentiality
• Performs other related duties as assigned

Qualifications

• High School Diploma or equivalent
• Minimum 5 years recent experience in medical billing and collections
• Experience using eClinicalWorks (eCW) billing system preferred
• Understanding of medical claims and coding
• Medical billing and collections in a physician office setting preferred
• Basic math skills and accurately process money transactions (must be able to read & understand an EOB)
• Experience with office equipment: multi-functional printer/copier/fax, multi-line phone system, calculator, postage machine, and so on
• Must be proficient using the computer, data entry, and have above average typing skills
• Experience with MS Office, EMR/EPM systems, eClinicalworks is a plus
• Prior experience with ENT specialty a plus