Revenue Cycle Specialist II

About the Role

The Revenue Cycle Specialist II (Physician Billing) provides expert support in Commercial and Government billing, collections, and accounts receivable.

Responsibilities

• Reviewing and submitting multi-specialty claims to third-party payors.
• Performing account follow-up and updating patient registration information.
• Researching, analyzing, and resolving complex billing cases and problem accounts with minimal supervision.
• Serving as a technical resource and acting as back-up in other revenue cycle functions.
• Billing, submitting appeals, and collecting reimbursements for physician services.
• Monitoring and processing accounts, ensuring accuracy and resolution.

Requirements

• High school diploma or GED required.
• Minimum of three years’ experience in physician billing and collections, including CMS1500 experience preferred.
• Expert knowledge of medical terminology, coding (ICD, CPT, HCPCS), and payor procedures.
• Experience with insurance procedures, Explanation of Benefits (EOB), and billing systems like MS Office, Web/Vs, Availity, and CS-Link.
• Strong understanding of regulatory policies, HIPAA, and privacy guidelines.

Skills

• Ability to interpret insurance regulations.
• Prioritize tasks and handle high-volume environments.
• Professional, courteous demeanor and effective communication skills.