Revenue Cycle Specialist II (Physician Billing)

About the Role

Provides expert billing and collections support for commercial and government insurance claims, ensuring accurate submission, follow-up, and resolution of accounts.

Responsibilities

• Review and submit multi-specialty claims
• Perform account follow-up and update patient registration
• Resolve complex billing issues
• Serve as a technical resource and act in the absence of supervisors
• Cross-train in revenue cycle functions
• Monitor and process accounts to ensure timely reimbursement, including billing, appeals, and collections

Requirements

• High school diploma or GED
• At least three years of physician billing and collection experience
• Extensive knowledge of medical terminology, coding (ICD, CPT, HCPCS), insurance procedures, and regulatory policies
• Proficiency with MS Office, Web/Vs, Availity, and CS-Link preferred
• Ability to interpret regulations, handle multiple tasks, prioritize effectively, and communicate professionally
• Familiarity with HIPAA guidelines and experience with CMS, Medi-Cal, and insurance EOBs required

Skills

• Attention to detail
• Analytical skills
• Ability to work independently in a fast-paced environment
• Strong customer service orientation