Revenue Cycle Customer Service Specialist

Job Description

Job Description

Revenue Cycle Customer Service Specialist 

 

Job Summary: The Revenue Cycle Customer Service Specialist manages all incoming patient calls and patient inquiries received via the RCM Billing work queue. This role provides patient support by resolving billing inquires, update demographic and insurance information and assists with setting up patient payment plans to address outstanding balances owed.

(This is a full time position based in Charlotte NC, with a hybrid schedule, Monday to Friday 8 am to 5 pm)

Primary Job Responsibilities:

• Act as RCM initial point of contact for patient calls related to general account balance inquiries, patient demographic updates and billing-related disputes or questions.
• Update patient demographics and insurance information as appropriate.
• Review patient account to effectively explain balance details to patient.
• Process incoming credit card payments during patient call.
• Understand and effectively communicate to patient how claim was processed by payor (copay, deductible, coinsurance).  
• Set up an acceptable payment plan based on the organization’s patient financial policy.  
• Assist with RCM billing work queues and worklists regarding patient billing questions sent to the department.
• Handle actions for patient accounts when correspondence is received for bankruptcies, death, and legal correspondence (divorce, guarantor changes; provide statements for auto accident lawsuits, etc.)
• Participate in workgroups providing feedback and education on patient account activities.
• Other duties as assigned.

Requirements:

• Experience working within EMR systems.
• Ability to utilize various computer applications, including Microsoft Office (Outlook, Word, and Excel).
• Knowledge of Medicare, Medicaid, and Managed Care payor policies.
• Ability to interpret insurance payor explanation of benefits.
• Familiarity with CPT and ICD-10 coding.
• Strong customer service background and effective communication skills.
• Minimum of three (3) years of experience working in a physician office, hospital, or other healthcare call center setting.

Education and Certifications:

• High School Diploma/GED

Experience:

• Medical Call Center experience highly preferred.
• Medical business office experience preferred.
• Knowledge of insurance payers preferred.
• Athena EMR system experience highly preferred.

Physical Requirements:

• Work consistently requires walking, standing, sitting, lifting, reaching, stooping, bending, pushing, and pulling.
• Must be able to lift and support weight of 35 pounds.
• Ability to concentrate on details.
• Use of computer for long periods of time.

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