Revenue Cycle Management Specialist

Summary:

We are seeking a detailed-oriented and experienced Revenue Cycle Management Specialist to join our growing ENT practice. This opportunity is essential to ensure accurate billing and timely reimbursement. The responsibilities include but not limited to prepare, review, and submit clean claims, monitor claims status and proactively follow up on unpaid, denied, rejected, or underpaid claims, investigate and resolve billing discrepancies, appeal denied claims, assist with process improvements opportunities to enhance billing accuracy and optimize revenue cycle performance. Professionally communicate with families regarding physician office billing.

Education:

High school diploma graduate or equivalent; associate's degree or certification in Professional Medical Billing or Healthcare Administration preferred.


Experience:

Minimum of three years of Otolaryngology physician office revenue cycle management experience preferred. Minimum 1-2 years experience of physician office and outpatient surgical coding. Knowledge of CPT, ICD-10, HCPCS coding, insurance claims processing, and payer regulations required. Proficient with electronic health records (EHR); Epic experience is a plus.


Other:

Ability to work efficiently in a fast-paced environment while maintaining accuracy, confidentiality, and professionalism. Strong communication, organization, and multitasking skills. Proficient in medical terminology and medical coding. Ability to work independently and with a group to support the needs of the practice.

About the practice:

Since 1999, Pediatric ENT Associates has been providing comprehensive care for children across the Southeast. As the largest pediatric ENT group in Alabama, our team of six board certified physicians offer a wide range of pediatric ear, nose, and throat services including diagnosing and treatments for advanced hearing loss, congenital ear deformities, and vascular malformations. We offer specialized expertise in cochlear implants, bone-anchored hearing aids (BAHA) and the management of complex airway and sinus conditions. Our goal is to provide compassionate, family-focused care whether your child needs routine ENT care or advanced surgical intervention. Our mission, along with Children's Hospital of Alabama, is to provide the finest pediatric health services to all children in an environment that fosters excellence in research and medical education. We provide care to patients at two convenient locations: Children's of Alabama located in Birmingham, Alabama and Children's South located off I-459 and Acton Road.