Medical Billing Specialist

Job Description

Job Description

Description

Join our team as a Medical Billing Specialist and play an important role in our Revenue Cycle department. In this position, you will serve as a primary point of contact for patient billing inquiries, assisting patients and clinic staff with questions related to statements, insurance processing, balances, and payments. The role involves handling inbound calls, responding to emails, reviewing patient accounts, and helping resolve billing questions.

We’re looking for someone with a positive attitude who is comfortable managing high-volume patient interactions and thrives in a fast-paced environment. Strong communication skills, attention to detail, and a basic understanding of medical billing processes are key to success in this role.

This position offers exposure to multiple revenue cycle functions and opportunities for growth within our Revenue Cycle Management team.

Schedule:
Monday-Thursday: 8 am- 5 pm
Friday: 8 am- 12 pm *HALF DAY*
(40 hour work week)

This position will be fully onsite at our HQ office located at 5929 Balcones Dr #200, Austin, TX 78731
What your day will look like

Patient Billing Support

• Answer multi-line phones for the billing department and manage a high volume of patient billing inquiries
• Respond to patient emails and correspondence regarding billing questions and account balances
• Explain patient statements, insurance processing, and patient financial responsibility
• Communicate with patients regarding sensitive financial matters in a professional and empathetic manner

Account Investigation & AR Familiarity

• Review patient accounts to determine the cause of outstanding balances
• Investigate claim status, insurance payments, adjustments, and denials when reviewing patient accounts
• Utilize payer portals and practice management systems to research claim and payment activity
• Escalate unresolved insurance AR issues to the AR team when appropriate

Payment Processing

• Process credit card and check payments through the merchant processing system
• Assist patients with payment arrangements and payment plans when appropriate
• Provide itemized receipts and account summaries upon request

Issue Resolution

• Resolve patient billing complaints and questions by reviewing account activity and claim history
• Coordinate with AR, coding, payment posting, and authorization teams when additional investigation is required
• Prepare write-off or refund requests with supporting documentation for managerial review when appropriate

Documentation

• Document all patient interactions and account updates within the practice management system
• Maintain accurate records of billing inquiries and resolutions

Internal Support

• Respond to billing-related inquiries from clinic staff and internal departments
• Assist front desk teams with patient balance questions and billing clarification

Additional Support

• Assist with insurance records requests when needed
• Support coordination of accounts that have been sent to collections agencies

Knowledge & Skills Needed to be Successful

• Knowledge of Commercial, Medicare, and Medicaid insurance guidelines
• Strong customer service skills with the ability to adapt and respond to patient escalation issues
• Excellent written and verbal communication skills, with the ability to explain complex billing information clearly to patients
• Strong attention to detail and organizational skills
• Strong mathematical and computer skills, including proficiency with G Suite applications
• Ability to prioritize and manage multiple workflows and a high volume of inquiries
• Ability to work in a fast-paced, results-oriented environment both independently and as part of a team
• Goal-oriented with strong problem-solving abilities

Required Education and Experience

• Healthcare, hospital, or clinical patient service experience
• High School Diploma or higher

Preferred Education and Experience

• At least 1+ years of healthcare billing, patient billing, or revenue cycle experience preferred
• At least 1+ years of customer service experience speaking with patients preferred.
• Familiarity with medical billing workflows and accounts receivable processes
• Experience working with EHR or practice management systems (NextGen, Athena, Epic, or similar)
• Understanding of patient statements, insurance adjudication, and patient financial responsibility

What Benefits do we offer Aspire Employees?

• Medical, Dental and Vision Insurance
• Generous Paid Time Off and Paid Holidays
• 401(k) + Generous Employer Match
• Free Allergy Testing and Discounted Treatments
• Gym Membership Discounts
• Life Insurance
• Employee Reward Program

... AND MORE