Revenue Cycle Specialist - Patient Billing

Job Description

Job Description

Join  MAX Surgical Specialty Management , an innovative leader in the healthcare industry, as we embark on an exhilarating journey of growth and expansion! We are seeking a motivated and dynamic individual to join our Revenue Cycle Management Team as a Revenue Cycle Specialist – Patient Billing.

What You'll Do:

The Revenue Cycle Specialist – Patient Billing will be responsible for ensuring accurate and efficient patient account management while delivering exceptional customer service. By leveraging expertise in healthcare billing, financial arrangements, and conflict resolution, the position supports effective collections and fosters positive relationships with patients and stakeholders. Through collaboration and proficiency in technology, the role contributes to the financial integrity and operational success of the organization.

The successful candidate will be able to:

·Efficiently manage patient inbound and outbound calls, ensuring high-quality service and responsiveness to patient needs

·Analyze Explanation of Benefits (EOB) documents to understand and resolve patient billing issues

·Provide clear explanations and next steps to patients regarding their patient balance, insurance claims and

or coverage

·Utilize critical thinking and problem-solving skills to address and resolve patient inquiries quickly

·Communicate effectively with other departments to facilitate quick resolution of patient needs

·Execute the completion of special projects related to department functions

·Monitors patient accounts aging of assigned practices

·Make outbound calls to patients / guarantors regarding outstanding balances and offer payment options

·Review patient account balances and determine that appropriate actions have been previously taken by

billing, payment posting and AR follow up

·Communicate effectively, courteously, and professionally with patients, parents/legal guardians of their

financial obligations

·Documents Financial arrangements in patent accounts

·Answer/respond to correspondence related to patient accounts

·Proficiently uses conflict resolution and problem-solving techniques in managing patient conflicts

·Send out monthly billing statements to collect overdue balances

·Manages and monitors collection efforts with 3rd party vendors

·Review account ledgers quickly and efficiently, making sure appropriate payments and adjustments were

made

·Collaborates with the team on operating policies, AR collectability, refunds, and bad debts

·Responsible for working patient A/R collection opportunities on unpaid statements through provided work

queues and or reports

·Based on departmental processes, responsible for escalating problem patient accounts to management

with a clear explanation of the problem, if multiple statement balances are impacted and possible

resolution

·Responsible for reviewing and submitting notifications of overpayments (patient) according to RCM

protocols and guidelines

·Obtain insurance, demographic, guarantor information and update patient profile as bill third party payers

as appropriate

·Obtain insurance information, check eligibility for active coverage and update patient accounts accordingly

·Maintains required levels of productivity and quality while managing tasks to ensure timeliness of

resolution

·Take payments over the phone

·Takes ownership of assignments; and other duties as assigned or requested

·Perform any and all other duties as assigned

What You’ll Bring:

-High School Diploma, Medical Billing and or Coding Certification highly preferred, not required

-2+ years of hands-on experience in healthcare revenue cycle management, with a proven track record of

optimizing processes

-Proficient in Microsoft Office applications and medical office software, leveraging technology to drive

efficiency and accuracy in billing operations

-Proven experience in healthcare billing , you bring a deep understanding of industry standards and

regulations, ensuring compliance and accuracy in all financial transactions

-Proven experience in customer service, preferably in a healthcare or financial setting

-Strong understanding of medical billing processes and insurance-related documentation

-Your strong interpersonal and organizational skills enable you to thrive in a fast-paced environment, where

multitasking and prioritization are second nature

-You're passionate about delivering exceptional customer service and fostering positive relationships with

patients and stakeholders through effective communication and empathy

Perks of the Job:

-Highly competitive salaries & annual performance and compensation reviews

-Competitive health insurance and benefits, including medical, dental, vision, disability, and more

-401k retirement savings plan that includes employer match

-Generous Paid Time Off, sick leave, and paid holidays

-Advance your career growth with opportunities in the most extensive growing oral surgery practice in the

Northeast

About MAX Surgical Specialty Management:

Established in September 2022 as the Northeast region’s first oral and maxillofacial surgery-only specialty platform, MAX Surgical Specialty Management is a surgeon-led management services organization developed with clinical and surgeon autonomy at its core. Today, MAX supports surgeons across New Jersey, New York, Pennsylvania, Vermont and Connecticut, enabling practices to channel resources, skills and knowledge within the oral surgery specialty, leading industry advancements and delivering the highest standard of patient care. Surgeons have access to a curated network that allows them to collaborate with and work alongside a diverse pool of highly skilled peers who are leaders in their specialty. MAX safeguards surgeons’ independence while offering robust support systems, access to advanced technology and opportunities for financial growth.

Integrity-driven. Patient-focused. Experience the difference at 

MAX Surgical Specialty Management is an equal opportunity employer committed to providing fair employment opportunities regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetic information, marital status, veteran status, or any other legally protected characteristic. We welcome diversity and encourage applicants from all backgrounds. Our inclusive environment values and empowers every employee to contribute to our mission.

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.