Revenue Cycle Specialist I Professional Billing and Collec | Support Center | Days

Work Status Details: REGULAR FULL TIME | 80.00 Hours Every Two Weeks Shift: Days Pay Rate Type: Hourly Location: Support Center Salary Range: Min = $17.67 Mid = $21.64 Max = $25.98 Summary The Revenue Cycle Specialist I, under the direction of the Supervisor, performs all billing and collection activities for inpatient, outpatient, emergency and professional services provided by Onvida Health. The specific job duties combine responsibilities from various areas of Revenue Cycle operations including third‑party insurance billing and collections, payer denial review and appeals processing, payment applications, credit balance review and resolution, self‑pay billing and collections, financial assistance and bad debt applications. The position requires a background in hospital and/or professional accounts receivable and knowledge of reimbursement requirements of healthcare payers. Responsibilities Hospital and Professional Billers : Perform initial billing on third party claims electronically or by paper; review and correct all billable claims in billing software according to payer‑specific guidelines and billing requirements. Prepare and submit appropriate billing attachments; comply with all regulatory mandated requirements for billing and collections. Hospital and Professional Insurance Collectors : Perform timely follow‑up on unpaid, underpaid, suspended, and denied accounts using system work queues, reports, payer portals, etc. Conduct outgoing calls to patients and insurance companies to obtain necessary information for accurate billing, collections, and denial corrections. Prepare appeal letters with supporting documentation when disputes arise. Review remittance advice; resolve payment discrepancies; review credit balance accounts and take appropriate action. Single Billing Office (SBO) Self Pay Collectors : Handle self‑pay accounts, including financial assistance and collection agency assignment; provide exemplary customer service. Answer incoming patient calls and make outbound collection calls on open balances. Set up payment plans; follow up on past‑due payment plans; qualify patients for financial assistance; handle bankruptcy and deceased accounts appropriately. Enterprise Billing (EB) Payment Posters : Apply insurance payments either electronically or from paper EOBs to the appropriate account or line‑item service and enter adjustments, denial codes, copays, deductibles, and co‑insurance. Process patient cash, checks, and credit card payments; handle daily lockbox posting, electronic payment files, daily balancing, reconciliation of cash, and bank deposits. Manage the cash clearing and PLB accounts, undistributed payments, credit balancing activities, investigate unidentified accounts, and process refunds for patients and insurance companies. Organize workload, prioritize tasks, meet deadlines, maintain productivity, and achieve monthly collection goals. Project a mature problem‑solving attitude, develop positive relationships with clients, patients, co‑workers, and payers, and enhance public relations through verbal communication. Collaborate with team members, mentor, train, and contribute to process improvement. Other duties as assigned. Education HS Diploma/GED or High School Diploma or Equivalent 1+ year experience in a Healthcare setting Preferred Experience Working knowledge of self‑pay or insurance billing and collections, and insurance terminology Working knowledge of UB04, CMS 1500, and Explanation of Benefits (EOB) interpretation Working knowledge of CPT, ICD‑10, HCPCS, and modifiers Working knowledge of medical reimbursement policies and procedures Epic EHR experience #J-18808-Ljbffr Onvida Health