Revenue Cycle Specialist - Medical

Job Description

Job Description

We are seeking a dependable and experienced Medical Billing & Collections Specialist to join our in-office team in El Paso, TX. This position will be responsible for managing medical billing, insurance claims, accounts receivable, collections, and account follow-up to help ensure payments are received accurately and in a timely manner.

The ideal candidate has hands-on experience with medical billing and collections and understands how to review an account from billing through payment and resolution. Experience working with multiple types of insurance is important, including commercial insurance, workers' compensation, Medicare, and other insurance payers.

This is an excellent opportunity for someone who is confident working independently, takes ownership of their work, and has the ability to step into a leadership role. Prior supervisory or management experience is not required. We are looking for someone with the knowledge, judgment, and character to lead by example and potentially grow into a supervisory or management position within the medical billing and collections department.

Responsibilities

• Manage medical billing and collections activities for patient and insurance accounts.
• Review accounts receivable and identify outstanding balances, unpaid claims, denials, and accounts requiring follow-up.
• Submit, review, and follow up on medical insurance claims to ensure timely payment.
• Work directly with insurance companies regarding claim status, payment issues, denials, documentation, and account resolution.
• Work with a variety of insurance payers, including commercial insurance, Medicare, workers' compensation, and other third-party payers.
• Perform collection activities on outstanding accounts and follow up consistently until balances are resolved.
• Review patient and insurance accounts for accuracy and identify billing discrepancies or issues that may prevent payment.
• Monitor AR and prioritize accounts requiring immediate attention.
• Maintain accurate and organized account records and document collection and billing activity.
• Assist with medical coding and ensure charges and billing information are accurate when applicable.
• Oversee and monitor outside billing services for accuracy, timeliness, and follow-through.
• Help ensure claims are billed correctly and outstanding issues are addressed promptly.
• Answer incoming calls and return calls as needed, providing professional and courteous service to patients, insurance representatives, and other parties.
• Communicate with patients regarding account balances, billing questions, and collection matters when necessary.
• Manage accounts from initial billing through payment, resolution, or collection.
• Identify recurring billing or collection issues and communicate them to management.
• Work independently while maintaining accountability for assigned accounts and department goals.
• Provide guidance and support to other billing and collections staff as needed.
• Take on increasing responsibility and leadership within the department as experience and performance demonstrate readiness.

Qualifications

• Bilingual in English and Spanish required.
• Previous experience in medical billing, medical collections, accounts receivable, medical coding, or a related healthcare revenue cycle position preferred.
• 2+ years of relevant experience preferred, but not required. The right candidate with less experience may be considered if they demonstrate strong knowledge, initiative, and the ability to learn quickly.
• Working knowledge of medical insurance billing and claims processes.
• Experience with commercial insurance, Medicare, workers' compensation, and other insurance payers preferred.
• Experience working accounts receivable and following up on outstanding balances.
• Understanding of medical coding and how coding affects billing and reimbursement preferred.
• Strong collections and account resolution skills.
• Ability to review an account, identify what is preventing payment, and determine the appropriate next steps.
• Strong attention to detail and ability to maintain accurate account documentation.
• Comfortable making decisions and working independently with minimal supervision.
• Strong organizational and time-management skills.
• Professional communication skills and the ability to work effectively with patients, insurance companies, and coworkers.
• Ability and willingness to take initiative and assume additional responsibility.
• No specific degree or formal education level required.

Orthopaedic Surgeons office with Orthopaedic Rehababilitation and Imaging Center

Company Description

Orthopaedic Surgeons office with Orthopaedic Rehababilitation and Imaging Center