Revenue Cycle Specialist I / San Diego / Full Time

Revenue Cycle Specialist I

Position at Metis Practice Solutions Job Title: Revenue Cycle Specialist I Location: San Diego Job Type: Full Time, Non-Exempt Schedule: Monday - Friday Salary Range: $25.00 - $29.91 - $33.25 (Based on experience)

About Us & Job Summary

Metis Practice Solutions is a professional management services organization that values caring, collaboration, and commitment to the independent medical practices in the San Diego community. We're looking for a detail-oriented Revenue Cycle Specialist to be a critical part of our Revenue Cycle team. In this role, you'll be part of a team responsible for charge submission, claim follow-up, appeals, and denial resolution while safeguarding patient and employee confidentiality.

What You'll Do:

• Manage patient accounts receivable, including payment arrangements, collections, and follow-up on delinquent accounts
• Handle inbound and outbound calls with patients and insurance carriers to resolve billing inquiries, verify eligibility and benefits, and check claim status
• Work denials and appeals proactively, researching and resolving discrepancies to maximize reimbursement
• Review and verify patient statements for accuracy prior to distribution
• Serve as a liaison between patients, clients, and health plans providing clear, compassionate billing support
• Maintain strict compliance with HIPAA regulations and all federal, state, and local requirements
• Follow established policies and procedures, and flag compliance concerns appropriately
• Identify and act on opportunities to add value within the billing department

What You Bring

Required:

• High school diploma or equivalent
• 35 years of medical billing experience
• 13 years of customer service experience
• Experience with patient collections
• Proficiency with Electronic Practice Management (EPM) and Electronic Medical Records (EMR) systems (EPIC)
• Working knowledge of Microsoft Office

Preferred:

• Medical insurance billing certificate
• Knowledge of CPT, ICD, and HCPCS coding
• Familiarity with HMO/PPO, Medicare, Medicaid, and other payer guidelines

Skills & Competencies:

• Strong grasp of medical terminology and insurance billing processes
• Excellent written and verbal communication skills
• Patience and professionalism when working with patients and insurers
• Ability to multitask, prioritize, and stay organized under pressure
• Comfortable with 10-key and basic math calculations
• High level of discretion and commitment to patient confidentiality
• Collaborative team player who can also work independently

What We Offer:

• Comprehensive benefits including Medical, Dental, Vision, Short-Term and Long-Term Disability, and 401K.

Join Our Quest: Ready to make a difference every day? We're calling on heroes like you to revolutionize patient care. Let's make healthcare history together! Metis Practice Solutions is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, gender identity, age, marital status, status as a protected veteran, or status as a qualified individual with disability.