Revenue Cycle Billing Specialist

Revenue Cycle Billing Specialist

The Revenue Cycle Billing Specialist performs day-to-day billing and revenue cycle activities. This position supports accurate and timely claim submission, payment posting, accounts receivable follow-up, and resolution of billing discrepancies to promote timely reimbursement and maintain accurate patient and payer account information. The specialist works collaboratively with internal teams, payer representatives, and client practice personnel to resolve routine billing issues and escalate complex matters as appropriate.

Key Responsibilities:

• Process outpatient charges and claims in accordance with established billing procedures, payer requirements, and organizational policies.
• Review patient registration, demographic, and insurance information for accuracy and completeness to support clean claim submission.
• Submit claims and follow up on outstanding accounts to support timely reimbursement.
• Research and resolve routine claim rejections, denials, underpayments, and billing discrepancies; escalate complex issues to the Revenue Cycle Supervisor/Team Leader as appropriate.
• Assist with payer correspondence, appeals, reconsiderations, and refund requests.
• Post payments and deposits and process adjustments or refunds, as assigned, in accordance with established procedures and financial controls.
• Monitor assigned accounts receivable and follow up on unpaid or underpaid claims.
• Collaborate with the Revenue Cycle Supervisor/Team Leader to address payer issues and billing concerns.
• Participate in internal and external audits by providing supporting documentation and assisting with the resolution of identified discrepancies.
• Coordinate with patient financial services and collection agencies regarding patient accounts and outstanding balances, as applicable.
• Communicate with client practice personnel regarding billing inquiries, patient account concerns, and requests for additional information.
• Maintain accurate documentation of billing activities, claim follow-up, and account resolution.
• Provide phone coverage and respond to billing-related inquiries in a timely and professional manner.
• Follow applicable organizational policies, payer requirements, and patient privacy and compliance standards.
• Perform other related duties as assigned.

Qualifications:

• One to three years of medical billing, revenue cycle management, or related healthcare administrative experience preferred.
• Familiarity with outpatient professional billing, claim submission, payment posting, payer follow-up, and patient account resolution preferred.
• Working knowledge of Microsoft Office applications and the ability to learn billing and practice management systems.
• Strong organizational skills, attention to detail, and ability to manage multiple priorities.
• Effective written and verbal communication skills and a customer-focused approach.
• Demonstrated problem-solving skills and the ability to resolve routine billing issues within established procedures.
• Ability to work collaboratively with internal teams, payer representatives, and client practice personnel.
• Associate degree in healthcare administration, business administration, or a related field preferred, but not required.

Coronis Health is committed to creating a diverse and inclusive environment where all employees are treated fairly and with respect. We are an equal-opportunity employer, providing equal opportunities to all applicants and employees regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or any other protected characteristic. We welcome and encourage applications from candidates of all backgrounds.