Revenue Cycle Specialist- Patient Solutions

Revenue Cycle Patient Solutions Specialist

The Revenue Cycle Patient Solutions Specialist plays a key role in supporting patients with their financial responsibilities by providing guidance, resolving inquiries, and educating them about self-pay processes. This position focuses on patient support, payment resolution, and contributing to a positive experience across the revenue cycle.

Responsibilities

• Respond to patient inquiries related to balances, statements, and payment options.
• Assist patients in understanding their financial responsibility, including co-pays, deductibles, and coinsurance.
• Monitor and follow up on outstanding self-pay accounts.
• Process adjustments and escalate issues as needed.
• Accurately complete detailed tasks as assigned.
• Collaborate with internal departments to resolve patient concerns and billing discrepancies.
• Ensure all communication meets quality, compliance, and customer service standards.
• Participate in regular team meetings and training sessions.
• Meet individual productivity and quality metrics.
• Maintain HIPAA and confidentiality standards at all times.

Qualifications

• Experience:
  • 2+ years of experience in healthcare billing and collections.
  • Experience in all aspects of Healthcare AR Follow-up.
  • Experience in Behavioral, Mental Health, or Substance Use Disorder billing preferred.
  • Understanding of insurance benefits and reimbursement.
  • Proficient in medical terminology, HIPAA and other critical governmental regulations.
  • Organized and detail oriented.
  • Ability to multi-task and meet deadlines.
  • Ability to comprehend various insurance documentation, analyze, and reconcile accounts and follow detailed procedures in an organized and efficient manner.
  • Superior communication, problem-solving, and follow-up skills.
  • Proficient computer skills (Word, Excel, billing software).
  • Experience with Qualifacts Carelogic a plus.
• Education:
  • High school diploma required

Benefits and Perks:

• PTO (Paid Time Off)
• Immediately vested and eligible in 401k program with employer match.
• Company sponsored ongoing training and certification opportunities.
• Full comprehensive benefits package including medical, dental, vision, short term disability, long term disability and accident insurance.
• Tuition Reimbursement after 1 year in related field

We offer competitive compensation, comprehensive benefits, and a supportive work environment dedicated to your professional growth and development.