Revenue Cycle Specialist

Revenue Cycle Specialist

ABOUT BAYLESS INTEGRATED HEALTHCARE

Bayless Integrated Healthcare is committed to improving lives and transforming healthcare. We utilize our Core Values as the foundation for all we do:

Compassionate: Compassion is the humane quality of understanding the needs of others, and wanting to do something about it. We show kindness and a willingness to help others. We always provide care for our colleagues, our patients and our community.

Adaptable: The ability of our team to adapt to different environments, conditions and changes is imperative to deliver high quality care. Adaptable people are open to others while realizing the impact of their own words, tone and body language on others.

Innovative: Our team must have creative and critical thinking in order to introduce new ideas. Our commitment is creating a comprehensive healthcare delivery system like nothing done, experienced or created before.

Reliable: As a patient and community centric organization, being reliable is of the utmost importance. In order to achieve results, we must have a team comprised of consistent and trustworthy individuals that can be counted on to follow through.

Relentless: We have an unwavering commitment to improve the healthcare system, disrupt the status quo, and create a better community. We are driven individuals that exemplify intensity and the pursuit of excellence. A strong work ethic and enthusiasm are necessary in order to help our patients, improve our community, and accomplish our goals.

POSITION SUMMARY

The Revenue Cycle Specialist is responsible for all facets of medical billing and accounts receivable management including charge entry, payment posting, customer service and follow-up in accordance with practice protocol with an emphasis on maximizing patient satisfaction and profitability.

Primary Job Responsibilities:

• Works with the Engagement Center and Patient Service Representatives to verify proper insurance coverage
• Makes calls t patients daily to facilitate collectability and resolve insurance issues
• Takes patient calls regarding billing questions and resolves disputes
• Submit past-due unresponsive patient balances to the collection agency
• Review the explanation of benefits (EOB) for patterns of rejected claims, then scan paper records into EMR
• Work with outside billing agencies to resolve billing issues
• Record patient payments into EMR
• Other duties as assigned.

QUALIFICATIONS

Education, Certification, and Experience Requirements

• Associate or Bachelor’s degree or a combination of equivalent education and work experience
• One to three years’ medical billing experience in an HER environment preferred
• Exceptional communication and time management skills
• Attention to detail a must
• Demonstrated ability to work independently
• Knowledge of HIPAA requirements related to medical records and billing requirements
• Ability to manage multiple projects concurrently