The Revenue Cycle Specialist supports all aspect of the revenue cycle as needed, with an emphasis on customer service, staff support, claims research, data entry and credentialing.

Essential job duties:

• Performs data entry, including patient registration, charge entry, and miscellaneous projects.
• Identifies, corrects, and tracks registration errors.
• Troubleshoots all aspects of patient collection, from clinic cash handling, to statements, to sliding scale verification and research.
• Receives and processes patient questions and complaints.
• Reviews and addresses internal questions regarding patient registration and medical billing.
• Understands and applies diverse revenue cycle priorities and policies, ranging from FQHC requirements, managed care rosters, community grant programs and more.
• Learns and applies various billing and coding principles that affect patient costs, claim denials, and various clinical and financial reports.
• Creates, tracks, and maintains insurance portal logins for all staff.

Education and experience:

• A high school diploma or equivalent is required; Associates degree preferred.
• Two or more years of experience with health insurance in medical office setting, with familiarity in medical billing terminology required.
• Proficiency with Electronic Health Records, EPIC preferred.
• Intermediate to advanced proficiency in Microsoft Office, especially Excel required.

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