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Revenue Cycle Specialist- Customer Service
4 months ago
The Revenue Cycle Specialist is responsible for providing quality assistance to Stamford Health Medical Group's (SHMG) patients to resolve any and all billing-related questions; and ensuring proper demographic and insurance information for those patients served..
* Greets in-bound calls from patients.
* Responds professionally to all billing-related questions from patients.
* Returns all phone messages within 24 hours of receipt.
* Reviews patient account data when interacting with patients to ensure that accurate information regarding patients' insurance and demographic information are correctly reflected on the patient's account.
* Updates insurance and demographic information as necessary on patient accounts.
* Resubmits claim forms as appropriate.
* Initiates requests for refunds to either patients or insurance companies.
* Accurately documents patient accounts of all actions taken.
* Identifies past due accounts and submits them to Collector for assignment to outside collection agency.
* Establishes payment arrangements for patients on past-due accounts and when appropriate in accordance with policy, submits them to management for approval.
* Associate's degree or medical billing certification preferred. CPC preferred.
* 3+ years of experience working in a multispecialty group practice, healthcare system with an ambulatory focus, or academic medical center.
* 3+ years of experience working with a medical office/hospital accounts receivable system.
* Extensive knowledge of insurance payer reimbursement, collection practices, and accounts receivable follow-up.
* Demonstrates overall knowledge of claims processing for various insurances, including private and governed.
* Comprehensive knowledge of ICD-10, CPT, and HCPCS coding.
* Moderate to advanced computer skills, including Microsoft Windows programs.
* Moderate to advanced keyboard skills with high accuracy rate.
* Ability to communicate effectively in written and spoken English.
* Demonstrates effective communication and interpersonal skills with a diverse population.
* Ability to organize and prioritize workload to manage multiple tasks and meet deadlines.
* The ability to work with individuals at all organizational levels, particularly peers, team members, other departments, patients, and the community is required.
* Demonstrates the ability to carry out assignments independently, work from procedures, and exercise good judgment.
* Demonstrates the ability to maintain the confidentiality of all records.
