Revenue Cycle Associate
3 days ago
Primary responsibility is managing high-volume inbound patient calls to address billing questions, process payments, and route issues appropriately. The role also requires working knowledge of at least one revenue-cycle area, including ambulance billing claims, claim form submission, cash application, registration, insurance follow-up on unpaid or denied claims, targeted outbound calls as needed, and collections for services rendered to support MEDIC's long-term success.
DUTIES & RESPONSIBILITIES:
- Ability to demonstrate proficient knowledge and understanding with the ability to apply key concepts from various payors reimbursement and clinical coverage policies including Commercial, Medicare, Medicare Advantage, Medicaid, Medicaid Managed Care, third-party, contract, etc.
- Ability to demonstrate proficient knowledge and understanding with the ability to apply key concepts from various compliance Federal and State security regulations including HIPAA, The Security Rule, Personal Financial Information, Personal Health Information
- Demonstrate and be proficient with general accepted accounting principles and methods, with the ability to apply understanding and application
- Basic analytical skills with the ability to apply logical decision making skills to resolve claims or barriers impacting work product
- Ability to demonstrate proficiency with basic office automation technologies including internet, payor web applications or portals, and Microsoft Office applications.
- Ability to demonstrate proficient use with various patient accounting billing software(s), medical records systems, and payment portals
- Ability to generate assigned reports and apply task specific knowledge to resolve claims with limited oversight
- Ensures quality customer service is provided to all patients, including but not limited to: taking inbound patient phone calls, properly verifying insurance coverage, filing insurance claims, insurance follow-up, payment posting, and returning phone calls in timely fashion
- Ensures the accuracy of charges applied, payments posted, denial/follow-up procedures, and documentation
- Meets established quality and productivity standards
- Stays current on ambulance coding and regulatory billing guidelines
- Stays current on healthcare accounts receivable billing and collection procedures. Including any additions and changes to insurance laws
- Maintains confidentiality of information as assigned and abides by all applicable laws, and the corporate compliance program.
- Demonstrates continuous effort to improve operations, streamline work process and work cooperatively and jointly to provide quality and seamless customer service
- Maintains positive working relationships with internal and external customers
- Knowledge of ambulance medical billing and procedures
EDUCATION/EXPERIENCE:
- High school graduate or equivalency
- Experience in healthcare revenue cycle process
- Excellent verbal communication skills
- Demonstrated ability in the use of Microsoft products
- Demonstrated ability to use computer, internet, web applications
- Ability to perceive and distinguish emotions during interactions with customers via telephone or in person, and respond professionally, with compassionate care
- Maintain acceptable attendance and adhere to scheduled work hours
- Ability to work within a team-oriented, fast-paced, customer-focused environment
- Ability to apply on demand problem solving skills
- Certified Ambulance Coder (initial certification only) PREFERRED
- Certified Professional Coder (CPC-AAPC) PREFERRED
- Certified Professional Biller (CPB-AAPC) PREFERRED
- Associates Degree PREFERRED
CERTIFICATIONS/LICENSES/REGISTRATIONS:
- Certified Ambulance Coder (initial certification only) Preferred
- Certified Professional Coder (CPC-AAPC) Preferred
- Certified Professional Biller (CPB-AAPC) Preferred
- Associates Degree Preferred
SPECIAL WORKING CONDITIONS:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to sit for prolonged periods, maintain hand and finger dexterity, view a computer screen for extended periods, listen to and comprehend instructions, sustain concentration for tasks requiring attention to detail, and occasionally reach, stoop, kneel, stand, walk, crouch or crawl. While performing the duties of this job, the employee may be required to lift or carry light objects, up to 25 pounds
Individuals must not be excluded from filing claims to any federal or state government payor.
SALARY RANGE:
Starting pay= $21.85/hr - $23.54; increase from starting rate based on experience.
Interested applicants must complete the online application and upload a resume NO LATER THAN October 21st 2025 to be considered for the position.
If you have any further questions, please contact Ndidi Okafor at
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
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