Revenue Cycle Specialist I / San Diego / Full Time (JR618)

Description

• Manage patient accounts receivable, including payment arrangements, collections, and follow-up on delinquent accounts
• Handle inbound and outbound calls with patients and insurance carriers to resolve billing inquiries, verify eligibility and benefits, and check claim status
• Work denials and appeals proactively, researching and resolving discrepancies to maximize reimbursement
• Review and verify patient statements for accuracy prior to distribution
• Serve as a liaison between patients, clients, and health plans — providing clear, compassionate billing support
• Maintain strict compliance with HIPAA regulations and all federal, state, and local requirements
• Follow established policies and procedures, and flag compliance concerns appropriately
• Identify and act on opportunities to add value within the billing department

• High school diploma or equivalent
• 3–5 years of medical billing experience
• 1–3 years of customer service experience
• Experience with patient collections
• Proficiency with Electronic Practice Management (EPM) and Electronic Medical Records (EMR) systems (EPIC)
• Working knowledge of Microsoft Office 
  Preferred:
• Medical insurance billing certificate
• Knowledge of CPT, ICD, and HCPCS coding
• Familiarity with HMO/PPO, Medicare, Medicaid, and other payer guidelines

• Strong grasp of medical terminology and insurance billing processes
• Excellent written and verbal communication skills
• Patience and professionalism when working with patients and insurers
• Ability to multitask, prioritize, and stay organized under pressure
• Comfortable with 10-key and basic math calculations
• High level of discretion and commitment to patient confidentiality
• Collaborative team player who can also work independently 

• Comprehensive benefits including Medical, Dental, Vision, Short-Term and Long-Term Disability, and 401K.