Revenue Cycle Specialist

Align ENT & Allergy is currently seeking a detail-oriented and experienced Revenue Cycle Specialist to join our team. We are seeking a detail-oriented Revenue Cycle Specialist to manage key aspects of the revenue cycle process, including Insurance Verification, Prior Authorization, Commercial Insurance Cash Posting, and Accounts Receivable Resolution.

Responsibilities

• Manage healthcare billing processes, including claim creation, submission, and follow-up.
• Submit claims electronically or via paper and monitor their status for timely reimbursement.
• Follow up on outstanding accounts receivable to resolve unpaid claims and minimize aging.
• Analyze denied claims to identify trends and implement strategies to reduce future denials.
• Collaborate with insurance companies and patients to resolve billing inquiries and disputes.
• Communicate effectively with patients and internal stakeholders regarding billing issues.
• Generate and send patient statements; respond to billing inquiries.
• Review AR metrics to identify trends and areas for improvement.

Requirements

• Minimum of 3 years of experience in revenue cycle management or medical billing
• Minimum of six months of experience working with eClinicalWorks
• Strong understanding of medical coding (ICD-10, CPT) and billing processes
• Experience with insurance claim submission and reimbursement
• Excellent attention to detail and analytical skills
• Strong problem-solving and decision-making abilities
• Excellent communication and interpersonal skills
• Ability to work independently and collaboratively in a team-oriented environment
• Physician practice revenue cycle experience preferred

****Prior to applying, please fill out this assessment.

Benefits

Pay to commensurate with experience.

Benefits:

401(k)

• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

Day shift

• Monday to Friday