Overview
This role supports the revenue cycle functions of hospital and/or physician practices with advanced responsibilities in billing, collections, cash posting, and customer service. It involves managing financial documentation, ensuring compliance with payer requirements, and coordinating internally across departments. The position includes leadership duties such as training staff and contributing to continuous improvement efforts.
Responsibilities
- Accurately process patient accounts through billing, collections, and payment posting.
- Manage complex accounts receivable, claim rejections, edits, and follow-up tasks across systems.
- File appeals, reconsideration requests, and handle payer correspondence.
- Identify and reconcile overpayments and unidentified payments.
- Coordinate with other departments to resolve billing, denial, or cash application issues.
- Support claim submission, including secondary billing when necessary.
- Provide training to new or existing team members.
- Assist in identifying process improvements to streamline operations and reduce denials or call volume.
- Demonstrate initiative and leadership in daily responsibilities and projects.
- Participate in accounts receivable clean-up and revenue recovery initiatives.
- Maintain required productivity and accuracy standards.
Requirements
- High School Diploma or GED equivalent.
- Relevant licensure and practices obtained within the timeframe required by facility policy.
- Two (2) years of previous hospital and/or physician business office experience preferred.
- Strong verbal and written communication skills.
- Ability to work independently and provide team leadership.
- High level of customer service and interpersonal interaction.
- Proficient in general accounting and bookkeeping.
- Thorough understanding of billing regulations, medical terminology, and payer guidelines.
- Proficient with Microsoft Office applications (Excel, Word, Outlook).
- Experience with systems such as Epic and SSI preferred.
- Efficient operation of 10-key pad for cash posting functions.
- Ability to analyze root causes of errors or delays to improve efficiency.
- Demonstrates professionalism, ownership, and commitment to quality.