Revenue Cycle Specialist - Remote

At Proliance Surgeons our patients come from all walks of life — and so do we. We hire and support people from diverse backgrounds, fostering growth and development to make Proliance a great place to work. Our unique experiences and perspectives help us deliver Exceptional Outcomes, Personally Delivered.

We are proud to offer a comprehensive and competitive benefit and pay package including health coverage, 401k with match and profit share, PTO and more! For further details regarding Benefits and Washington State Minimum Wage details please visit our careers page at www.proliancesurgeons.com/careers. Compensation during the offer process will be determined based on factors such as compensation structure, experience, qualifications, and internal equity.  Be Part of Who We Are!

Position Summary

The role of the Revenue Cycle specialist is a valued member of our Revenue Cycle team.  As a Revenue Cycle Specialist, you will work remotely and be responsible for overseeing bill processes including Charge entry, Billing, Claims, Patient AR and Insurance AR.  You will also post payments, handle credit resolutions, along with other revenue cycle functions.

**Must have at least 3 years of strong A/R experience in a medical clinic office**

Schedule

Full-time, Monday - Friday, 8:00am - 4:30pm.

REMOTE schedule

MUST reside in WA state

Key Duties and Responsibilities

The key duties and responsibilities of the Revenue Cycle Specialist Assistant include, but are not limited to:

Verify information for claims is correct prior to billing

Review Surgical coding for accuracy prior to billing

Process all Primary, Secondary, and tertiary claims and address any edits or rejections.

Post all patient payments

Post all Insurance and third-party payments

Credit Resolution for both Insurance and Self pay credits

Insurance AR

Patient AR

Process bad debt

Answer phones

Complete duties and assist others as directed

Must follow all policies as introduced during new teammate On-Boarding, updated real-time and outlined in Teammate Handbook

Education/Experience

High School diploma or GED

CPC or other equivalent certification

Orthopedic Coding Experience a plus    

Experience with Nextgen and Amkai Billing Systems preferred

Must have at least 3 years of strong A/R experience within a medical office.

Knowledge, Skills and Abilities

High level of independence, adaption, and accuracy

Ability to navigate online Payor portals and websites

Ability to effectively use Office equipment

Basic knowledge of Microsoft Office Word and Outlook

Superior customer service skills

Great interpersonal skills; demonstrating patience, composure, and cooperation; working well with all patients, physicians, and staff

Understanding of and adherence to all safety, risk management and precautionary procedures, including the consistent respect for confidentiality (HIPAA)

Using time efficiently, with meticulous attention to detail, accuracy, and completion

Ability to manage multiple factors for the best result

Resourcefulness in addressing first level problems and tenacity to see things through to solution

Ability to remove oneself personally from given situations, remaining objective

Able to adapt to change, delays or unexpected events while maintaining a positive mindset

Clear oral and written communication

Ability to provide feedback to improve performance

Self-motivated; able to work following specific guidelines and in accordance with detailed instructions; measure self against standard of excellence, overcome obstacles and challenges with little supervision

Work Environment/Physical Demands

The work environment/physical demands described here are representative of those that must be met by a teammate to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable differently abled persons to perform the essential functions.