Job Description
The Revenue Cycle Specialist is responsible for providing quality assistance to Stamford Health Medical Group's (SHMG) patients to resolve any and all billing-related questions; and ensuring proper demographic and insurance information for those patients served..
Responsibilities

• Greets in-bound calls from patients.
• Responds professionally to all billing-related questions from patients.
• Returns all phone messages within 24 hours of receipt.
• Reviews patient account data when interacting with patients to ensure that accurate information regarding patients' insurance and demographic information are correctly reflected on the patient's account.
• Updates insurance and demographic information as necessary on patient accounts.
• Resubmits claim forms as appropriate.
• Initiates requests for refunds to either patients or insurance companies.
• Accurately documents patient accounts of all actions taken.
• Identifies past due accounts and submits them to Collector for assignment to outside collection agency.
• Establishes payment arrangements for patients on past-due accounts and when appropriate in accordance with policy, submits them to management for approval.

Qualifications

• Associate's degree or medical billing certification preferred. CPC preferred.
• 3 years of experience working in a multispecialty group practice, healthcare system with an ambulatory focus, or academic medical center.
• 3 years of experience working with a medical office/hospital accounts receivable system.
• Extensive knowledge of insurance payer reimbursement, collection practices, and accounts receivable follow-up.
• Demonstrates overall knowledge of claims processing for various insurances, including private and governed.
• Comprehensive knowledge of ICD-10, CPT, and HCPCS coding.
• Moderate to advanced computer skills, including Microsoft Windows programs.
• Moderate to advanced keyboard skills with high accuracy rate.
• Ability to communicate effectively in written and spoken English.
• Demonstrates effective communication and interpersonal skills with a diverse population.
• Ability to organize and prioritize workload to manage multiple tasks and meet deadlines.
• The ability to work with individuals at all organizational levels, particularly peers, team members, other departments, patients, and the community is required.
• Demonstrates the ability to carry out assignments independently, work from procedures, and exercise good judgment.
• Demonstrates the ability to maintain the confidentiality of all records.