Billing & AR Specialist

The Robert C. Byrd Clinic, on the campus of the West Virginia School of Osteopathic Medicine, is seeking a full-time Billing & AR Specialist.

Position Summary: 

This position will provide patient revenue management support throughout the revenue cycle, with a focus on charge entry, denials, accounts receivables, and collection of outstanding charges on patient accounts.

Job Responsibilities:

• Provide comprehensive patient revenue management support throughout the revenue cycle, including billing and collections, financial counseling, insurance updates, and customer support.
• Process hospital charges by accessing the hospital website to review medical documentation, determine appropriate procedural and diagnostic codes, input demographics and insurance information into Athena, and post charges accurately.
• Demonstrate proficiency in handling all third-party payment plans.
• Utilize knowledge of CPT and ICD-10 codes to assist patients, providers, nursing staff, and reception staff with inquiries.
• Ensure accurate completion of charge entry processing to facilitate prompt claim payments and meet timely filing requirements efficiently.
• Identify and implement process improvements to ensure the capture of all charges for services rendered.
• Provide excellent customer service, acting as a reliable resource for patients and addressing their inquiries.
• Enroll patients in the Sliding Fee Discount Program as needed.
• Effectively use RCBC’s electronic health record (EHR) and practice management software.
• Address unpostables and correspondence buckets, handle denials, and monitor inaccuracies in allowable amounts and payments received from all carriers.
• Monitor denial trends to identify potential issues with coding, credentialing, and formatting, collaborating with relevant staff to resolve such issues.
• Work to collect outstanding patient balances.
• Collect charges that are assigned to patient responsibility.
• Reconcile daily cash and credit card deposits accurately.
• Input relevant data into the appropriate database systems to complete or update information related to the accounts receivable department.
• Perform accounts receivable management tasks, including tracking payments, reconciling accounts, and generating reports to ensure timely resolution of outstanding balances.
• Performs other duties as assigned.

 Position Qualifications: 

• High school diploma or equivalent required. Associate degree in a business-related discipline preferred.
• At least two years of experience in healthcare revenue cycle operations or support.
• At least two years of Accounts Receivable (AR) experience. 
• Excellent computer skills, including proficiency in electronic health record (Athena) and practice management software.
• Excellent written and verbal communication skills.
• Ability to manage multiple priorities with strong attention to detail.
• Knowledge of collection laws preferred.

All employees are required to adhere to RCBC’s high standards of customer service excellence. 

Disclaimer: 

Job descriptions are not intended and do not create employment contracts. RCBC maintains its status as an at-will employer. Employees can be terminated for any reason not prohibited by law. All job descriptions have been reviewed in an attempt to illustrate the jobs functions and basic duties, in addition to ‘peripheral tasks’ or that could generally be considered ‘other duties as assigned.’ In no instance, however, should the duties, responsibilities and requirements be interpreted as all-inclusive. Additional functions and requirements may be assigned by supervisors as deemed appropriate. Requirements, experiences, qualifications, knowledge, skills, and abilities have been determined to illustrate the minimal standards required to successfully perform the position.               

About Us: 

The Robert C. Byrd Clinic (RCBC) is a Rural Health Clinic accredited by the NCQA as a Patient-Centered Medical Home - Level 3. RCBC, located in historic Lewisburg, WV, offers Quality Healthcare...Close to Home.

We are located on the campus of the West Virginia School of Osteopathic Medicine (WVSOM). As a comprehensive not-for-profit health care organization, we are committed to providing quality primary health care to the residents of the greater Greenbrier Valley and surrounding areas. In addition to serving the local communities, RCBC serves as a primary clinical training site for WVSOM students, interns, and residents. We offer a wide range of primary care services, including medical acupuncture, diabetic education, acute care, family medicine, psychology, internal medicine, osteopathic manipulative medicine, pediatric medicine, proctology, mental health, and radiology.

Employment at RCBC is contingent upon the timely and successful completion of a post-offer drug screen, U.S. Citizenship and Immigration Service’s I-9 form, and background investigation including but not limited to whether you have been sanctioned or excluded from participating in any Medicare, Medicaid, or other government-funded programs. 

RCBC is an Equal Opportunity Employer.