Revenue Cycle Specialist

Southdale Pediatric Associates, Ltd. is an independent physician group caring for children since 1948. Our mission is to provide high-quality medical care and outstanding customer service in a warm, welcoming environment. We are proud to have many employees who have been part of our organization for 20 years and offer a stable, friendly, and challenging work environment.

We are seeking a full-time Revenue Cycle Specialist to join our Revenue Cycle team in Edina, MN. This position is responsible for managing a variety of patient account and insurance billing activities, including payment processing, account maintenance, insurance follow-up, payment plans, collections, and resolution of patient billing questions.

The ideal candidate is highly detail-oriented, organized, comfortable working independently, and able to confidently navigate multiple computer systems while maintaining accuracy, confidentiality, and excellent customer service.

Key Responsibilities

• Process and accurately apply patient payments received online, by phone, mail, and in person.
• Process and post insurance payments, adjustments, credits, and account activity.
• Review insurance explanations of benefits (EOBs) and identify payment discrepancies or incorrect adjustments.
• Follow up with insurance companies and payers to resolve claim and reimbursement issues.
• Prepare and submit insurance claims, appeals, and reconsiderations as needed.
• Answer patient and family questions regarding billing, insurance processing, account balances, and payment activity.
• Establish, monitor, and document patient payment plans.
• Review aging and delinquent accounts and coordinate appropriate follow-up or collection activity.
• Process patient refunds and account adjustments as authorized.
• Maintain accurate patient and guarantor account information and documentation.
• Use multiple software systems, payer websites, and Microsoft applications to complete daily revenue cycle activities.
• Use Microsoft Excel to organize, track, reconcile, and analyze account information.
• Protect patient information and maintain compliance with HIPAA and applicable billing and reimbursement requirements.
• Communicate professionally and courteously with patients, families, staff, insurance companies, and external partners.
• Stay current on payer requirements, revenue cycle practices, technology, and organizational procedures.
• Perform other related duties as assigned.

Qualifications

Required:

• High school diploma or GED.
• Strong attention to detail and commitment to accuracy.
• Strong organizational and time-management skills.
• Ability to manage multiple priorities and meet deadlines in a fast-paced environment.
• Proficiency with computers, Microsoft Excel, and multiple software systems.
• Ability to communicate professionally with patients, families, coworkers, and insurance representatives.
• Ability to maintain confidentiality and handle sensitive information appropriately.

Preferred:

• At least one year of experience in medical billing, insurance, collections, patient accounts, revenue cycle, or a related field.
• Experience with Microsoft Excel, including organizing, tracking, and reconciling data.
• Familiarity with medical terminology, EOBs, insurance processes, and basic ICD/CPT terminology.
• Experience working in a healthcare or medical office environment.

Pay: $21.89 - $26.00 per hour

Expected hours: 32.0 – 40.0 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Employee discount
• Flexible schedule
• Health insurance
• Life insurance
• Paid time off
• Referral program
• Retirement plan
• Vision insurance

Ability to Commute:

• Minneapolis, MN 55435 (Required)

Work Location: In person

Salary : $22 - $26