What are the responsibilities and job description for the The Onyx Group - Billing Admin Specialist position at Tribe513 | The Onyx Group?
Job Title: Revenue Cycle Specialist
Supervised by: Coordinator, Billing
Location: Bonaventure Office - Greenville, SC
Weekly Hours: Full-time/Hourly
Position Summary
The Revenue Cycle Specialist is responsible for supporting multiple functions within the revenue cycle, including but not limited to newborn account processing, self-pay account management, and insurance verification. This role ensures timely and accurate reimbursement while delivering exceptional service to patients, payers, and internal stakeholders. This position requires adaptability, cross-functional collaboration, and the ability to manage evolving workflows as the organization transitions from eClinicalWorks (eCW) to Epic.
Key Responsibilities
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Manage patient accounts to ensure accurate registration, insurance linkage, and timely claim submission
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Work self-pay accounts, including balance review, payment arrangements, account resolution, and appropriate adjustments
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Perform comprehensive insurance verification (eligibility, benefits, authorization requirements, coordination of benefits)
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Ensure claims are accurate prior to submission and meet payer requirements
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Review and resolve claim edits and rejections as assigned
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Document account activity thoroughly and accurately within the practice management system
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Educate patients on insurance coverage, financial responsibility, and payment options
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Support payment plan setup in accordance with organizational guidelines
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Maintain compliance with federal and state regulations related to patient billing
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Actively participate in workflow redesign as the organization transitions from eCW to Epic
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Complete required training and demonstrate competency in Epic revenue cycle modules
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Provide feedback on system build, workflow efficiency, and operational gaps
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Adapt to evolving job responsibilities and support cross-training initiatives
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Maintain HIPAA compliance and safeguard protected health information
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Follow established policies, procedures, and revenue cycle best practices
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Meet productivity, quality, and performance benchmarks
Qualifications
Education & Experience
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High school diploma or equivalent required; Associate’s or Bachelor’s degree preferred
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2 years of experience in healthcare revenue cycle, patient accounting, or medical billing preferred
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Experience working newborn accounts, self-pay balances, and insurance verification strongly preferred
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Experience with eClinicalWorks (eCW) or EPIC is preferred
Knowledge & Skills
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Strong understanding of insurance eligibility, benefits, and payer guidelines
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Knowledge of claim submission processes
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Ability to work in a fast-paced, evolving environment
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Strong attention to detail and organizational skills
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Excellent written and verbal communication skills
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Ability to manage multiple priorities and adapt to change
Work Environment & Physical Requirements
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Ability to sit at a computer terminal for long periods of time.
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Ability to be physically in attendance at workstation at designated company office location during normal business hours designated for this position.
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Ability to travel up to 10% of the time.
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Ability to lift up to 20 lbs.
The Onyx Group is an Equal Opportunity Employer