Revenue Cycle Specialist II

Job not on LinkedIn

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🤠 Texas – Remote

🤠 Texas – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 15%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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E.N.T.

WebsiteLinkedInAll Job Openings

2 - 10 employees

🏦 Banking

💸 Finance

Banking • Finance

E. N. T. is a member-owned credit union (doing business as Ent Credit Union and rebranding to Wings Credit Union) that provides retail and business banking products and services. Its offerings include checking and savings accounts, mobile and online banking, money market and certificate products, mortgages and home-equity lending, personal and auto loans, credit cards, business banking solutions (merchant services, payroll, ACH, remote deposit), financial education, and member-focused community programs. The organization emphasizes digital banking, financial coaching, and local member support while operating under NCUA insurance.

📋 Description

• Verify insurance eligibility and benefits prior to scheduled surgical services • Review, submit, and track surgical authorization and pre-certification requests • Communicate with insurance carriers via payer portals and phone to obtain approvals, authorizations, predeterminations, and referrals • Interpret payer medical policies and clinical guidelines to confirm medical necessity • Calculate and communicate estimated patient financial responsibility prior to surgery • Monitor authorization requests through final determination and follow up on pending cases • Collaborate with clinical staff, surgery schedulers, and revenue cycle teams to resolve authorization issues or denials • Support escalation cases, including coordination of peer-to-peer reviews when required • Document authorization activity and payer communication in the EMR/EPM system • Respond to patient inquiries regarding insurance benefits, authorizations, and surgery-related costs • Maintain compliance with payer requirements, healthcare regulations, and internal workflows • Manage a high volume of work while maintaining accuracy, attention to detail, and customer service • Perform other related duties as assigned

🎯 Requirements

• High School Diploma or equivalent • Minimum of 3 years of recent experience in surgical authorization, insurance verification, or healthcare revenue cycle • Proficiency in CPT, ICD-10, and HCPCS coding, including modifiers • Strong knowledge of insurance authorization processes and payer websites/portals • Ability to read and interpret medical records and Explanation of Benefits (EOBs) • Strong organizational skills with the ability to manage multiple priorities and deadlines • Excellent verbal and written communication skills • Proficiency with Microsoft Office and electronic medical record (EMR/EPM) systems • Ability to work independently and collaboratively in a fast-paced, high-pressure environment • Ability to sit for extended periods, move throughout the office as needed, and perform light lifting • Manual dexterity required for frequent computer and phone use • Attention to detail and accuracy • Good leadership, interpersonal, and communication skills

🏖️ Benefits

• Fully remote work arrangement • Monday–Friday daytime schedule • Occasional after-hours meetings may be required