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Revenue Cycle Specialist

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πŸ”₯ 4 minutes ago

β˜• Washington – Remote

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⏰ Full Time

🟒 Junior

πŸš«πŸ‘¨β€πŸŽ“ No degree required

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Logo of Proliance Surgeons

Proliance Surgeons

1001 - 5000 employees

Founded 1993

πŸ₯ Healthcare

πŸ‘₯ B2C

Healthcare β€’ B2C

Proliance Surgeons is an independent group of specialist physicians and surgeons based in Washington state that operates a large, patient-facing network of ambulatory surgical centers, specialty clinics, imaging centers, therapy clinics, and urgent care locations. They offer a wide range of services and specialties including general surgery, colorectal surgery, ENT, orthopedics, ophthalmology, plastic surgery, pain management, physical therapy, occupational medicine, podiatry and more, and emphasize personalized, local specialty care with convenient access (noting over 100 care centers).

πŸ“‹ Description

β€’ Oversee revenue cycle processes including charge entry, billing, claims, patient accounts receivable, and insurance accounts receivable β€’ Verify claim information before billing β€’ Review surgical coding for accuracy before billing β€’ Process primary, secondary, and tertiary claims and address edits or rejections β€’ Post patient, insurance, and third-party payments β€’ Resolve insurance and self-pay credits β€’ Process bad debt β€’ Answer phones β€’ Complete assigned duties and assist others as directed β€’ Follow policies introduced during onboarding, updated in real time, and outlined in the Teammate Handbook

🎯 Requirements

β€’ High School diploma or GED β€’ Minimum 1–2 years of medical billing experience β€’ CPC or other equivalent certification β€’ Orthopedic coding experience is a plus β€’ Experience with NextGen and Amkai billing systems preferred β€’ Ability to navigate online payer portals and websites β€’ Basic knowledge of Microsoft Office Word and Outlook β€’ Strong customer service and interpersonal skills β€’ Understanding of HIPAA confidentiality and safety, risk management, and precautionary procedures β€’ Clear oral and written communication β€’ Ability to work independently with limited supervision and follow detailed instructions β€’ Ability to manage multiple factors, adapt to change, and resolve first-level problems β€’ Ability to use office equipment

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