RCM - Patient Customer Service Specialist
$39,291–$40,373 year
RemoteWashington, United States or Oregon, United States
Job Summary
Verify patient insurance eligibility and benefits, respond to inquiries regarding medical billing and account balances, and contact patients regarding outstanding balances and denied claims. Process refund requests, audit accounts to resolve discrepancies, and conduct collection activities for unpaid balances while maintaining daily worklists. Serve as the primary backup for the RCM Medical Payment Posting Specialist and determine eligibility for sliding fee scale discounts and funding applications. This remote position in SW Washington and NW Oregon supports the patient financial experience throughout the revenue cycle. Full-time employees earn $18.89 - $19.41/hr DOE with access to medical, dental, and vision coverage, plus 401(k) and generous PTO.
Required Qualifications
- Minimum of one (1) year of experience in medical billing, collections, healthcare revenue cycle operations, or a nonprofit healthcare environment
- Minimum of one (1) year of customer service experience
- Experience with electronic health record (EHR) systems
- Proficiency in Microsoft Office applications, particularly Microsoft Excel, with the ability to create, maintain, and analyze reports accurately
- Demonstrated ability to maintain superb attendance and reliability
- Strong interpersonal skills with the ability to work collaboratively and effectively as part of a team
- Highly organized and detail-oriented, with strong analytical, problem-solving, and critical-thinking abilities
- Excellent verbal and written communication skills, including the ability to communicate professionally with patients, insurance representatives, coworkers, and leadership
- Ability to manage multiple priorities, meet deadlines, and perform effectively in a fast-paced environment while maintaining accuracy and quality standards
- Working knowledge of medical billing practices, insurance claim processing, Medicaid programs, ICD-10 and CPT coding, HCFA 1500 and UB-04 claim forms, and payer requirements for reimbursement
- Understanding of healthcare insurance eligibility, benefits verification, patient financial responsibility, and collections processes
- Ability to maintain strict confidentiality and comply with all applicable HIPAA requirements and 42 CFR Part 2 regulations
Desired Qualifications
- An associate's degree, certification, or formal training in Medical Billing, Health Information Management, or a related field
- Experience in a healthcare or patient-facing environment
- Prior experience with Qualifacts CareLogic
- Minimum of one (1) year of experience in medical billing, collections, healthcare revenue cycle operations, or a nonprofit healthcare environment preferred
- Minimum of one (1) year of customer service experience, preferably in a healthcare or patient-facing environment
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