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Common entry-level billing role in a metro market with unspecified experience increases competition moderately.
Role requires healthcare-specific RCM knowledge (EOBs, payers, contracts), making background transferability low.
No explicit years or mandatory certifications and most technical skills are listed as preferred, so low strictness.
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Ensure timely and accurate posting of payments and identification of payment adjustments within the revenue cycle process.
Track and follow up on payment discrepancies, client requests, and conduct contract rate audits to identify underpayments.
Create financial reports such as credit/debit and denial reports to support Accounts Receivable specialists and ensure compliance with company policies.
Experience Required: Not explicitly mentioned in the JD.
Technical proficiency with Microsoft Outlook, Word, Excel, email, internet, and payer websites; familiarity with billing systems like NextGen, Pro, or Allscripts preferred.
Knowledge of medical Explanation of Benefits (EOBs), patient deductibles/co-pays, insurance and third-party correspondence.
Strong math skills including addition, subtraction, multiplication, division and ability to analyze complex documents.
Experienced in healthcare revenue cycle operations, specifically payment posting and adjustment identification.
Able to perform detailed data entry and financial reconciliation with accuracy under pressure.
Comfortable working with client contracts and performing contract rate audits to detect payment issues.