Revenue Cycle Specialist (Remote)

Proliance Surgeons is one of the largest surgical practices in the country, with over 450 providers including over 200 board-certified physicians providing treatment at more than 100 care centers in Washington State. 

At Proliance, our patients come from all walks of life and so do we. We hire, develop and engage great people from a wide variety of backgrounds and encourage growth and development to make our organization a great place to work.  We draw on the differences in who we are, what we’ve experienced, and how we think to create Exceptional Outcomes, Personally Delivered. 

We are proud to offer a comprehensive and competitive benefit and pay package including health coverage, 401k with match and profit share, PTO and more! Check out our main career site for more details at www.proliancesurgeons.com/careers

Be Part of Who We Are!

Salary Range: $19.97 - 31.95

Key Duties and Responsibilities

The key duties and responsibilities of the Revenue Cycle Specialist include, but are not limited to:

• Verify information for claims is correct prior to billing
• Process all Primary, Secondary, and tertiary claims and address any edits or rejections.
• Post patient payments
• Post Insurance and third-party payments
• Credit Resolution for both Insurance and Self pay credits
• Research denied, delayed, and underpaid claims utilizing online payor portals
• Follow up on patient past due balances
• Process bad debt
• Customer service – Answer billing phone assisting patients with questions and payments
• Complete duties and assist others as directed
• Must follow all policies as introduced during new teammate On-Boarding, updated real-time and outlined in Teammate Handbook

Knowledge, Skills, and Abilities

• Ability to navigate online Payor portals and websites
• Working knowledge of medical terminology, abbreviations, and anatomy
• Experience with Nextgen and Amkai Billing Systems preferred

Education and Experience

• High School diploma or GED
• Minimum 1-2 years medical billing experience

Work Environment/Physical Demands

The work environment/physical demands described here are representative of those that must be met by an associate to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Work may be performed in an office and clinical environment.  Requires corrected vision and hearing to normal range.  While performing the duties of this job, the associate is regularly required to talk or hear.  The associate is required to sit for long periods of time, stand and walk, bend and stretch.  Use of telephone and computer is required.  Manual dexterity required for use of computer keyboard. Occasionally lifts and carries items weighing up to 40 pounds. May requires working under stressful conditions or working irregular hours.

This description is intended to encompass essential job functions, the general supplemental functions and the essential requirements for the performance of this job.  It is not an exhaustive list of all duties, responsibilities and requirements of a person.  Other functions may be assigned and leadership retains the right to add or change the duties at any time.