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Join to apply for the Revenue Cycle Specialist role at ENT Specialty Partners
Job Description Overview
About Us:
ENT Specialty Partners (ESP) provides unparalleled strategic, financial, and operational support to partnering ear, nose, and throat practices. We collaborate with clinics that provide a wide range of services in otolaryngology - head and neck surgery, audiology, allergy, facial plastic surgery, pulmonology, and physical therapy. Guided by excellence, service, principles, and innovation, ESP aims to become the foremost provider of ENT services in the country. Our dynamic team prioritizes people and fosters a collaborative community of healthcare professionals delivering exceptional employee and patient care.
About The Role
As a Revenue Cycle Specialist I, you will be responsible for effective billing and collections for multi-office physician practice. You will resolve claim issues by utilizing extensive in-depth knowledge of company policies and procedures, medical coding, insurance reimbursement practices, and collection laws. Experience with medical billing and collections, account resolution, and the ability to get claims paid. Demonstrate proficiency with our billing system to ensure all functionality is utilized for the utmost efficient processing of claims and related tasks.
What You’ll Do
* Accurate data entry of information into the computer system
* Provide reimbursement assistance to patients while providing superior customer service and respect to patients and their families
* Resolves most patient concerns or complaints without escalation
* Follow appropriate HIPAA guidelines provide medical records to primary care provider, insurance carriers, referred providers and patients per patient request
* Work well individually and in a team-environment accomplishing set goals
* Timely and accurate filing and billing of all patient transactions (billing, invoices, and insurance claims, etc.) for large volume accounts and 3rd party payers including Commercial and Government payers, Worker’s Compensation, etc.)
* Monitor claim status, contact and follow up with insurance carriers on denials, file reconsideration requests, formal appeals, and negotiations
* Answer/respond to correspondence related to patient accounts
* Identify trends and carrier issues related to billing and reimbursements. Report findings to manager.
* Posting of charges, payments, adjustments and related activities in EHR. Coordinates with providers, when necessary, on incomplete information to assure proper account and claim adjudication
* Review of credit balance accounts and resolution to include refunds or corrections when necessary
* Use critical thinking skills and understanding of insurance eligibility requirements to correctly record contractual adjustments based on payer contracts or government regulations.
* Primarily responsible for high volume accounts and/or multiple accounts.
* Other duties deemed necessary.
Qualifications
Qualifications & Requirements:
* High school diploma or GED equivalent.
* Minimum 2+ years’ recent experience with physician office, medical billing office/CBO environment with emphasis on high volume and/or multiple accounts.
* Computer skills required to operate practice management system (i.e., use Window operating system conduct Internet searches, communicate by email, etc.).
* Demonstrate excellent oral and written communication skills.
* Computer skills required to operate practice management system (i.e., use Window operating system conduct Internet searches, communicate by email, etc.).
* Proven experience in a customer service role, preferably in a front desk or receptionist position.
* Understanding of medical billing practices and terminology.
* Keen sense of decision-making and judgement.
* Active listening skills and ability to adapt to change.
* Effective time management skills.
* Strong interpersonal and communication skills, with the ability to interact effectively with guests, team members, and management.
* Excellent organizational skills and attention to detail.
* Prior experience in training or mentoring new employees is highly desirable.
* Familiarity with office management tasks, such as inventory management and facility coordination, is a plus.
Work Environment & Physical Expectations
* On-site role in a clinical office setting.
* Monday–Friday, daytime schedule; occasional after-hours meetings may be required.
* 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.
Behavioral Expectations
* Attention to detail and accuracy.
* Excellent organizational skills.
* Good leadership, interpersonal, and communication skills.
Why ESP?
We offer competitive compensation and a full range of benefits, including:
* Medical, dental, and vision insurance
* 401(k) with Safe Harbor contribution
* Paid time off and holidays
* Optional short- and long-term disability
* Voluntary life and accident insurance
* Additional benefits including legal support, EAP, and more
* A collaborative, values-driven culture focused on growth and innovation
Seniority level
* Seniority level
Not Applicable
Employment type
* Employment type
Full-time
Job function
* Job function
Accounting/Auditing and Finance
* Industries
Medical Practices
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