Spectrum Medical Care Center · 1 week ago
Revenue Cycle Specialist
Phoenix, AZ
Full-time
Onsite
Entry Level
2+ years expSpectrum Medical Care Center is dedicated to providing best-in-class primary and specialty healthcare to LGBTQ+ individuals and those living with HIV/AIDS in Arizona. They are seeking a Revenue Cycle Specialist to join their revenue cycle team, where the role involves handling physician billing, managing denials and appeals, processing insurance claims, and maintaining precise patient account records.
Health CareMedicalWellness
Responsibilities
Process insurance and patient billing data accurately and efficiently
Review and resolve denied claims through resubmissions and appeals
Manage patient accounts and respond to billing-related inquiries
Interpret and act on Explanations of Benefits (EOBs) to resolve underpaid or denied claims
Handle incoming calls and correspondence from patients and insurance companies
Enter and verify patient demographic and insurance information with accuracy
Utilize payer portals, websites, and phone verification to confirm insurance eligibility
Work on assigned billing reports and escalate any unresolved issues to the Practice Administrator
Maintain current knowledge of payer requirements, HIPAA regulations, and company policies
Perform accurate charge entries, manage A/R financial classes (Private Pay, Medicare, Medicaid, Commercial, etc.), and ensure compliance with all billing procedures
Support the patient support team with special projects and additional duties as assigned
Qualification
Required
Minimum of 2 years of experience in medical billing or accounts receivable in a healthcare setting
Strong knowledge of insurance billing processes, claim submission, and denial management
Excellent problem-solving, time management, and organizational skills
Proficiency with medical billing software, EHR systems, and Microsoft Office Suite
Strong written and verbal communication skills
High attention to detail and accuracy in data entry and documentation
High School Diploma or GED (required)
On-site role in a professional office environment
Regular use of computers, phones, and standard office equipment
Ability to sit or stand for extended periods
Preferred
Medical Billing and/or Coding Certificate from an accredited program (preferred)
Bilingual (English/Spanish) Preferred But Not Required
Company
Spectrum Medical Care Center
Primary and specialty care provider serving Phoenix Metro's LGBTQ+ community, allies, and people living with HIV.
11-50 employees
Funding
Current Stage
Early StageLeadership Team
Thanes Vanig
Chief Medical Officer
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