MAX Surgical Specialty Management · 4 hours ago
Revenue Cycle Specialist – Patient Billing
River Edge, NJ
Full-time
Hybrid
Entry, Mid Level
$23/hr - $31/hr
2+ years expMAX Surgical Specialty Management is an innovative leader in the healthcare industry, seeking a motivated individual to join their Revenue Cycle Management Team as a Revenue Cycle Specialist – Patient Billing. This role is responsible for ensuring accurate patient account management and delivering exceptional customer service while supporting effective collections and fostering positive relationships with patients and stakeholders.
Health CareHospital
Responsibilities
Efficiently manage patient inbound and outbound calls, ensuring high-quality service and responsiveness to patient needs
Analyze Explanation of Benefits (EOB) documents to understand and resolve patient billing issues
Provide clear explanations and next steps to patients regarding their patient balance, insurance claims and or coverage
Utilize critical thinking and problem-solving skills to address and resolve patient inquiries quickly
Communicate effectively with other departments to facilitate quick resolution of patient needs
Execute the completion of special projects related to department functions
Monitors patient accounts aging of assigned practices
Make outbound calls to patients / guarantors regarding outstanding balances and offer payment options
Review patient account balances and determine that appropriate actions have been previously taken by billing, payment posting and AR follow up
Communicate effectively, courteously, and professionally with patients, parents/legal guardians of their financial obligations
Documents Financial arrangements in patent accounts
Answer/respond to correspondence related to patient accounts
Proficiently uses conflict resolution and problem-solving techniques in managing patient conflicts
Send out monthly billing statements to collect overdue balances
Manages and monitors collection efforts with 3rd party vendors
Review account ledgers quickly and efficiently, making sure appropriate payments and adjustments were made
Collaborates with the team on operating policies, AR collectability, refunds, and bad debts
Responsible for working patient A/R collection opportunities on unpaid statements through provided work queues and or reports
Based on departmental processes, responsible for escalating problem patient accounts to management with a clear explanation of the problem, if multiple statement balances are impacted and possible resolution
Responsible for reviewing and submitting notifications of overpayments (patient) according to RCM protocols and guidelines
Obtain insurance, demographic, guarantor information and update patient profile as bill third party payers as appropriate
Obtain insurance information, check eligibility for active coverage and update patient accounts accordingly
Maintains required levels of productivity and quality while managing tasks to ensure timeliness of resolution
Take payments over the phone
Takes ownership of assignments; and other duties as assigned or requested
Perform any and all other duties as assigned
Qualification
Required
High School Diploma
2+ years of hands-on experience in healthcare revenue cycle management, with a proven track record of optimizing processes
Proficient in Microsoft Office applications and medical office software, leveraging technology to drive efficiency and accuracy in billing operations
Proven experience in healthcare billing, you bring a deep understanding of industry standards and regulations, ensuring compliance and accuracy in all financial transactions
Proven experience in customer service, preferably in a healthcare or financial setting
Strong understanding of medical billing processes and insurance-related documentation
Strong interpersonal and organizational skills enable you to thrive in a fast-paced environment, where multitasking and prioritization are second nature
Passionate about delivering exceptional customer service and fostering positive relationships with patients and stakeholders through effective communication and empathy
Preferred
Medical Billing and or Coding Certification highly preferred, not required
Benefits
Highly competitive salaries & annual performance and compensation reviews
Competitive health insurance and benefits, including medical, dental, vision, disability, and more
401k retirement savings plan that includes employer match
Generous Paid Time Off, sick leave, and paid holidays
Company
MAX Surgical Specialty Management
MAX Surgical Specialty Management is a health care company.
201-500 employees
Funding
Current Stage
Growth StageTotal Funding
$77MKey Investors
Freeport Financial
2025-04-24Debt Financing· $77M
2023-05-08Private Equity
Leadership Team
Jason Auerbach
Founder and Co-CEO
Mark Censoprano
Co-Chief Executive Officer
Recent News
Company data provided by crunchbase