Job Posted January 9, 2022

Revenue Cycle Collection Specialist

Opening with Proliance Surgeons Everett Bone & Joint
Job Role: Administrative
Job Type: Full Time

Overview

Position Summary

Clinic Summary

Proliance Everett Bone and Joint Clinic is a 9 physician Orthopedic practice located in Everett WA.  EBJ offers a full spectrum of orthopedic services including a JAHCO certified outpatient ambulatory surgery center and an MRI facility.

 

Position Summary

The primary role of the Revenue Cycle Collections Specialist is to complete timely insurance follow-up and to retrieve payment on unpaid claims. This includes researching, auditing, rebilling, and collection of accounts.

The Rev Cycle Collections Specialist is expected to perform position-related duties that include, but are not limited to:

  • Professional written and verbal correspondence with patients and insurers
  • Timely insurance follow-up on unpaid claims
  • Compose and submit protest/appeal letters to insurance companies
  • Research, audit, and investigate proper payment of claims and patient accounts; includes interpretation of explanation of benefits (EOB) and knowledge of insurance contracts
  • Prepare accounts for outside collection agencies
  • Updating of patient insurance information, including memo entry for billing documentation
  • Customer service – answer billing inquiries from patients and/or healthcare providers; make outgoing calls to insurance companies and patients
  • Research and complete refunds for patient or insurance over-payments
  • Discuss financial arrangements/create payment plans with patients
  • Post private and insurance payments
  • Assist other personnel as directed by Supervisor/Manager
  • Must follow all policies as outlined in Employee Handbook

The essential qualities necessary include, but are not limited to:

  • Superior customer service skills
  • Great interpersonal skills; demonstrating patience, composure and cooperation; working well with physicians and staff.
  • Ability to exhibit cooperation, flexibility, and provide assistance when interfacing with physicians, management and staff.
  • Ability to work independently, with little supervision.
  • Consistency and timeliness in attendance

Education/Experience

  • 3+ years medical billing experience in a similar role
  • NextGen and Epic experience preferred

Skills/Knowledge/Abilities

  • Problem solving skills
  • Knowledge of medical terminology
  • Ability to read EOB’s (explanation of benefits)
  • Knowledge of CPT and ICD10 coding
  • Skill in basic data entry; 10-key proficiency
  • Skill in using a computer
  • Ability to exhibit cooperation, flexibility, and provide assistance when interfacing with patients, physician and staff
  • Skill in organizing and reporting information that is accurate and complete
  • Knowledge of basic math skills
  • Understanding and respecting the need for confidentiality
  • Ability to maintain composure in stressful situations
  • Skill in establishing and maintaining effective working relationships with all staff
  • Ability to prepare records in accordance with detailed instructions
  • Ability to communicate effectively in person and on the phone
  • Consistency and timeliness in attendance

  • Sitting for extended periods of time
  • Manual dexterity required for use of computer keyboard
  • This position may be stressful at times
  • Working 40 hours per week. Some responsibilities may require longer work hours in order to complete assignments

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. This description is intended to describe the 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 so classified. Other functions may be assigned and management retains the right to add or change the duties at any time.

How we are protecting team members from COVID-19?
Employee and patient health and safety is our top priority. At Proliance, we are adhering to CDC, State and local orders regarding COVID-19 and have implemented processes and precautions across our facilities to prevent the spread of COVID-19.

Following the most recent vaccination mandate for healthcare workers in Washington State, and our commitment to the health and safety of our employees and patients, all Proliance employees will be required to provide proof of full vaccination upon hire, or proof of a medical or religious exemption.

Proliance Surgeons offers a generous benefits package including Medical/RX, Dental, Vision, 401k with profit sharing and more! Plus ALL of our employees enjoy the free perks of our employee purchasing program offering a variety of discounts on purchases made every day – including cell phone service!


Proliance Surgeons is proud to be an equal opportunity employer. We are committed to creating an inclusive environment, and we welcome and encourage people of all backgrounds, perspectives, experiences, and skills to apply.


All employment decisions at Proliance Surgeons are based on business needs, job requirements and individual qualifications, without regard to race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. We will not tolerate discrimination or harassment based on any of these characteristics. 

Care Center

1100 Pacific Avenue Suite 300
Everett, WA 98201-4261

(425) 339-8273

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