Billing & Revenue Cycle Specialist
Budget / Salary$7–7
TypeFull-time job
LocationPhilippines
Posted3 hours ago
About the Role
A US-based behavioral health practice is seeking an experienced and highly organized Internal Billing and Revenue Cycle Specialist to oversee all aspects of its internal billing operations. This role is responsible for patient billing, accounts receivable, payment posting, collections, denial management, and serving as the primary point of contact for all patient financial inquiries and external billing partner coordination.
The ideal candidate has a comprehensive understanding of the full revenue cycle and is equally comfortable working through billing operations behind the scenes and communicating directly with patients about their financial accounts. This role requires professionalism, precision, and genuine compassion in every patient interaction.
Department: Revenue Cycle Management (RCM)
Reports to: Practice Manager
Employment type: Full-Time
Key Responsibilities
Revenue Cycle Management
Manage internal billing and collection activities for the practice
Oversee the full billing lifecycle, including claim creation, claim submission, claim and patient balance investigation, balance corrections and adjustments, payment posting, and accounts receivable workflows
Review claims for accuracy and identify billing issues prior to submission
Investigate and resolve claim rejections, denials, and underpayments; submit corrected claims and appeals as necessary
Review and work accounts receivable aging reports to ensure timely reimbursement
Serve as the primary liaison between the practice and external billing vendors
Patient Billing and Collections
Manage patient balances and collection activities in accordance with practice policies
Contact patients regarding outstanding balances and establish payment arrangements when appropriate
Process patient payments and maintain accurate account balances
Reconcile payment discrepancies and research billing concerns
Maintain accurate financial documentation and patient account records
Patient Financial Services and Customer Support
Serve as the primary contact for the practice's billing phone line
Answer patient questions regarding deductibles, copayments, coinsurance, eligibility and benefits, financial responsibility, outstanding balances, payment plans, billing statements, and individual charges
Provide patients with copies of billing statements, itemized receipts, and payment histories upon request
Explain billing information clearly, professionally, and compassionately to patients and their families
Resolve patient billing concerns promptly and escalate complex issues to the appropriate team member when necessary
Reporting and Performance Monitoring
Monitor and report on key revenue cycle metrics to management, including days in accounts receivable, AR aging reports, clean claim rate, claim creation and submission lag, payment posting timeliness, and patient collection performance
Compliance and Collaboration
Maintain compliance with HIPAA, payer guidelines, and all applicable federal and state regulations
Ensure billing documentation supports medical necessity and payer requirements
Collaborate with administrative staff and practice leadership to resolve billing-related concerns and improve operational processes
Qualifications
Required
Minimum 2 to 3 years of medical billing and revenue cycle experience
Experience with eClinicalWorks (eCW)
Comprehensive knowledge of the full medical billing lifecycle, including claims management, payment posting, denials, collections, and accounts receivable
Experience working with commercial insurance plans, Medicare part B (required)
Strong understanding of CPT coding, ICD-10 coding
Exceptional customer service and communication skills, with the ability to discuss financial matters professionally and compassionately
Strong analytical, organizational, and problem-solving skills
Ability to work independently, manage multiple priorities, and maintain a high degree of accuracy
Behavioral health or mental health billing experience
Requirements
This is a full time role
100% Remote
Up to $7/hr
Originally posted on Himalayas
A US-based behavioral health practice is seeking an experienced and highly organized Internal Billing and Revenue Cycle Specialist to oversee all aspects of its internal billing operations. This role is responsible for patient billing, accounts receivable, payment posting, collections, denial management, and serving as the primary point of contact for all patient financial inquiries and external billing partner coordination.
The ideal candidate has a comprehensive understanding of the full revenue cycle and is equally comfortable working through billing operations behind the scenes and communicating directly with patients about their financial accounts. This role requires professionalism, precision, and genuine compassion in every patient interaction.
Department: Revenue Cycle Management (RCM)
Reports to: Practice Manager
Employment type: Full-Time
Key Responsibilities
Revenue Cycle Management
Manage internal billing and collection activities for the practice
Oversee the full billing lifecycle, including claim creation, claim submission, claim and patient balance investigation, balance corrections and adjustments, payment posting, and accounts receivable workflows
Review claims for accuracy and identify billing issues prior to submission
Investigate and resolve claim rejections, denials, and underpayments; submit corrected claims and appeals as necessary
Review and work accounts receivable aging reports to ensure timely reimbursement
Serve as the primary liaison between the practice and external billing vendors
Patient Billing and Collections
Manage patient balances and collection activities in accordance with practice policies
Contact patients regarding outstanding balances and establish payment arrangements when appropriate
Process patient payments and maintain accurate account balances
Reconcile payment discrepancies and research billing concerns
Maintain accurate financial documentation and patient account records
Patient Financial Services and Customer Support
Serve as the primary contact for the practice's billing phone line
Answer patient questions regarding deductibles, copayments, coinsurance, eligibility and benefits, financial responsibility, outstanding balances, payment plans, billing statements, and individual charges
Provide patients with copies of billing statements, itemized receipts, and payment histories upon request
Explain billing information clearly, professionally, and compassionately to patients and their families
Resolve patient billing concerns promptly and escalate complex issues to the appropriate team member when necessary
Reporting and Performance Monitoring
Monitor and report on key revenue cycle metrics to management, including days in accounts receivable, AR aging reports, clean claim rate, claim creation and submission lag, payment posting timeliness, and patient collection performance
Compliance and Collaboration
Maintain compliance with HIPAA, payer guidelines, and all applicable federal and state regulations
Ensure billing documentation supports medical necessity and payer requirements
Collaborate with administrative staff and practice leadership to resolve billing-related concerns and improve operational processes
Qualifications
Required
Minimum 2 to 3 years of medical billing and revenue cycle experience
Experience with eClinicalWorks (eCW)
Comprehensive knowledge of the full medical billing lifecycle, including claims management, payment posting, denials, collections, and accounts receivable
Experience working with commercial insurance plans, Medicare part B (required)
Strong understanding of CPT coding, ICD-10 coding
Exceptional customer service and communication skills, with the ability to discuss financial matters professionally and compassionately
Strong analytical, organizational, and problem-solving skills
Ability to work independently, manage multiple priorities, and maintain a high degree of accuracy
Behavioral health or mental health billing experience
Requirements
This is a full time role
100% Remote
Up to $7/hr
Originally posted on Himalayas
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