<span>304 REVENUE CYCLE MEDICAL SPECIALIST</span>

Unclassified - Fayetteville, NC

Full-time

Fayetteville, NC

About the position

ABF Healthcare Services, Inc. is seeking a dedicated and detail-oriented Revenue Cycle Medical Specialist to join our primary care team. This role is essential for ensuring accurate billing processes and optimizing revenue collection for services provided. The ideal candidate will have experience in medical billing and revenue cycle management, with a strong understanding of billing various insurances and cash-based services.

Responsibilities

• Prepare, review, and submit clean claims to various insurance companies, including Medicare, Medicaid, and private insurance carriers.
• Monitor and resolve claim rejections, denials, and discrepancies.
• Follow up on unpaid or denied claims and reprocess as necessary.
• Manage billing for cash-based services, ensuring accurate invoicing and timely payment collection.
• Maintain up-to-date records of cash transactions and payments.
• Oversee the entire revenue cycle process, from patient registration to final payment.
• Implement strategies to reduce accounts receivable days and increase cash flow.
• Analyze and improve billing processes to maximize revenue and reduce errors.
• Communicate with patients regarding billing questions, payment plans, and account balances.
• Provide excellent customer service by addressing patient concerns and ensuring a positive experience.
• Ensure compliance with all federal, state, and local regulations related to medical billing.
• Maintain accurate and detailed records of all billing activities.
• Assist in internal audits and ensure the accuracy of billing data.
• Work closely with the front desk, medical staff, and other departments to ensure accurate patient information and billing.
• Participate in team meetings and provide input on improving the billing process.

Requirements

• High school diploma or equivalent required; Associate's degree or higher in Healthcare Administration, Business, or related field preferred.
• Minimum of 2-3 years of experience in medical billing and revenue cycle management, preferably in a primary care setting.
• Experience with billing various insurances, including Medicare, Medicaid, and private insurance.
• Strong knowledge of medical billing codes (CPT, ICD-10) and billing software.
• Excellent organizational and time management skills.
• Detail-oriented with a high degree of accuracy.
• Strong analytical and problem-solving skills.
• Proficient in Microsoft Office Suite (Excel, Word, Outlook).

Nice-to-haves

• Certified Professional Biller (CPB), Certified Medical Reimbursement Specialist (CMRS), or equivalent certification preferred.

Benefits

• Modern office setting
• Cross Training
• Positive Environment