Revenue Cycle Specialist- Customer Service (hybrid remote)

Stamford Health is a well-established, award winning Healthcare System with multiple locations in CT.

As a new Certified Great Place to Work organization, Stamford Health understands what it takes to attract talent in order to improve our workforce and support our mission, to that end we offer :

• Competitive salary
• Sign on bonuses for designated positions
• Comprehensive, low-cost health insurance plans available day one
• Wellness programs
• Paid Time Off accruals
• Tax deferred annuity and (403b) pension plan
• Tuition reimbursement
• Free on-site parking and train station shuttle
• Childcare partnership with Children’s Learning Center
• The Revenue Cycle Specialist is responsible for providing quality assistance to Stamford Health Medical Group’s (SHMG) patients to resolve any and all billing-related questions;

and ensuring proper demographic and insurance information for those patients served

• Greets in-bound calls from patients.
• Responds professionally to all billing-related questions from patients.
• Returns all phone messages within 24 hours of receipt.
• Reviews patient account data when interacting with patients to ensure that accurate information regarding patients’ insurance and demographic information are correctly reflected on the patient’s account.
• Updates insurance and demographic information as necessary on patient accounts.
• Resubmits claim forms as appropriate.
• Initiates requests for refunds to either patients or insurance companies.
• Accurately documents patient accounts of all actions taken.
• Identifies past due accounts and submits them to Collector for assignment to outside collection agency.
• Establishes payment arrangements for patients on past-due accounts and when appropriate in accordance with policy, submits them to management for approval.
• Accurately documents patient accounts of all actions taken.
• Establishes and maintains a professional relationship with all SHMG staff in order to resolve problems and increase knowledge of account management.
• Maintains standards set by management.
• Apprises management of concerns as appropriate.
• Informs management, as appropriate, regarding backlogs and time available for additional tasks.
• As necessary, negotiates a work improvement plan with management to raise work quality and quantity to standards.
• Completes additional projects and duties as assigned.
• Associate’s degree or medical billing certification preferred. CPC preferred.
• 3+ years of experience working in a multispecialty group practice, healthcare system with an ambulatory focus, or academic medical center.
• 3+ years of experience working with a medical office / hospital accounts receivable system.
• Extensive knowledge of insurance payer reimbursement, collection practices, and accounts receivable follow-up.
• Demonstrates overall knowledge of claims processing for various insurances, including private and governed.
• Comprehensive knowledge of ICD-10, CPT, and HCPCS coding.
• Moderate to advanced computer skills, including Microsoft Windows programs.
• Moderate to advanced keyboard skills with high accuracy rate.
• Ability to communicate effectively in written and spoken English.
• Demonstrates effective communication and interpersonal skills with a diverse population.
• Ability to organize and prioritize workload to manage multiple tasks and meet deadlines.
• The ability to work with individuals at all organizational levels, particularly peers, team members, other departments, patients, and the community is required.
• Demonstrates the ability to carry out assignments independently, work from procedures, and exercise good judgment.
• Demonstrates the ability to maintain the confidentiality of all records.
• We are committed to building an inclusive workplace that values diversity and inclusion and reflects the diversity of the community and patients we serve.
30+ days ago