Revenue Cycle Specialist (Work From Home | Night Shift)

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We are currently looking for a Revenue Cycle Specialist (Work From Home | Night Shift) to support our client based in the US.

What's in it for you

There's a lot to love about Connext. Here are some of the reasons why:

• Competitive salary and bonuses
• 25% Night Differential Pay
• 20 Annual Leave Credits
• Health, dental, and life insurance
• Fun HR virtual and onsite events
• Professional development and training opportunities
• Employee assistance programs (EAP)
• Employee volunteer and community service opportunities
• Amenities for leisure and recreation
• Certified Great Place to Work (2022)

Job Summary:

The Revenue Cycle Specialist is responsible in serving as the primary point of contact for patients, guarantors, and family members regarding healthcare billing, account inquiries, payment processing, insurance claims, and account resolution. The role combines customer service expertise with revenue cycle operations, including patient accounting, insurance verification, claim follow-up, EOB review, payment arrangements, and billing support while maintaining compliance with HIPAA and healthcare data security requirements.

Responsibilities:

• Handle high-volume inbound customer interactions through calls, emails, and digital correspondence related to billing questions, account balances, payment processing, and insurance claims.

• Provide clear explanations regarding healthcare billing statements, insurance coverage, deductibles, copayments, coinsurance, and patient financial responsibilities.

• Perform backend revenue cycle activities including patient accounting, charge entry reconciliation, adjustments, statement generation, and secure payment processing.

• Verify patient insurance coverage, policy status, eligibility, and benefit limitations using electronic payer systems and data sources.

• Navigate payer portals and healthcare systems to verify benefits, review claim status, and support claim follow-up activities.

• Research claim denials and underpayments and assist with appeals or reconsideration submissions through appropriate payer channels.

• Review and interpret Explanation of Benefits (EOBs) and communicate insurance details to patients in an understandable manner.

• Assist patients with payment arrangements, hardship applications, and available financial assistance programs.

• Maintain accurate documentation of customer interactions, account updates, and resolution activities.

• Ensure compliance with HIPAA regulations, healthcare privacy standards, and organizational security policies.

• Collaborate with internal teams, insurance carriers, and healthcare stakeholders to resolve patient account concerns.

Qualifications and Requirements:

• Minimum of two (2) years of customer service experience.

• Minimum of one (1) year of healthcare billing, patient accounting, insurance verification, or revenue cycle experience.

• Experience navigating payer portals and insurance verification systems.

• Experience reading and explaining Explanation of Benefits (EOBs).

• Familiarity with medical coding concepts including CPT, ICD-10, and HCPCS preferred.

Benefits:

• Company Christmas Gift
• Company Events
• Health Insurance
• Life Insurance
• Opportunities for promotion
• Pay raise
• Promotion to a permanent employee

Why choose

CONNEXTGreat Company Culture, a Great Place to Work Certified, Great Benefits, and lots of room for growth.

Connext is a dedicated team of business process outsourcing experts and innovators, with experience in supporting world-class companies in Title and Escrow, Healthcare, Produce Distribution, Retail and Fashion, Design Consulting, and Finance.

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