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Billing & Revenue Cycle Specialist
Remote Raven. Manage internal billing and collection activities for the practice .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing the full medical billing lifecycle, including claims management, payment posting, and accounts receivable. Proficient in resolving billing issues and ensuring compliance with HIPAA and payer guidelines while providing exceptional customer service.
Highest-signal resume keywords
Medical Billing ExperienceEClinicalWorks (eCW)CPT CodingICD-10 CodingRevenue Cycle Management
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims ManagementPayment PostingDenials ManagementAccounts ReceivableBilling Lifecycle ManagementFinancial DocumentationBilling CorrectionsPayment ReconciliationAging Reports ReviewBilling Compliance
Soft Skills
Customer ServiceCommunicationAnalytical SkillsOrganizational SkillsProblem-Solving
Industry Keywords
HIPAA ComplianceBehavioral Health BillingMedicare Part BCommercial Insurance PlansPatient Collections
About the role
Key responsibilities & impact- Manage internal billing and collection activities for the practice
- Oversee the full billing lifecycle, including claim creation, submission, investigation, corrections, adjustments, payment posting, and accounts receivable workflows
- Review claims for accuracy and identify billing issues before submission
- Investigate and resolve claim rejections, denials, and underpayments; submit corrected claims and appeals
- Review accounts receivable aging reports to ensure timely reimbursement
- Serve as liaison between the practice and external billing vendors
- Manage patient balances and collection activities
- Contact patients about outstanding balances and establish payment arrangements
- Process patient payments and maintain accurate account balances
- Reconcile payment discrepancies and research billing concerns
- Maintain accurate financial documentation and patient account records
- Serve as primary contact for the billing phone line
- Answer patient questions about deductibles, copayments, coinsurance, eligibility, benefits, financial responsibility, balances, payment plans, statements, and charges
- Provide billing statements, itemized receipts, and payment histories
- Explain billing information clearly, professionally, and compassionately
- Resolve patient billing concerns and escalate complex issues
- Monitor and report revenue cycle metrics, including days in accounts receivable, AR aging, clean claim rate, claim creation and submission lag, payment posting timeliness, and patient collection performance
- Maintain compliance with HIPAA, payer guidelines, and applicable federal and state regulations
- Ensure billing documentation supports medical necessity and payer requirements
- Collaborate with administrative staff and practice leadership to resolve billing concerns and improve processes
Requirements
What you’ll need- 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 and Medicare Part B
- Strong understanding of CPT coding and 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
- Full-time role
- 100% remote