Job Description

Proliance Surgeons is one of the largest surgical practices in the country, with over 450 providers including over 200 board-certified physicians providing treatment at more than 100 care centers in Washington State.



At Proliance, our patients come from all walks of life and so do we. We hire, develop and engage great people from a wide variety of backgrounds and encourage growth and development to make our organization a great place to work. We draw on the differences in who we are, what we've experienced, and how we think to create Exceptional Outcomes, Personally Delivered.

We are proud to offer a comprehensive and competitive benefit and pay package including health coverage, 401k with match and profit share, PTO and more! For further details please visit our careers page at www.proliancesurgeons.com/careers



Compensation during the offer process will be determined based on factors such as compensation structure, experience, qualifications, and internal equity.

Be Part of Who We Are!



Position Summary

The role of the Revenue Cycle specialist is a valued member of our Revenue Cycle team. As a Revenue Cycle Specialist, you will work remotely and be responsible for overseeing bill processes including Charge entry, Billing, Claims, Patient AR and Insurance AR. You will also post payments, handle credit resolutions, along with other revenue cycle functions.

Key Duties and Responsibilities

The key duties and responsibilities of the Revenue Cycle Specialist Assistant include, but are not limited to:

Verify information for claims is correct prior to billing Review Surgical coding for accuracy prior to billing Process all Primary, Secondary, and tertiary claims and address any edits or rejections. Post all patient payments Post all Insurance and third-party payments Credit Resolution for both Insurance and Self pay credits Insurance AR Patient AR Process bad debt Answer phones Complete duties and assist others as directed Must follow all policies as introduced during new teammate On-Boarding, updated real-time and outlined in Teammate Handbook

Education/Experience



High School diploma or GED Minimum 1-2 years medical billing experience CPC or other equivalent certification Orthopedic Coding Experience a plus Experience with Nextgen and Amkai Billing Systems preferred

Knowledge, Skills and Abilities

High level of independence, adaption, and accuracy Ability to navigate online Payor portals and websites Ability to effectively use Office equipment Basic knowledge of Microsoft Office Word and Outlook Superior customer service skills Great interpersonal skills; demonstrating patience, composure, and cooperation; working well with all patients, physicians, and staff Understanding of and adherence to all safety, risk management and precautionary procedures, including the consistent respect for confidentiality (HIPAA) Using time efficiently, with meticulous attention to detail, accuracy, and completion Ability to manage multiple factors for the best result Resourcefulness in addressing first level problems and tenacity to see things through to solution Ability to remove oneself personally from given situations, remaining objective Able to adapt to change, delays or unexpected events while maintaining a positive mindset Clear oral and written communication Ability to provide feedback to improve performance Self-motivated; able to work following specific guidelines and in accordance with detailed instructions; measure self against standard of excellence, overcome obstacles and challenges with little supervision

Work Environment/Physical Demands

The work environment/physical demands described here are representative of those that must be met by a teammate to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable differently abled persons to perform the essential functions.



Work may be performed in an office and clinical environment. Requires corrected vision and hearing to normal range. While performing the duties of this job, the associate is regularly required to talk or hear. The associate is required to sit for long periods of time, stand and walk, bend and stretch. Use of telephone and computer is required. Manual dexterity required for use of computer keyboard. Occasionally lifts and carries items weighing up to 40 pounds. May requires working under stressful conditions or working irregular hours.

Comments



This description is intended to describe the essential job functions, the general supplemental functions and the essential requirements for the performance of this job. It is not an exhaustive list of all duties, responsibilities and requirements of a person so classified. Other functions may be assigned and management retains the right to add or change the duties at any time.