Revenue Cycle Specialist (Biller)
Bluestone Physician Services, Stillwater, MN, United States
Position Overview
Under the supervision of the Revenue Cycle Manager, the Revenue Cycle Specialist performs duties related to full claims processing from submission through payment. This includes but is not limited to: submission of claims, follow‑up for all insurance plans, managing denials, resubmissions, and tracking of special exceptions, as well as managing patient balances. This position will primarily be communicating with insurance carriers, customers, and co‑workers.
Schedule: Full time position, day shift hours, no evenings, weekends or holidays.
Location:
MUST
be located in our markets in Minnesota, Wisconsin or Florida.
Salary: $23.00 - $27.00 per hour. Salary will be commensurate with experience.
Responsibilities
Review and resolve all claims errors before the claim is submitted for payment
Review and effectively troubleshoot all known claim denials and rejections, follow up with insurance providers regarding unpaid and rejected claims; resolve issues and re‑submit claims
Review and process credit refunds for patient and insurance overpayments
Answer phone inquiries regarding billing, insurance, and claims
Contact patients, patient families, and/or POAs to obtain accurate/updated insurance information
Actively manage and resolve aging claims
Actively work to resolve individual patient balances including contacting patients to set up payment plans, taking credit card payments, and sending electronic communications
Collaborate with field management teams on data analysis and account resolution regarding aging reports
Other duties as assigned
Qualifications
Education / Certification / Experience
Previous data entry and 10‑key experience required
2 years of previous medical billing experience in a provider setting preferred
Knowledge / Skills / Abilities
Knowledge of basic accounting concepts
General understanding of medical insurance products and plans
Knowledge of ICD‑10, CPT, HCPCS codes and claim regulatory guidelines
Knowledge of medical terminology
Working knowledge of Medicare, Medicaid, and third‐party insurance and the rules and regulations that apply
Strong computer skills, including Microsoft Excel and Google Sheets
Comfortable navigating electronic medical records
Skill in completing multiple tasks at once
Skill in identifying and resolving problems
Skill in verbal and written communication
Ability to communicate professionally with supervisors, coworkers, customers, and patients
Ability to work independently as well as a member of a team to meet company goals
Detail oriented and accurate
Demonstrated ability to read, write, speak, and understand the English language
Bluestone Benefits
Health Insurance
Dental Insurance
Vision Materials Insurance
Company paid Life Insurance
Company paid Short and Long‑term Disability
Health Savings Account (with employer contribution)
Flexible Spending Account (FSA)
Retirement plan with 4% matching contributions
Eight (8) paid holidays for office closures
Three weeks (15 Days) Paid Time Off (PTO)
Regular business hours
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Under the supervision of the Revenue Cycle Manager, the Revenue Cycle Specialist performs duties related to full claims processing from submission through payment. This includes but is not limited to: submission of claims, follow‑up for all insurance plans, managing denials, resubmissions, and tracking of special exceptions, as well as managing patient balances. This position will primarily be communicating with insurance carriers, customers, and co‑workers.
Schedule: Full time position, day shift hours, no evenings, weekends or holidays.
Location:
MUST
be located in our markets in Minnesota, Wisconsin or Florida.
Salary: $23.00 - $27.00 per hour. Salary will be commensurate with experience.
Responsibilities
Review and resolve all claims errors before the claim is submitted for payment
Review and effectively troubleshoot all known claim denials and rejections, follow up with insurance providers regarding unpaid and rejected claims; resolve issues and re‑submit claims
Review and process credit refunds for patient and insurance overpayments
Answer phone inquiries regarding billing, insurance, and claims
Contact patients, patient families, and/or POAs to obtain accurate/updated insurance information
Actively manage and resolve aging claims
Actively work to resolve individual patient balances including contacting patients to set up payment plans, taking credit card payments, and sending electronic communications
Collaborate with field management teams on data analysis and account resolution regarding aging reports
Other duties as assigned
Qualifications
Education / Certification / Experience
Previous data entry and 10‑key experience required
2 years of previous medical billing experience in a provider setting preferred
Knowledge / Skills / Abilities
Knowledge of basic accounting concepts
General understanding of medical insurance products and plans
Knowledge of ICD‑10, CPT, HCPCS codes and claim regulatory guidelines
Knowledge of medical terminology
Working knowledge of Medicare, Medicaid, and third‐party insurance and the rules and regulations that apply
Strong computer skills, including Microsoft Excel and Google Sheets
Comfortable navigating electronic medical records
Skill in completing multiple tasks at once
Skill in identifying and resolving problems
Skill in verbal and written communication
Ability to communicate professionally with supervisors, coworkers, customers, and patients
Ability to work independently as well as a member of a team to meet company goals
Detail oriented and accurate
Demonstrated ability to read, write, speak, and understand the English language
Bluestone Benefits
Health Insurance
Dental Insurance
Vision Materials Insurance
Company paid Life Insurance
Company paid Short and Long‑term Disability
Health Savings Account (with employer contribution)
Flexible Spending Account (FSA)
Retirement plan with 4% matching contributions
Eight (8) paid holidays for office closures
Three weeks (15 Days) Paid Time Off (PTO)
Regular business hours
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