Patient Access & Billing Specialist
Foot And Ankle Specialists, Yakima, WA, United States
Patient Access & Billing Specialist
The Patient Access & Billing Specialist is responsible for supporting both patient access functions and end-to-end revenue cycle operations for ambulatory surgery center (ASC) and clinic-based services. This role manages medical billing workflows including claims submission, accounts receivable follow-up, denial resolution, and insurance reimbursement across multiple service types.
This position plays a key role in ensuring accurate and timely reimbursement by actively working aging accounts, resolving billing discrepancies, and supporting payer communication. While primarily focused on billing and revenue cycle functions, this role may provide occasional front desk coverage as needed for staffing support.
Essential Functions/Responsibilities:
Billing & Revenue Cycle:
Manage billing workflows for both ASC surgical procedures and clinic encounters
Submit, track, and follow up on insurance claims across multiple payer types
Work aging accounts receivable, prioritizing overdue balances and high-dollar accounts
Research, analyze, and resolve claim denials, underpayments, and rejections
Communicate with insurance carriers regarding claim status, appeals, and authorizations
Submit authorizations for procedures, surgeries, outgoing referrals, etc.
Post payments, adjustments, and contractual allowances accurately
Monitor aging reports and take proactive steps to reduce outstanding AR
Ensure accuracy of claims through documentation review and charge validation
Collaborate with providers and clinical staff to obtain missing or corrected documentation
Maintain detailed records of billing activity, payer communication, and resolution outcomes
Escalate complex or high-value billing issues to leadership when appropriate
Patient Access / Front Desk Support:
Provide front desk coverage during staffing shortages or high-volume periods
Greet and assist patients in a professional and courteous manner
Answer phones, schedule appointments, and manage provider calendars as needed
Register new patients and update demographics and insurance information
Verify insurance eligibility and collect patient payments (copays, balances, deductibles)
Required Skills and Experience:
High school diploma or equivalent required; Associate degree preferred
13 years of medical billing or revenue cycle experience required
Experience with ASC billing, clinic billing, or multi-setting healthcare billing strongly preferred
Strong understanding of insurance billing processes, claims management, and AR follow-up
Experience working aging reports and resolving denied or unpaid claims
Familiarity with CPT, ICD-10 coding, and medical terminology preferred
Strong analytical and problem-solving skills with ability to prioritize workload
Excellent communication skills (written and verbal) for payer and patient interaction
High attention to detail and accuracy in financial and billing data
Ability to work independently and manage multiple billing queues or tasks
Proficiency with billing systems, EMR/EHR platforms, and Microsoft Office (especially Excel)
Strong customer service mindset and professionalism in patient interactions
Ability to maintain confidentiality and comply with HIPAA regulations
Pay Range:
$19 $23/hour based on experience
Benefits:
Health Insurance (Single & Family plans available)
Life Insurance
Disability Insurance
401(k) with Company Match
Employee Discount Program
Paid Time Off (PTO)
Paid Holidays
Physical Requirements:
Ability to sit and work at a computer for extended periods
Frequent use of hands for typing and data entry
Occasional lifting up to 50 pounds and carrying up to 25 pounds
Occasional bending, reaching, and movement within the office environment
Ability to maintain visual acuity for detailed document and screen review
Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
The Patient Access & Billing Specialist is responsible for supporting both patient access functions and end-to-end revenue cycle operations for ambulatory surgery center (ASC) and clinic-based services. This role manages medical billing workflows including claims submission, accounts receivable follow-up, denial resolution, and insurance reimbursement across multiple service types.
This position plays a key role in ensuring accurate and timely reimbursement by actively working aging accounts, resolving billing discrepancies, and supporting payer communication. While primarily focused on billing and revenue cycle functions, this role may provide occasional front desk coverage as needed for staffing support.
Essential Functions/Responsibilities:
Billing & Revenue Cycle:
Manage billing workflows for both ASC surgical procedures and clinic encounters
Submit, track, and follow up on insurance claims across multiple payer types
Work aging accounts receivable, prioritizing overdue balances and high-dollar accounts
Research, analyze, and resolve claim denials, underpayments, and rejections
Communicate with insurance carriers regarding claim status, appeals, and authorizations
Submit authorizations for procedures, surgeries, outgoing referrals, etc.
Post payments, adjustments, and contractual allowances accurately
Monitor aging reports and take proactive steps to reduce outstanding AR
Ensure accuracy of claims through documentation review and charge validation
Collaborate with providers and clinical staff to obtain missing or corrected documentation
Maintain detailed records of billing activity, payer communication, and resolution outcomes
Escalate complex or high-value billing issues to leadership when appropriate
Patient Access / Front Desk Support:
Provide front desk coverage during staffing shortages or high-volume periods
Greet and assist patients in a professional and courteous manner
Answer phones, schedule appointments, and manage provider calendars as needed
Register new patients and update demographics and insurance information
Verify insurance eligibility and collect patient payments (copays, balances, deductibles)
Required Skills and Experience:
High school diploma or equivalent required; Associate degree preferred
13 years of medical billing or revenue cycle experience required
Experience with ASC billing, clinic billing, or multi-setting healthcare billing strongly preferred
Strong understanding of insurance billing processes, claims management, and AR follow-up
Experience working aging reports and resolving denied or unpaid claims
Familiarity with CPT, ICD-10 coding, and medical terminology preferred
Strong analytical and problem-solving skills with ability to prioritize workload
Excellent communication skills (written and verbal) for payer and patient interaction
High attention to detail and accuracy in financial and billing data
Ability to work independently and manage multiple billing queues or tasks
Proficiency with billing systems, EMR/EHR platforms, and Microsoft Office (especially Excel)
Strong customer service mindset and professionalism in patient interactions
Ability to maintain confidentiality and comply with HIPAA regulations
Pay Range:
$19 $23/hour based on experience
Benefits:
Health Insurance (Single & Family plans available)
Life Insurance
Disability Insurance
401(k) with Company Match
Employee Discount Program
Paid Time Off (PTO)
Paid Holidays
Physical Requirements:
Ability to sit and work at a computer for extended periods
Frequent use of hands for typing and data entry
Occasional lifting up to 50 pounds and carrying up to 25 pounds
Occasional bending, reaching, and movement within the office environment
Ability to maintain visual acuity for detailed document and screen review
Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.