Revenue Cycle Billing Specialist

High Point University’s Business Office is seeking a Revenue Cycle Billing Specialist. This position is responsible for reviewing, preparing and submitting all insurance claims to the insurance companies in a timely manner. The selected candidate will ensure accurate attachments are submitted with every claim as needed by the type of services being rendered. This position works closely with the credentialing manager, provider, clinical team, front office team, and insurance companies to coordinate efficient patient care and payment for these services. The ideal candidate will also possess excellent communication skills, attention to detail, and the ability to handle sensitive information confidentially.

QUALIFICATIONS

Education:

• High school diploma or equivalent; associate's degree or relevant certification preferred.

Experience and Training:

• Proven experience in insurance administration, healthcare, or a related field is advantageous.

Knowledge, Skills, Ability:

• Dental /Medical billing knowledge along with the ability to communicate with insurance companies, healthcare providers, and clients to gather and verify necessary information to complete timely claim filing.
• Excellent numerical accuracy and high attention to detail.
• Ability to work independently with minimal supervision.
• A solid understanding of the full revenue cycle process is essential.

ESSENTIAL FUNCTIONS

• Preparation, submission, and tracking of all insurance claims
• Monitoring and ensuring timely payments by insurance companies
• Works closely with the revenue cycle payment specialist to review and appeal unpaid and denied claims
• Maintains zero backlogs and meet daily/weekly productivity targets
• Communicates with internal billing teams regarding payment trends, anomalies, and payer behavior
• Ensures compliance with HIPAA and other federal and state regulations
• Maintains up-to-date knowledge of payer policies, medical/dental billing terminology, and payment posting best practices
• Identifies and resolves patient billing complaints

ACCOUNTABILITY

• Manager of Clinical Revenue Operations Cycle
• Evaluation: Performance is evaluated based on the insurance payments entered daily to ensure operational efficiency and financial performance across clinical practices

For more information about his position, please contact Brian Shollenberger, Assistant VP for Accounting at [email protected]