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Revenue Cycle Specialist - Remote
<div> <p><span style="font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span xml:lang="EN-US" data-contrast="auto">At Proliance Surgeons our patients come from all walks of life — and so do we. We hire and support people from diverse backgrounds, fostering growth and development to make Proliance a great place to work. Our unique experiences and perspectives help us deliver </span><span xml:lang="EN-US" data-contrast="auto"><strong>Exceptional Outcomes, Personally Delivered</strong>.</span></span></p> <p><span style="font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span xml:lang="EN-US" data-contrast="auto">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 regarding Benefits and Washington State Minimum Wage details please visit our careers page at </span><span xml:lang="EN-US" data-contrast="none"><span data-ccp-charstyle="Hyperlink"><a rel="noopener" href="https://www.proliancesurgeons.com/careers" target="_blank">www.proliancesurgeons.com/careers</a></span></span></span><span style="font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span xml:lang="EN-US" data-contrast="auto">. <span style="font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span xml:lang="EN-US" data-contrast="auto">Compensation during the offer process will be determined based on factors such as compensation structure, experience, qualifications, and internal equity. </span> </span><span style="font-family: arial, helvetica, sans-serif; font-size: 12pt;" xml:lang="EN-US" data-contrast="auto">Be Part of Who We Are!</span></span></span></p> </div><p style="margin: 12pt 0in 8pt; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif;"><strong><u><span style="font-size: 12.0pt; font-family: Arial, sans-serif; color: #2ca5d5;">Position Summary</span></u></strong></p> <p style="margin: 12pt 0in 8pt; line-height: 107%; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt; line-height: 107%; font-family: Arial, sans-serif; color: black; background: #FCFCFC;">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.</span></p> <p style="margin: 12pt 0in 8pt; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif;"><strong><u><span style="font-size: 12pt; font-family: Arial, sans-serif; color: #2ca5d5;">Schedule</span></u></strong></p> <p style="margin: 12pt 0in 8pt; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12pt; font-family: Arial, sans-serif;">Full-time, Monday - Friday, 8:00am - 4:30pm.</span></p> <ul> <li style="line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12pt; font-family: Arial, sans-serif;">REMOTE schedule</span></li> <li style="line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12pt; font-family: Arial, sans-serif;"><strong>MUST</strong> live or be willing to relocate to any of the following states: WA, FL, NC, AZ, ID, OH, OR, TN, TX, or RI. </span></li> </ul> <p style="margin: 12pt 0in 8pt; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif;"><strong><u><span style="font-size: 12.0pt; font-family: Arial, sans-serif; color: #2ca5d5;">Key Duties and Responsibilities</span></u></strong></p> <p style="margin: 12pt 0in 8pt; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt; font-family: Arial, sans-serif;">The key duties and responsibilities of the Revenue Cycle Specialist Assistant include, but are not limited to:</span></p> <ul style="margin-bottom: 0in; margin-top: 0px;"> <li style="margin: 0in 0in 0in 0px; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt; font-family: Arial, sans-serif;">Verify information for claims is correct prior to billing</span></li> <li style="margin: 0in 0in 0in 0px; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt; font-family: Arial, sans-serif;">Review Surgical coding for accuracy prior to billing</span></li> <li style="margin: 0in 0in 0in 0px; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt; font-family: Arial, sans-serif;">Process all Primary, Secondary, and tertiary claims and address any edits or rejections.</span></li> <li style="margin: 0in 0in 0in 0px; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt; font-family: Arial, sans-serif;">Post all patient payments</span></li> <li style="margin: 0in 0in 0in 0px; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt; font-family: Arial, sans-serif;">Post all Insurance and third-party payments</span></li> <li style="margin: 0in 0in 0in 0px; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt; font-family: Arial, sans-serif;">Credit Resolution for both Insurance and Self pay credits</span></li> <li style="margin: 0in 0in 0in 0px; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt; font-family: Arial, sans-serif;">Insurance AR</span></li> <li style="margin: 0in 0in 0in 0px; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt; font-family: Arial, sans-serif;">Patient AR</span></li> <li style="margin: 0in 0in 0in 0px; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt; font-family: Arial, sans-serif;">Process bad debt</span></li> <li style="margin: 0in 0in 0in 0px; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt; font-family: Arial, sans-serif;">Answer phones</span></li> <li style="margin: 0in 0in 0in 0px; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt; font-family: Arial, sans-serif;">Complete duties and assist others as directed</span></li> <li style="margin: 0in 0in 0in 0px; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt; font-family: Arial, sans-serif;">Must follow all policies as introduced during new teammate On-Boarding, updated real-time and outlined in Teammate Handbook</span></li> </ul> <p style="margin: 12pt 0in 8pt; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif;"><strong><u><span style="font-size: 12.0pt; font-family: Arial, sans-serif; color: #2ca5d5;">Education/Experience</span></u></strong></p> <ul style="margin-bottom: 0in; margin-top: 0px;"> <li style="margin: 0in 0in 0in 0px; line-height: 107%; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt; line-height: 107%; font-family: Arial, sans-serif;">High School diploma or GED</span></li> <li style="margin: 0in 0in 0in 0px; line-height: 107%; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt; line-height: 107%; font-family: Arial, sans-serif;">Minimum 1-2 years medical billing experience</span></li> <li style="margin: 0in 0in 0in 0px; line-height: 107%; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt; line-height: 107%; font-family: Arial, sans-serif;">CPC or other equivalent certification</span></li> <li style="margin: 0in 0in 0in 0px; line-height: 107%; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt; line-height: 107%; font-family: Arial, sans-serif;">Orthopedic Coding Experience a plus </span></li> <li style="margin: 0in 0in 0in 0px; line-height: 107%; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt; line-height: 107%; font-family: Arial, sans-serif;">Experience with Nextgen and Amkai Billing Systems preferred</span></li> </ul> <p style="margin: 12pt 0in 8pt; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif;"><strong><u><span style="font-size: 12.0pt; font-family: Arial, sans-serif; color: #2ca5d5;">Knowledge, Skills and Abilities</span></u></strong></p> <ul style="margin-bottom: 0in; margin-top: 0px;"> <li style="margin: 0in 0in 0in 0px; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt; font-family: Arial, sans-serif;">High level of independence, adaption, and accuracy</span></li> <li style="margin: 0in 0in 0in 0px; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt; font-family: Arial, sans-serif;">Ability to navigate online Payor portals and websites</span></li> <li style="margin: 0in 0in 0in 0px; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt; font-family: Arial, sans-serif;">Ability to effectively use Office equipment</span></li> <li style="margin: 0in 0in 0in 0px; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt; font-family: Arial, sans-serif;">Basic knowledge of Microsoft Office Word and Outlook</span></li> <li style="margin: 0in 0in 0in 0px; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt; font-family: Arial, sans-serif;">Superior customer service skills</span></li> <li style="margin: 0in 0in 0in 0px; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt; font-family: Arial, sans-serif;">Great interpersonal skills; demonstrating patience, composure, and cooperation; working well with all patients, physicians, and staff</span></li> <li style="margin: 0in 0in 0in 0px; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt; font-family: Arial, sans-serif;">Understanding of and adherence to all safety, risk management and precautionary procedures, including the consistent respect for confidentiality (HIPAA)</span></li> <li style="margin: 0in 0in 0in 0px; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt; font-family: Arial, sans-serif;">Using time efficiently, with meticulous attention to detail, accuracy, and completion</span></li> <li style="margin: 0in 0in 0in 0px; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt; font-family: Arial, sans-serif;">Ability to manage multiple factors for the best result</span></li> <li style="margin: 0in 0in 0in 0px; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt; font-family: Arial, sans-serif;">Resourcefulness in addressing first level problems and tenacity to see things through to solution</span></li> <li style="margin: 0in 0in 0in 0px; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt; font-family: Arial, sans-serif;">Ability to remove oneself personally from given situations, remaining objective</span></li> <li style="margin: 0in 0in 0in 0px; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt; font-family: Arial, sans-serif;">Able to adapt to change, delays or unexpected events while maintaining a positive mindset</span></li> <li style="margin: 0in 0in 0in 0px; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt; font-family: Arial, sans-serif;">Clear oral and written communication</span></li> <li style="margin: 0in 0in 0in 0px; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt; font-family: Arial, sans-serif;">Ability to provide feedback to improve performance</span></li> <li style="margin: 0in 0in 0in 0px; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt; font-family: Arial, sans-serif;">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</span></li> </ul> <p style="margin: 12pt 0in 8pt; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif;"><strong><u><span style="font-size: 12.0pt; font-family: Arial, sans-serif; color: #2ca5d5;">Work Environment/Physical Demands</span></u></strong></p> <p style="margin: 12pt 0in 8pt; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt; font-family: Arial, sans-serif;">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.</span></p>