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Revenue Cycle Specialist

Charlotte Community Health Clinic
Charlotte, NC Full Time
POSTED ON 2/25/2025
AVAILABLE BEFORE 5/25/2025

Job Description

Job Description

Job Description

Title : Revenue Cycle Specialist

Department : Billing

Classification : Hourly; Non-Exempt

Reports To : Revenue Cycle Supervisor

Direct Reports : None

Position Summary

The Revenue Cycle Specialist will work under the general supervision of the Revenue Cycle Supervisor. This position is responsible for ensuring the processing of claims to our payers daily along with working self-pay accounts as well as creating payment plans for patients with self-pay balances and posting payments when received via phone along with handling all other tasks as assigned. This position will also be responsible for researching and correcting billing errors.

CCHC Core Requirements

  • Patient Centered Customer Service – Whether directly or indirectly, we work to support the delivery of an excellent patient experience to everyone served by the organization.
  • Caring and Compassion – We provide empathic comfort to those in distress and share kindness in all interpersonal interactions.
  • Respectful Communication – We communicate openly, honestly and without judgment while honoring each individual’s uniqueness and assuming the best of those with whom we interact.
  • Teamwork – We are members of a diverse interdisciplinary team working together to meet a common goal.
  • Accountability – We accept our individual and team responsibilities, and we meet our commitments. We take responsibility for our performance and actions.
  • Customer Safety – We recognize and correct potential hazards to protect our customers and ourselves.

Key Responsibilities

  • Arranges payments, manages accounts, and monitors / tracks delinquent accounts.
  • Creates and establishes payment methods with patients for delinquent accounts, tracks payments, and follows up with patients when gaps in payment occur.
  • Collects outstanding balances from patients.
  • Sends monthly statements to patients.
  • Reports any compliance issues to supervisor.
  • Timely filing of insurance claims to clearinghouse or individual insurance companies electronically or via paper.
  • Review and correction of claim edits received from clearinghouse.
  • Reviews information necessary for insurance claims such as patient, insurance ID, diagnosis and treatment codes and modifiers, and provider information to ensure clean claim submission.
  • Regularly meet with supervisor to report issues or obstacles with regards to clean claim billing and to report trends or issues with insurance reimbursement.
  • Researches and solves billing issues / errors.
  • Follows all policies and procedures of the department and CCHC.
  • Participates in job enhancing opportunities such as trainings and seminars.
  • Performs other related duties as assigned.

    Minimum Qualifications

    Required : High school diploma required.

    Preferred : Minimum of 1 year of medical billing experience, preferably within a healthcare environment. Experience with Electronic Health Record (EHR) systems such as Epic. Experience working in a Federally Qualified Health Center (FQHC) environment.

    Other Skills, Knowledge, and Abilities

    Understanding of claim resubmissions or secondary billing of claims, corrected claims, void and replacement claims, and refiling to insurance. Willingness to train and become a certified coder. Able to communicate effectively and interact in a friendly, professional manner with a wide range of staff, physicians and public. Ability to plan, prioritize, and complete delegated tasks with attention to detail and sometimes under tight deadlines. Good written and oral communication skills. Must maintain the highest level of confidentiality in work.

    Physical Demands and Work Environment

    The physical demands described here represent those that must be met by an employee to successfully perform the essential functions of this job. All duties and responsibilities are subject to possible modification to reasonably accommodate individuals with disabilities.

    The physical demands associated with this position include but are not limited to : frequent lifting, bending, climbing, stooping, and pulling; frequent repetitive motions; continuous standing and walking; repetitive movement of hands and fingers (typing and / or writing); lifting of greater than 50 pounds.

    The noise level in the work environment is low, consistent with that of a typical office.

    Company Description

    Started in 2000 by a group of committed volunteers, Charlotte Community Health Clinic is a Federally Qualified Health Center (FQHC) that offers high-quality medical, dental, and behavioral health services for children and adults.

    Although we serve all populations, as a FQHC, we have a special purpose of serving the underserved. We work towards a healthy community where all individuals, regardless of ability to pay, have access to affordable, quality, and comprehensive health care. We accept most major health insurance plans, as well as Medicaid and Medicare. For patients without health insurance, we offer a discount program based on income and family size.

    Our organization is growing! At present, we have three standalone sites as well as additional satellite locations. We are thrilled about the expansion of care that our growth allows us to provide. Our goal is to recruit, develop, and retain a team that not only meets the minimum job qualifications, but shares our passion for serving those who need it most.

    For more information about us, use the link below :

    https : / / charlottecommunityhealth.org / en /

    Benefits

  • Medical Insurance
  • Dental Insurance
  • Vision Insurance
  • Short Term & Long Term Disability
  • Life Insurance
  • 401K Retirement Plan w / discretionary match
  • Paid Time Off (PTO)
  • Holiday Pay
  • Employee Assistance Program (EAP)
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