Demo

Revenue Cycle Specialist

Kinwell
Mountlake Terrace, WA Full Time
POSTED ON 2/20/2025
AVAILABLE BEFORE 5/18/2025

Workforce Classification :

Hybrid

Kinwell was founded on the principle of personalized, whole-hearted care for every patient. We believe the best healthcare is a conversation, and one that includes nutrition, fitness, sleep, and behavioral health. Our Clinicians and Clinic Support staff drive real change in their patient's well-being. Along the way, we are setting a new standard for primary care, making it more accessible, impactful, and holistic.

We are dedicated to building great places to work. We value all teammates and respect a diversity of thought, ideas, and cultures-all focused on the common goal of nurturing the health of those we serve.

Kinwell fosters a culture that promotes employee growth, collaborative innovation, and inspired leadership. We bring agility to work every day and thrive on the opportunity to create something refreshing and new. This is where you come in. If you are looking for a new primary care opportunity, one based on the quality of care, not the quantity of patients, please consider our available positions.

The Revenue Cycle Representative is responsible for processing charges and bill claims to various payers, transmitting paper claims, and manually posting remittances. This role will coordinate encounter-level reviews with the follow-up and coding teams to ensure accurate claims data. The Revenue Cycle Specialist manages the self-pay processes, including patient-facing communication.

While this is a remote position, the Revenue Cycle Specialist will be required to live in Washington state or Texas by time of hire.

What you'll do :

  • Bill unbilled encounters to various commercial payers.
  • Generate and transmit electronic claims; manage payer requests for paper claims.
  • Post insurance and third-party liability (TPL) denials and payments; assign balances to the next responsible party.
  • Monitor and resolve items in claims and billing-related work queues.
  • Investigate and address unpaid billed encounters.
  • Collaborate with coders and team members to review and resolve encounter-level issues.
  • Manually post and correct charges, adjustments, and write-offs as needed.
  • Process financial assistance requests from patients as needed.

What you'll bring :

  • Associate's degree or two years relevant experience.
  • Three years administrative or customer service experience in a healthcare setting.
  • Three years working with Epic conducting billing workflows.
  • Strong analytical and mathematical skills as applicable for role responsibilities.
  • Excellent organizational and problem-solving skills.
  • Ability to work collaboratively with all levels of management and staff.
  • Proven ability to handle sensitive and confidential information with discretion and professionalism.
  • Detail-oriented, with the ability to thrive in a fast-paced environment.
  • Bachelor's degree or four (4) years relevant experience. (Preferred)
  • Experience with Blue Cross Blue Shield Plans. (Preferred)
  • Working Environment

  • Work is primarily performed in an office setting within a healthcare organization, which may include proximity to patient care areas.
  • The work environment is quiet, but may involve some interruptions, high-paced demands and interactions with various departments.
  • Occasional travel may be required.
  • This role will require the ability to navigate within clinical or administrative areas of a healthcare organization.
  • Physical Requirements

  • The following have been identified as essential physical requirements of this job and must be performed with or without an accommodation :
  • This is primarily a sedentary role with prolonged periods of sitting at a desk and working on a computer.
  • Ability to life or carry items weighing up to 25 pounds; occasionally may need to bend, stoop, or reach to retrieve items.
  • Vaccine Requirement :

    Kinwell currently requires all teammates to provide proof of or complete a written attestation of a religious or medical exemption for influenza, COVID-19, and Hepatitis B vaccines. Healthcare providers may also be subject to CDC recommended vaccines.

    Kinwell provides equal employment opportunities to all without regard to race, color, religion, sex (including sexual orientation or gender identity), national origin, age, disability, genetic information or other protected status. Applicants with disabilities may be entitled to reasonable accommodations under the terms of the American with Disabilities Act and certain state or local laws. A reasonable accommodation is an adjustment to our standard application and / or interview process which will ensure an equal employment opportunity without imposing undue hardship on Kinwell. Please inform our Talent Acquisition team (recruiting@kinwellhealth.com) if you are requesting an accommodation to participate in the application process.

    What we offer :

  • Paid Time Off & Paid Holidays
  • Medical / Vision / Dental Insurance
  • Personal Funding Accounts (HSA, FSA, DCA)
  • 401K
  • Basic Life Insurance
  • Disability-Short Term and Long-Term
  • Supplemental Life and ADD&D
  • Tuition Reimbursement for qualifying programs
  • Employee Assistance
  • The pay for this role will vary based on a range of factors including, but not limited to, a candidate's geographic location, market conditions, and specific skills and experience.

    National Plus Salary Range :

    53,700.00 - $80,600.00

  • National Plus salary range is used in higher cost of labor markets including Western Washington and Alaska.
  • Salary : $53,700 - $80,600

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