We are seeking an experienced Revenue Cycle Support Specialist to join our team. This position serves as a front-line resource for insurance, patient billing, and payer-related needs while providing critical support to our Revenue Cycle team. The ideal candidate understands health insurance and knows how to navigate the differences between payers and insurance plans. You should be comfortable researching insurance issues, communicating with patients and insurance carriers, navigating Phreesia and payer portals, and independently working through questions to determine the appropriate next step. This is a great opportunity for someone with medical billing, insurance, or revenue cycle experience who enjoys problem-solving and helping both patients and coworkers navigate the complexities of healthcare insurance. What You'll Do Review and resolve insurance eligibility issues and exceptions identified through Phreesia . Research accounts flagged by Phreesia that require additional review or manual intervention. Research insurance discrepancies such as incorrect date of birth, member ID, subscriber information, demographic information, or coverage details. Identify payer requirements including referrals, PCP requirements, prior authorizations, and other plan-specific rules that may require action beyond electronic eligibility verification. Navigate Phreesia , insurance carrier websites, and payer portals to research benefits, eligibility, and coverage requirements. Contact insurance carriers when additional information or clarification is needed. Update or correct insurance and demographic information when appropriate and ensure issues are documented and resolved. Answer incoming patient calls regarding insurance benefits, estimated appointment or procedure costs, bills, and general revenue cycle questions. Help patients understand deductibles, copays, coinsurance, insurance payments, adjustments, and patient responsibility. Review patient accounts and research billing questions before escalating more complex issues. Receive and process medical record and documentation requests from insurance carriers. Retrieve requested medical records and supporting documentation from the electronic medical record. Submit medical records and documentation to payers through secure fax, payer portals, or other approved methods. Maintain documentation and confirmation of records submitted to insurance carriers. Assist with payer correspondence and documentation needed to support claims, reconsiderations, or appeals. Provide general support to the Revenue Cycle team so A/R specialists can remain focused on claim follow-up, denials, underpayments, appeals, and collections. Identify recurring insurance, eligibility, or payer issues and communicate trends to Revenue Cycle leadership. What We're Looking For 2+ years of experience in healthcare revenue cycle, medical billing, insurance verification, patient financial services, or a physician practice setting preferred. Strong understanding of health insurance benefits and terminology. Knowledge of deductibles, copays, coinsurance, out-of-pocket responsibilities, referrals, and authorization requirements. Familiarity with commercial insurance, Medicare, Medicare Advantage, and Medicaid. Experience navigating insurance carrier websites and payer portals. Experience with Phreesia strongly preferred. Ability to review and resolve electronic eligibility exceptions and determine when additional payer research is required. Ability to research insurance issues and work through problems independently. Comfortable reviewing patient accounts and explaining insurance and billing information to patients. Strong telephone and customer service skills. Experience working with electronic medical records. Strong attention to detail and follow-through. Ability to manage multiple priorities in a fast-paced environment. Knowledge of HIPAA and appropriate handling of protected health information. You'll Be Successful in This Role If You... Understand that every insurance plan doesn't work the same way and know how to find the answer when something doesn't look right. You're comfortable working in Phreesia to identify and resolve eligibility exceptions , picking up the phone and speaking with patients and insurance companies, and navigating payer portals to get answers. You can explain complicated insurance information in a way patients understand, and you aren't intimidated by digging into an account, figuring out why eligibility was flagged, determining whether a referral or other payer requirement is missing, or tracking down and submitting requested documentation. Most importantly, you're someone who takes ownership of a problem and follows it through to resolution rather than simply passing it to someone else.

Benefits:

401(k) matching Dental insurance Health insurance Life insurance Paid time off Vision insurance

Work Location:

In person