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Revenue Cycle Specialist Peoria Ear Nose and Throat Peoria, IL Job Details Full-time $20 - $25 an hour 19 hours ago Benefits Health insurance Dental insurance 401(k) Tuition reimbursement Paid time off Vision insurance Life insurance Qualifications Anatomy knowledge Medicare Commercial insurance knowledge Accounts receivable management Insurance claim appeals processing HIPAA Medical coding experience in physician offices Workers' compensation insurance knowledge Certified Professional Coder Medicare regulations Electronic health record (EHR) management for billing and coding Medical billing and coding communication with insurance companies Centers for Medicare & Medicaid Services (CMS) billing regulations Patient insurance coordination Medical claims submission Medicaid Productivity software Medical terminology Medical debt collection accounts Documentation review Collections account management Patient collections management Full Job Description Revenue Cycle Specialist We are seeking a detail-oriented and experienced Certified Professional Coder (CPC) to join our private healthcare organization specializing in ENT (Otolaryngology), Allergy, Audiology, and Physical Therapy services.

KEY RESPONSIBILITIES

Coding & Charge Entry Review provider documentation and evaluate accurate CPT, HCPCS, and

ICD-10-CM

codes for ENT, Allergy, Audiology, and Physical Therapy services. Ensure coding complies with payer policies, CMS guidelines, and regulatory requirements. Identify missing documentation, coding discrepancies, and opportunities for claim correction. Maintain productivity and accuracy standards for daily charge entry and coding workflows. Stay current on coding updates, payer changes, and specialty-specific billing rules. Accounts Receivable & Collections Manage and monitor outstanding insurance and patient balances. Perform monthly collection activities on delinquent accounts in accordance with company policy. Follow up on unpaid, denied, or underpaid claims with insurance carriers. Research payment variances and resolve billing issues promptly. Work aging reports to improve cash flow and reduce outstanding receivables. Patient Accounts & Refunds Process patient refunds accurately and timely in accordance with internal controls. Review credit balances and determine appropriate refund or adjustment action. Respond professionally to patient billing inquiries by phone, email, or in person. Explain statements, insurance processing, balances due, and payment options. Compliance & Administrative Support Maintain confidentiality of patient information in accordance with HIPAA regulations Assist with audits, reporting, and revenue cycle improvement initiatives. Collaborate with front office, clinical staff, and management to resolve account issues. Support special billing projects and workflow improvements as needed.

QUALIFICATIONS

Required Minimum 3 years of medical coding and billing experience in a physician practice or outpatient setting. Strong knowledge of CPT, ICD-10-CM, HCPCS, and insurance claim processing Proficiency with EHR/PM systems and Microsoft Office. Working knowledge of medical terminology, anatomy and physiology, disease processes, medical records, and healthcare procedures. Familiarity with claim edits, denials management, and payment posting workflows. Experience with accounts receivable follow-up and collections. Knowledge of commercial insurance, Medicare, Medicaid, and workers' compensation billing. Excellent communication skills via all avenues of communication Strong organizational and prioritization skills with a high level of attention to detail and the ability to work independently Preferred Experience in ENT/Otolaryngology and Allergy Coding In addition to an exceptional work environment and Friday afternoons off each week , Peoria ENT offers the following benefits:

• Medical, Dental, Vision, Life Insurance
• Tuition Assistance
• Paid Vacation and Illinois Paid Leave Hours
• 401(k) and/or Roth
• Competitive, hourly rate

Job Type:

Full-time Pay:

$20.00 - $25.00 per hour

Benefits:

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

Experience:

medical billing or revenue cycle management: 2 years (Required)

Work Location:

In person