Job Title: RCM Patient Services Specialist

Must reside in the following states: AL, AZ, FL, GA, IL, IN, KS, KY, MI, MN, MO, NC, NJ, OH, OK, PA, TX, VA

 

Job Summary

The Patient Services Representative is responsible for managing patient-facing aspects of the revenue cycle, including but not limited to patient aging account follow-up on outstanding balances, patient statement cycle monitoring, credit balance reconciliation, and refund initiation. This position serves as the primary liaison for patient billing inquiries and escalations, ensuring timely resolution and accurate account activity while supporting multiple practices across the enterprise as required.

 

Duties and Responsibilities

• Monitor patient accounts aging reports to identify and follow up on overdue balances.

• Answer patient phone calls and inquiries regarding billing statements, balances, and payment options.

• Establish, document, and maintain payment plans and outside financing options when appropriate.

• Ensure timely posting and reconciliation of patient payments, copays, deductibles, and credits in partnership with practice payment posting specialists.

• Review statement cycles to ensure timely and accurate patient billing.

• Work through and resolve any patient-related escalations as related to offshore vendors, to include but not limited to Collectly and Promptly, in a timely manner

• Identify and investigate credit balances, separating true credits from false credits, and process refunds in compliance with company policy.

• Collaborate with Accounts Payable on refund processing and documentation.

• Prepare and distribute aging and balance logs to appropriate stakeholders as requested. 

• Maintain a detailed audit trail of all account activity in the Practice Management (PM) system.

• Escalate unresolved or disputed patient balances to management as appropriate.

• Identify trends in errors, false credits, or billing issues and communicate with appropriate leadership for process improvement.

• Evaluate past-due accounts to determine next steps that may result in transferring to an external collection agency.

• Adhere to ECP confidentiality and HIPAA guidelines at all times.

• Adheres to all safety policies and procedures in performing job duties and responsibilities while supporting a culture of high quality and great customer service.

• Performs other duties that may be necessary or in the best interest of the organization.

 

Education, Licensure & Certification Requirements

High School Diploma or GED

 

Experience Requirements

• Minimum: 1+ years of experience in medical billing, patient collections, or related healthcare revenue cycle functions.

• Experience in Optometry/Ophthalmology practice environment preferred.

 

Knowledge, Skills and Abilities Requirements

• Ability to type and enter data with proficiency and accuracy.

• Knowledge of medical billing procedures, insurance processes, and patient collections.

• Understanding of credit balance and refund protocols.

• Strong communication, negotiation, and problem-solving skills.

• Ability to provide patient-centered customer service with professionalism and empathy. 

• Professional in appearance and actions

• Detail-oriented, organized, and able to manage multiple priorities.

• Meets attendance and tardiness expectations 

• Ability to follow or provide verbal & written instructions with sufficient grammar and spelling skills to avoid mistakes or misinterpretations

• Interpersonal skills to support customer service, functional, and teammate support need

               Able to communicate effectively in English, both verbally and in writing

• Intermediate computer operation

• Proficiency with Microsoft Excel, Word, PowerPoint and Outlook

                Specialty knowledge of systems relating to job function

• Familiarity with Practice Management systems (e.g., NextGen, Waystar).

• Knowledge of state and federal regulations for this position; general understanding of HIPAA and healthcare regulations

 

Location/Work Environment: 

For on-site team members, work takes place in a normal office/clinical environment. Travel to other locations may be necessary to fulfill the essential duties and responsibilities of the job. Thus, those needing to travel for work must have access to dependable transportation, and their driving record must meet company liability carrier standards.

For remote team members, HIPAA compliant home office environment. Ability to work in a remote environment while performing required duties and remaining patient focused. Able to work varying shifts including early mornings/evenings to attend meetings and cross training or support other initiatives.

 

If you need assistance with this application, please contact (636) 227-2600

Please do not contact the office directly – only resumes submitted through this website will be considered

 

EyeCare Partners is an equal opportunity/affirmative action employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.   Please do not contact the office directly – only resumes submitted through this website will be considered

NOTE:  Job descriptions are intended to be accurate reflections of those principal job elements essential for making fair pay decisions about jobs. Nothing in this job description restricts management right to assign or reassign duties and responsibilities to this job at any time.