Position Summary

The Revenue Cycle Specialist is a multi-functional role responsible for supporting administrative operations, revenue cycle functions, and internal communications at Granite State Gastroenterology. This position provides billing and authorization support and assists with departmental coordination.

Essential Duties and Responsibilities

Revenue Cycle and Billing Support

• Assist the Billing Manager with claim review, follow-up, and payment posting.
• Process prior authorizations and insurance verifications to support timely patient care.
• Assist with documentation management, billing reports, and internal process audits.
• Support vendor billing entry and submission in a timely and accurate manner.
• Act as a liaison between Granite State Gastroenterology and outsourced billing vendors (e.g., OMM) to ensure timely filing and accurate claim information.
• Maintain organization of received billing documentation and procedure/office visit recall entries.
• Review patient billing for accuracy and completeness, ensuring adherence to insurance coding and regulations.
• Ensure all billing and authorization comply with relevant laws and regulations.
• Maintain confidentiality of patient information and adhere to HIPAA guidelines.
• Keep abreast of changes in billing and coding regulation and insurance requirements.
• Resolve any billing related inquiries or concerns in a professional and timely manner.
• Provide excellent customer service to patients, insurances companies and healthcare providers regarding billing inquiries and authorization statuses.

Administrative and Departmental Support

• Manage incoming/outgoing patient calls and inquiries professionally and accurately, as needed.
• Process and coordinate patient referrals to ensure timely care and complete documentation, as needed
• Handle medical record filing, distribution, and retrieval for clinical and administrative staff, as needed.
• Assist with onboarding, training, and mentoring new administrative staff.
• Coordinating with supervisors and departments leads to support interdepartmental communication, scheduling adjustments, and task delegation.

Qualifications

Required:

• Bachelor’s degree preferred.
• 2+ years of experience in medical administration, healthcare operations, or revenue cycle support.
• Working knowledge of medical billing, insurance verification, and referral processing.
• Strong organizational and multitasking skills with attention to detail.
• Excellent written and verbal communication skills.
• Proficiency in Microsoft Office and electronic medical record (EMR) systems, Athenahealth
• Ability to handle confidential information in compliance with HIPAA standards.

Preferred:

• Experience supporting billing departments or outsourced revenue cycle vendors.
• Familiarity with prior authorizations and payer requirements.

• Assist the Billing Manager with claim review, follow-up, and payment posting.
• Process prior authorizations and insurance verifications to support timely patient care.
• Assist with documentation management, billing reports, and internal process audits.
• Support vendor billing entry and submission in a timely and accurate manner.
• Act as a liaison between Granite State Gastroenterology and outsourced billing vendors (e.g., OMM) to ensure timely filing and accurate claim information.
• Maintain organization of received billing documentation and procedure/office visit recall entries.
• Review patient billing for accuracy and completeness, ensuring adherence to insurance coding and regulations.
• Ensure all billing and authorization comply with relevant laws and regulations.
• Maintain confidentiality of patient information and adhere to HIPAA guidelines.
• Keep abreast of changes in billing and coding regulation and insurance requirements.
• Resolve any billing related inquiries or concerns in a professional and timely manner.
• Provide excellent customer service to patients, insurances companies and healthcare providers regarding billing inquiries and authorization statuses.