Communicate with patients via phone and email regarding outstanding balances, billing concerns, and account resolution
Review patient accounts for accuracy and explain charges, payments, denials, and adjustments
Educate patients on insurance coverage, co-pays, deductibles, and financial responsibility
Assist patients with setting up payment plans or applying for financial assistance if eligible
Collaborate with internal departments such as coding, insurance verification, and collections to resolve account discrepancies
Document all communication and actions taken in the patient account system according to HIPAA and organizational guidelines
Identify trends in billing issues and suggest process improvements to management
Stay current on payer policies, billing regulations, and system updates

College degree preferred or equivalent experience of 5 plus years
Minimum of 5 years of experience in a medical billing or financial clearance role
Understanding of patient protections under HIPAA and proper handling of protected health information (PHI)
Working knowledge of insurance policies, billing procedures, and claim terminology
Excellent communication and people skills
Detail-oriented with strong analytical and problem-solving abilities
Preference will be given to qualified candidates with experience with laboratory billing software, including Telcor, Xifin or Quadax
Strong understanding of healthcare billing, insurance terms (EOBs, CPT/ICD codes), and financial assistance programs
Excellent verbal and written communication skills with a customer-first attitude.

Patient Billing & Communication Advocate Specialist, RCM

Key skills