Description POSITION TITLE: Revenue Cycle Support Specialist RESPONSIBLE TO: Revenue Cycle Manager FLSA STATUS: Non – Exempt Purpose of the Position: The Revenue Cycle Support Specialist provides operational support across Revenue Cycle, Front Office, and Credentialing functions to ensure efficient patient access, billing operations, and provider enrollment activities. Requirements QUALIFICATIONS: • High School diploma or GED is required; Associate Degree in Business Administration, Healthcare Administration, or related field preferred. • Minimum two years of experience in healthcare administration, medical office operations, medical billing and customer service, credentialing, or related healthcare experience setting. • Knowledge of medical insurance plans including Medicare, Medicaid, commercial insurance, and managed care organizations. • Knowledge of and experience working with insurance enrollment systems including PECOS and CAQH is preferred. • Knowledge of and experience working with Epic preferred. • Knowledge of FQHC billing practices including PPS and wraparound claims preferred. • Knowledge of computers and computer systems including Microsoft Applications. • Knowledge of HIPAA regulations and healthcare confidentiality requirements. RESPONSIBILITIES: Revenue Cycle: • Respond promptly and professionally to customer service inquiries via phone and portal. • Research and resolve basic billing, payment, and account concerns. • Manage incoming mail and return mail. • Collaborate with internal staff and external contractor to resolve billing and customer service issues. • Utilize Electronic Health Record (EHR) system to update patient information, process billing data, and support provider and staff needs. • Maintain accurate documentation of all interactions and resolutions in compliance with organizational policies. Credentialing: • Collaborate with providers, internal staff and external contractors, on all enrollment, credentialing and provider contracting. • Act as primary point of contact for external contractor and operations team for initial provider onboarding. • Support CAQH profile management and ensure provider information remains current and accurate. • Maintain current knowledge of all verification procedures, data entry procedures and report development and production. • Process and track provider terminations and disenrollment. • Utilize advanced problem-solving skills to resolve issues and conflicts that may arise. • Maintain confidentiality of provider information and comply with regulatory policies and procedures. Front Office Operations Support: • Provide support and education regarding registration, scheduling, insurance verification, eligibility, and sliding fee processes. • Provide support, education and validation via audit of the sliding fee discount program. • Provide support and education regarding new VFHC revenue initiatives. Perform other duties as assigned. Physical Requirements: • Must be able to lift 25 lbs. • Continuous sitting, standing, walking. • Correctable vision and hearing. • The ability to communicate information and ideas so others will understand. Must be able to exchange accurate information in these situations. • The ideal candidate must be able to complete all physical requirements of the job with or without a reasonable accommodation.