Revenue Cycle Specialist – Patient Accounts

We are looking for a proactive, detail-oriented, and highly organized Patient Financial Services Specialist to join our Revenue Cycle Management team. This role involves managing patient financial accounts, addressing billing inquiries, processing and reconciling payments, resolving account discrepancies, and maintaining accurate financial documentation. The ideal candidate will have excellent communication and customer service skills, a strong understanding of healthcare billing processes, and the ability to clearly explain insurance payments, patient balances, deductibles, copayments, coinsurance, and payment options in a professional and patient-friendly manner. The successful candidate will demonstrate sound judgment, confidentiality, accuracy, and the ability to manage multiple priorities while ensuring timely account resolution and a positive patient financial experience in a fast-paced healthcare environment.

Key Responsibilities

- Serve as the primary contact for patient billing inquiries via phone, email, text, and other approved channels.
- Communicate with patients about outstanding balances, payment reminders, billing updates, account status, and financial obligations.
- Explain patient statements, insurance payments, deductibles, copayments, coinsurance, and out-of-pocket expenses clearly and professionally.
- Address patient billing concerns promptly with a compassionate, service-oriented approach.
- Assist patients in setting up payment plans and approved financial arrangements following company policies.
- Educate patients on available payment methods, financial arrangements, and billing policies.
- Maintain strict confidentiality and comply with privacy, security, and communication standards when handling sensitive patient information.
- Post patient and insurance payments accurately in practice management systems, EHRs, and billing platforms.
- Process refunds, adjustments, credits, receipts, and other financial transactions according to established procedures.
- Ensure all financial transactions are properly documented and reflected in patient accounts.
- Generate, review, and distribute electronic patient statements, monitor payment activity, returned payments, and outstanding balances.
- Set up and maintain recurring payment arrangements per organizational policies.
- Reconcile payment records and investigate payment posting errors, unapplied payments, credit balances, and account discrepancies.
- Review patient accounts to identify outstanding balances, billing errors, and payment discrepancies.
- Collaborate with Billing, Insurance Verification, Accounts Receivable, Clinical, and other teams to resolve account issues.
- Contact insurance representatives to clarify coverage, payments, and billing concerns when necessary.
- Verify and update patient demographic, insurance, contact, and financial information to ensure account accuracy.
- Document patient interactions, payment arrangements, account adjustments, and resolution activities in appropriate systems.
- Conduct routine account reviews, audits, and quality checks to maintain financial data integrity and accurate reporting.
- Escalate complex billing concerns, payment disputes, compliance issues, and unresolved discrepancies to management.
- Review patient encounters to confirm accurate charge capture and billing completeness.
- Identify and coordinate corrections for missing or inconsistent billing details with providers and billing teams.
- Maintain documentation and financial records in accordance with organizational policies and regulatory requirements.
- Identify and report potential compliance concerns and support internal quality assurance processes.

Required Qualifications

- Strong verbal and written communication skills.
- Excellent customer service and patient relationship management abilities.
- Solid understanding of healthcare billing, insurance payments, and patient financial responsibility.
- High attention to detail and numerical accuracy.
- Ability to investigate discrepancies, reconcile accounts, and resolve billing issues.
- Proficiency in EHRs, practice management systems, billing platforms, and Microsoft Office applications.
- Strong organizational skills with the ability to manage multiple accounts and competing priorities.
- Commitment to patient confidentiality, data accuracy, and compliance with privacy regulations.
- Ability to work independently and collaboratively in a fast-paced healthcare environment.
- English language proficiency is required.

Preferred Qualifications and Additional Information

- Minimum of 1 year of experience in medical billing is preferred.
- Willingness to work night shifts in Wapda Town, Lahore.
- Candidates must reliably commute or plan to relocate to Wapda Town before starting work.
- This is an in-person position.
- Salary range: Rs45,000 to Rs80,000 per month.

This role offers the opportunity to contribute to a critical function within healthcare revenue cycle management, ensuring patients have a clear understanding of their financial responsibilities while maintaining accurate and compliant financial records.