Patient Billing & Communication Advocate Specialist, RCM Full Time

The primary responsibility of the RCM Patient Billing Communication Patient Advocate play a critical role in the revenue cycle by serving as the primary liaison between the healthcare organization and patients regarding billing and payment inquiries. This position ensures that patients receive clear, compassionate, and timely communication about their bills, insurance coverage, and payment options, financial assistance program, contributing to improved patient satisfaction and accelerated revenue collection.

This role requires meticulous work and the ability to thrive in a fast-paced environment.

This is a full-time position, Monday through Friday, with occasional overtime as needed.

Responsibilities

• 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.

Qualifications

• 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.

Skills

• Strong knowledge of insurance guidelines, CPT/ICD-10 codes, and medical terminology.
• Excellent attention to detail and time management skills.
• Effective communication and problem-solving abilities.
• Proficiency in Microsoft Office Suite and healthcare software tools.

Note To Recruiters

We value building direct relationships with our candidates and prefer to manage our hiring process internally. While we occasionally partner with select recruitment agencies for specialized roles, we do not accept unsolicited resumes from recruiters or agencies without a written agreement executed by the authorized signatory for Baylor Genetics (“Agreement”). Any resumes submitted to Baylor Genetics in the absence of an Agreement executed by Baylor Genetics’ authorized signatory, will be considered the property of Baylor Genetics, and Baylor Genetics will not be obligated to pay any associated recruitment fees.