Revenue Cycle Financial Specialist, Full Time - Days

About Our Client

The organization is a leading academic healthcare system that has provided medical services for more than a century. It combines patient-centered care with medical innovation and research to address community health needs while advancing healthcare knowledge. The organization values compassionate service, collaboration, and employees committed to delivering positive patient experiences.

About the Opportunity

The Revenue Cycle Financial Specialist manages key patient financial and revenue cycle processes, ensuring accurate insurance verification, authorization, billing, and payment activities. This role also helps patients understand their financial responsibilities and available coverage or assistance options. By balancing financial accuracy with patient advocacy, the position supports efficient revenue collection and a positive patient experience.

Responsibilities

• Collect and verify patient demographic, guarantor, insurance, and financial information.
• Complete prior authorizations, referrals, and precertifications according to payer requirements before scheduled services.
• Collaborate with clinical staff to obtain required information for authorization processes.
• Assist patients and representatives with reimbursement for hospital and physician services.
• Help patients identify available insurance coverage and financial assistance options.
• Coordinate with coverage vendors, clinical teams, patient financial services, case management, and social work.
• Manage patient accounts across outpatient, inpatient, emergency department, and physician group services.
• Apply knowledge of inpatient and outpatient treatment policies to individual patient situations.
• Use hospital revenue cycle systems to communicate with patients, physicians, insurance companies, and internal staff.
• Interview patients by telephone or in person to collect required financial and insurance information.
• Verify insurance benefits and coverage for scheduled services.
• Prioritize work to ensure required financial and authorization activities are completed before patient appointments.
• Document authorization and insurance information accurately to support billing and payment.
• Identify patients who may qualify for financial assistance and provide appropriate applications or referrals.
• Explain payment responsibilities and procedures to patients and guarantors.
• Advocate for patients by investigating and resolving financial inquiries appropriately.
• Maintain knowledge of regulations affecting healthcare billing, insurance, and financial assistance.
• Assist patients with financial assistance and Medicaid application processes.
• Collect payments due before services when applicable.
• Investigate charge disputes, process refunds, and make account adjustments as appropriate.
• Escalate issues requiring administrative review or additional intervention.
• Meet established productivity, accuracy, and quality standards.
• Perform other duties as assigned.

Requirements

• Minimum of two years of experience in medical insurance verification and hospital finance, including billing.
• Proficiency with Windows-based personal computer systems.
• Strong initiative, analytical thinking, and problem-solving skills.
• Ability to assess financial information accurately with strong attention to detail.
• Ability to multitask, prioritize workloads, and adapt to changing environments.
• Ability to work independently while collaborating effectively with patients, clinical teams, and other stakeholders.
• Knowledge of accounting principles.
• Strong verbal, mathematical, and presentation skills.

Preferred Qualifications

• Bachelor’s degree.