Revenue Cycle Specialist

About the role

The Revenue Cycle Specialist supports daily revenue cycle operations, focusing on accurate and timely processing of claims, payments, and follow-up activities.

Responsibilities

• Support Accounts Receivable and Cash Applications functions, including:
• Process insurance and patient payments accurately and in a timely manner.
• Perform account follow-up on outstanding balances, including insurance claims and patient accounts.
• Identify and resolve claim issues, denials, and payment discrepancies.
• Aid in maintaining efficient billing, collections, and cash application workflows.
• Utilize Practice Management Software effectively:
• Enter, review, and update account and payment information with a high level of accuracy.
• Identify system or workflow issues and report them to leadership for resolution.
• Ensure timely claim submission and posting of payments.
• Payor and Billing Support:
• Assist with maintaining and updating payor fee schedules as directed.
• Verify reimbursement accuracy and report discrepancies.
• Follow established guidelines for claim submission and documentation requirements.
• Performance and Quality:
• Meet productivity and accuracy standards for assigned tasks.
• Maintain and monitor assigned work queues for timely completion.
• Escalate unresolved issues or trends to the Revenue Cycle Manager.
• Team Collaboration:
• Communicate effectively with team members and leadership regarding account issues or workflow concerns.
• Participate in team meetings and training sessions.
• Support process improvements and adapt to workflow changes.
• Perform other duties as assigned.

Requirements

• High School Diploma or equivalent required.
• Basic knowledge of healthcare billing, CPT/ICD-10 coding, and claim processes required.
• Proficiency in Microsoft Excel and general computer skills required.
• Prior experience in healthcare revenue cycle, billing, or accounts receivable preferred.
• Understanding of medical terminology and EHR/practice management systems preferred.
• Familiarity with insurance payors and registration data requirements preferred.

Qualifications

• Ability to manage multiple tasks and meet deadlines in a fast-paced environment.
• Strong organizational and problem-solving skills.
• Ability to work independently & as part of a team.
• Professional communication and demeanor.
• Strong attention to detail and accuracy.
• Adheres to confidentiality and compliance standards.

Skills

• Ability to manage multiple tasks and meet deadlines in a fast-paced environment.
• Strong organizational and problem-solving skills.
• Ability to work independently & as part of a team.
• Professional communication and demeanor.
• Strong attention to detail and accuracy.
• Adheres to confidentiality and compliance standards.

Benefits

What We Offer:

• Competitive hourly wage based upon knowledge, skills, and experience.
• 6.5 paid holidays + 2 Floating Holidays.
• Approximately 10 days of PTO within first year.
• Full slate of benefits, including health, dental, vision, and 401(k).

Pay

$18.00+ (wage based upon knowledge, skills, and experience)

Schedule

Full-time, remote position