Revenue Cycle Specialist- Billing

About the role

Under the supervision of the Revenue Cycle Manager, the Revenue Cycle Specialist – FQHC Billing is responsible for timely, accurate, and compliant billing, follow-up, payment reconciliation, and account resolution for Friend Health – HRDI. This position requires working knowledge of Federally Qualified Health Center (FQHC) billing requirements, with particular attention to Medicare FQHC billing, the Medicare Prospective Payment System (PPS), and applicable Medicare Advantage supplemental or wrap payment processes. The specialist reviews patient accounts and claims for correct payer, provider, coding, revenue code, and encounter information; researches denials and underpayments; and collaborates with clinical, billing, credentialing, finance, and payer representatives to support compliant reimbursement and the financial stability of the organization.

Frequent use of hands, fingers, and wrists for typing, data entry, and handling office equipment. Occasional standing, walking, bending, and reaching. Ability to lift