Senior Revenue Cycle Specialist - Onsite

Job Summary

We are seeking a detail-oriented and analytical Senior Revenue Cycle Specialist with strong expertise in revenue cycle processes.

Position Details

• Location: Northbrook, IL (Remote work is not an option)
• Schedule: Full-Time, Monday-Friday (onsite)
• Bilingual: (English & Spanish) Preferred
• Compensation: $24-$28hr based on experience and qualifications.

Key Responsibilities

• Perform accurate and timely payment posting for all payer types (insurance, patient, and third-party).
• Manage Accounts Receivable (A/R) follow-ups to ensure timely collections and resolution of outstanding balances.
• Analyze and resolve claim denials, including root cause identification and corrective actions.
• Identify denial patterns and payer trends, and recommend process improvements to reduce recurring issues.
• Work closely with billing, coding, and payer teams to ensure proper claim submission and reimbursement.
• Maintain compliance with payer guidelines and internal policies.
• Document actions taken on accounts clearly and accurately in the system.
• Collaborate with cross-functional teams to improve overall revenue cycle performance.
• Proactively identify opportunities to streamline workflows and implement automation, including AI-based tools for denial prediction, posting accuracy, and trend analysis.

Requirements

• Required Skills & Qualifications:
• Strong understanding of Accounts Receivable (A/R) processes in healthcare revenue cycle.
• Hands-on experience with payment posting and reconciliation.
• In-depth knowledge of denials management and resolution strategies.
• Ability to analyze payer behavior and identify trends in insurance reimbursements.
• Familiarity with EOBs, ERAs, CPT/ICD codes, and insurance guidelines.
• Strong analytical and problem-solving skills.
• Experience with healthcare billing systems and EHR/RCM platforms.
• Proficiency in Excel and reporting tools.
• Preferred Qualifications:
• Experience in automation initiatives or AI-based tools within revenue cycle management.
• Knowledge of process improvement methodologies (Lean, Six Sigma, etc.).
• Certification in medical billing/coding (e.g., CPC, CCS) is a plus.

Key Competencies

• Attention to detail
• Analytical thinking
• Process improvement mindset
• Strong communication skills
• Adaptability to new technologies

Benefits

• Health insurance (medical, dental, vision)
• Retail Plan
• Paid time off (PTO) (vacation, sick)