California Licensed Revenue Cycle Specialist

Job Summary

To support a high-quality medical care organization, the remote California Licensed Revenue Cycle Specialist will manage outpatient billing and collections, review and submit claims to payors, and resolve complex account issues while demonstrating expert knowledge in revenue cycle functions.

Key responsibilities:

• Review and submit claims to third-party payors and perform account follow-up activities
• Research, analyze, and resolve complex billing and collections cases with minimal assistance
• Act as a technical resource and provide backup coverage in other revenue cycle functions

Required qualifications:

• High school diploma or GED required; college-level courses in finance, business, or health insurance preferred
• A minimum of 5 years of revenue cycle experience, including hospital and professional billing and/or collections
• At least 2 years of coding experience with a CPC certification highly preferred
• Expert knowledge of regulatory requirements and CSHS policies governing billing and collections
• Proven ability to manage multiple tasks in a fast-paced environment