California Licensed Revenue Cycle Specialist

Job Summary

A company is looking for a Revenue Cycle Specialist III (Professional Billing).

Key Responsibilities

• Review and submit claims to payors, perform account follow-up activities, and update patient account information
• Research, analyze, and resolve complex cases and problem accounts while serving as a technical resource to others
• Develop and maintain relationships with clinical departments and external clients, ensuring timely and accurate billing information

Required Qualifications

• High School Diploma or GED required; college-level courses in Finance, Business, or Health Insurance preferred
• Minimum of 4 years of professional and/or hospital revenue cycle billing experience required
• Experience in physician billing and following up on claims or appealing denied claims preferred
• Basic computer skills, with experience in MS Office, Epic, and CS-Link preferred
• Working knowledge of regulatory and CSHS policies and procedures preferred