Florida Licensed Revenue Cycle Specialist

Job Summary

To support a growing remote team, the full-time Florida Licensed Revenue Cycle Specialist will manage accurate billing, timely submission of claims, and resolution of denials while demonstrating expertise in Commercial, Medicaid, and Medicare processes.

Key Responsibilities

• Identify and analyze denial trends, suggesting process improvements to prevent future issues
• Complete collection activities in compliance with payer guidelines and process account adjustments as needed
• Monitor patient accounts for billing irregularities and respond to patient inquiries effectively

Required Qualifications

• High school diploma or GED
• 3+ years of revenue cycle management experience, preferably with accounts receivable processes
• In-depth understanding of Medicaid, Medicare, and commercial insurance billing processes
• Experience using medical billing systems such as Candid Health or Healthie
• Strong analytical skills to identify trends in claims data