Medicare Revenue Cycle Specialist

Job Summary

A company is looking for a Revenue Cycle Management Specialist - Care Navigation (Medicare/CHI/PIN).

Key Responsibilities

• Own end-to-end RCM for Medicare CHI and PIN claims, including eligibility verification and payment posting
• Audit charge capture against time logs and clinical documentation for accurate submissions
• Manage denials, appeals, and run AR aging while collaborating with care navigators and clinicians

Required Qualifications

• 2 to 5 years of hands-on US medical billing/revenue cycle experience
• Direct experience billing Medicare Part B claims
• Hands-on experience with the full CHI and PIN code family
• Fluent in HCPCS, CPT, and ICD-10-CM coding for chronic and serious-illness populations
• Comfortable with EHR/PMS systems like Athenahealth or Epic