Remote Revenue Cycle Specialist

Job Summary

Supporting various aspects of the revenue cycle process, the full-time Remote Revenue Cycle Specialist will manage claims submission, billing, coding, and payment posting, ensuring timely reimbursement and compliance with payer guidelines.

Key responsibilities

• Review and submit claims to payers, ensuring accuracy and adherence to guidelines
• Identify and resolve claim denials and rejections by researching root causes and resubmitting claims
• Assist with payment posting and reconciliation to resolve payment discrepancies

Required qualifications

• H.S. Diploma or GED required
• Associate Degree in Healthcare Administration, Business, or a related field preferred
• 1-3 years of experience in healthcare revenue cycle operations required
• Experience with claim denials and payer reimbursement processes preferred
• Familiarity with electronic health record (EHR) systems and revenue cycle software preferred