Revenue Cycle Specialist

Job Summary

A company is looking for a Revenue Cycle Specialist I.

Key Responsibilities

• Analyze and adjust claims to ensure accurate reimbursement in line with agreements and guidelines
• Identify and resolve payment variances by analyzing claims data and performing contract variance analysis
• Produce evaluative and statistical reports to ensure the integrity and accuracy of revenue cycle data

Required Qualifications

• 3+ years of relevant experience or equivalent education and work experience
• High School Diploma or equivalent required
• Experience in claims repricing, pricing configuration, or provider maintenance
• Demonstrated knowledge of CMS guidelines and ICD-10 coding guidelines
• Strong understanding of healthcare revenue cycle and claims reimbursement