Revenue Cycle Specialist

Job Summary

Owning the front and back ends of the billing cycle, the full-time remote Revenue Cycle Specialist will manage pre-submission claim scrubbing, rejection resolution, and accounts receivable reconciliation while ensuring payment accuracy across assigned payer relationships.

Key responsibilities

• Reconcile ERA/EOB payments, resolve payment posting flags, and maintain AR aging across assigned payer relationships
• Perform pre-submission claim scrubbing, verify patient eligibility, and validate prior authorization requirements before claim submission
• Resolve claim rejections and maintain a rejection tracking log, collaborating with Denial Specialists to prevent upstream rejections from becoming downstream denials

Required qualifications

• 3+ years of medical billing experience across AR reconciliation, claim submission/QA, or rejection management
• Ability to manage multiple work queues and reprioritize based on aging and volume
• Experience with ERA/EOB reconciliation at volume payer-level batch reconciliation
• Familiarity with 837 claim files, 277 rejection reports, and ERA/835 remittance files
• Experience with Medicaid managed care and Medicare Advantage payer requirements