Revenue Cycle Specialist

Job Summary

To support the financial integrity of billing and accounts receivable operations, the full-time remote Revenue Cycle Specialist will manage claims processing, resolve complex billing issues, and ensure accurate reimbursement for professional services.

Key responsibilities

• Process claims in accordance with federal, commercial, and managed care guidelines while ensuring compliance with regulatory requirements
• Research and resolve account issues, including reimbursement discrepancies and denied claims
• Verify insurance coverage and benefits, and manage credit balances and refunds effectively

Required qualifications

• High school diploma or equivalent required; associate's degree may substitute for required work experience
• Minimum of six months of healthcare billing, collections, revenue cycle, or financial experience required
• Experience in a business environment involving finance, accounting, insurance, collections, or accounts receivable functions is acceptable
• Working knowledge of CPT and ICD-10 coding preferred
• Familiarity with federal, commercial, and managed care billing rules and regulations is advantageous