Revenue Cycle Specialist

Job Summary

To support a team in reducing accounts receivable backlog, the fully remote Revenue Cycle Specialist will manage outstanding claims, conduct insurance follow-ups, and resolve denials in a short-term contract role with potential for extension.

Key Responsibilities

• Manage and resolve an existing backlog of outstanding accounts receivable
• Conduct insurance follow-up activities, including claims status inquiries and payer communications
• Investigate, appeal, and resolve claim denials to ensure timely reimbursement

Required Qualifications

• Minimum of 3 years of hands-on experience in accounts receivable follow-up and denial management
• Demonstrated proficiency with OpenPM
• Experience in orthopedics, behavioral health, or urgent care revenue cycle operations strongly preferred
• Strong understanding of payer guidelines, Explanation of Benefits (EOB) interpretation, and appeals processes
• Ability to work independently, prioritize workload, and effectively manage a high-volume backlog