Revenue Cycle Specialist

Job Summary

The full-time remote Revenue Cycle Specialist will manage the accurate processing of medical billing claims, resolve billing discrepancies, and ensure timely reimbursements from insurance companies while working independently and collaboratively in a fast-paced environment.

Key responsibilities

• Process insurance billing and collections, including Medicaid/Medicare claims, according to established policies and procedures
• Review, verify, and submit insurance claims while following up with insurance companies to ensure timely payments
• Handle claim rejections and file appeals with insurance companies to maximize reimbursement

Required qualifications

• High School Diploma or equivalent
• 5 years of insurance accounts receivable and post-claim follow-up experience
• Preferred experience in payment posting and physician claim billing
• Knowledge of medical terminology and the medical insurance industry
• Proficiency in using computer programs and applications such as Word and Excel