Revenue Cycle Specialist II

Job Summary

To support the revenue cycle operations, the full-time remote Revenue Cycle Specialist II will manage insurance medical claims by resolving edits, denials, and payment issues while documenting follow-up notes and ensuring compliance with HIPAA regulations.

Key responsibilities

• Expedite payment and resolution of insurance claims, addressing edits and denials promptly
• Document clear follow-up notes for each account and monitor output quality using HRO tools
• Identify and escalate trends affecting accounts receivable collections while exceeding productivity goals

Required qualifications

• High School Diploma or equivalent required; Associate's Degree in Business or healthcare-related field preferred
• Minimum of 2 years of experience in physician billing, accounts receivable management, or relevant revenue cycle roles
• Strong understanding of health insurance billing, regulations, and payer requirements
• Proficient in Microsoft Office Suite and Electronic Medical Record (EMR) systems; Epic Care Connect experience is a plus
• Knowledge of HIPAA and relevant state and federal regulations governing confidentiality and record retention