Texas Licensed Revenue Cycle Specialist

Job Summary

To maximize payment and resolution of insurance medical claims, the full-time Texas Licensed Revenue Cycle Specialist will work remotely, focusing on resolving edits, denials, and payment issues while ensuring high-quality account management and compliance with HIPAA regulations.

Key responsibilities

• Expedite resolution of insurance claims by addressing edits, denials, and payment issues promptly
• Document follow-up notes clearly and concisely for each account worked, maintaining high quality and productivity
• Identify and escalate trends affecting accounts receivable collections and participate in team performance improvement projects

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 experience
• 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 regulations and ability to maintain confidentiality and compliance