Revenue Cycle Specialist

POSITION SUMMARY: The Revenue Cycle Specialist is responsible for supporting daily revenue cycle operations, including billing, accounts receivable, and cash applications. This role focuses on accurate and timely processing of claims, payments, and follow-up activities to support the organization’s financial performance.

Fully remote position

Wage: $18.00+ (wage based upon knowledge, skills, and experience)

WHAT WE OFFER:

• Competitive hourly wage based upon knowledge, skills, and experience
• 6.5 paid holidays + 2 Floating Holidays
• Approximately 10 days of PTO within first year
• Full slate of benefits, including health, dental, vision, and 401(k)

ESSENTIAL RESPONSIBILITIES:

• Support Accounts Receivable and Cash Applications functions, including:
  • Process insurance and patient payments accurately and in a timely manner.
  • Perform account follow-up on outstanding balances, including insurance claims and patient accounts.
  • Identify and resolve claim issues, denials, and payment discrepancies.
  • Assist with maintaining efficient billing, collections, and cash application workflows.
• Utilize Practice Management Software effectively:
  • Enter, review, and update account and payment information with a high level of accuracy.
  • Identify system or workflow issues and report them to leadership for resolution.
  • Ensure timely claim submission and posting of payments.
• Payor and Billing Support:
  • Assist with maintaining and updating payor fee schedules as directed.
  • Verify reimbursement accuracy and report discrepancies.
  • Follow established guidelines for claim submission and documentation requirements.
• Performance and Quality:
  • Meet productivity and accuracy standards for assigned tasks.
  • Monitor assigned work queues and ensure timely completion.
  • Escalate unresolved issues or trends to the Revenue Cycle Manager.
• Team Collaboration:
  • Communicate effectively with team members and leadership regarding account issues or workflow concerns.
    • Participate in team meetings and training sessions.
    • Support process improvements and adapt to workflow changes.
    • Perform other duties as assigned

EDUCATION, EXPERIENCE, AND CERTIFICATION:

• High School Diploma or equivalent required.
• Basic knowledge of healthcare billing, CPT/ICD-10 coding, and claim processes required.
• Proficiency in Microsoft Excel and general computer skills required.
• Prior experience in healthcare revenue cycle, billing, or accounts receivable preferred.
• Understanding of medical terminology and EHR/practice management systems preferred.
• Familiarity with insurance payors and registration data requirements preferred.

COMPETENCIES:

• Ability to manage multiple tasks and meet deadlines in a fast-paced environment
• Strong Organizational and Problem-Solving Skills
• Ability to work independently & as part of a team
• Professional Communication and Demeanor
• Strong Attention to Detail and Accuracy
• Adheres to Confidentiality and Compliance Standards
• Professional Integrity

PHYSICAL DEMANDS AND WORK ENVIRONMENT (per ADA guidelines):

• Physical Demands:
  • Sedentary work requiring prolonged periods of sitting at a computer workstation
  • Regular use of hands and fingers for keyboarding and other standard office equipment
  • Ability to communicate effectively through verbal and written means
  • Ability to hear and understand spoken information in-person and via electronic means
  • Visual acuity to ensure the accuracy of work performed on screens and in documents
  • Ability to maintain focus and attention to detail for extended periods
• Work Environment: This position is based in a professional office and/or remote office setting that consists of a climate-controlled indoor environment with standard office noise levels that utilizes computers, phones, and related technology.
• Reasonable accommodations may be provided to qualified individuals with disabilities to enable performance of essential job functions, in accordance with applicable laws.

Originally posted on Himalayas