Revenue Cycle Specialist
Core
Ensure accurate billing, timely payment processing, and support for client organizations by managing patient accounts and insurance claims.
Role type
Revenue Cycle Specialist
Builds
Accurate billing and payment processing workflows for client organizations
Domain
Healthcare administration / Medical billing
Required skills
Insurance eligibility verification, prior authorization tracking, claims preparation and submission, accounts receivable management, reconciliation of cash receipts, Microsoft Excel proficiency, EHR and practice management software usage
Preferred skills
Associate degree, experience with electronic reimbursement systems
Responsibilities
Post payments, adjustments, and denials to patient accounts; reconcile daily and monthly cash receipts; verify insurance eligibility and benefits; obtain and track prior authorizations; prepare and submit insurance claims; monitor outstanding claims and follow up on unpaid accounts; partner with Billing, Collections, Intake, and client teams to resolve reimbursement issues; maintain compliance with HIPAA and organizational policies
