Sr. Revenue Cycle Specialist, Day Shift, Ambulatory
Core
Verifies and corrects insurance information, charges, and coding issues for electronic and manual billing; resolves payment errors, denials, and appeals to ensure accurate reimbursement.
Role type
Senior Revenue Cycle Specialist (Billing & Coding)
Builds
Accurate patient billing records, timely claim submissions, and resolved payment disputes for ambulatory care services.
Domain
Healthcare / Medical Billing & Revenue Cycle Management
Required skills
Medical coding (CPT, HCPCS, ICD-10), insurance verification, claim reconciliation, denial management, appeals processing, patient billing inquiries, financial reporting, trend analysis
Preferred skills
Certified medical coder, eClinical Works experience
Technologies
Electronic Health Records (EHR), eClinical Works
Responsibilities
Verify and correct insurance information and coding issues; contact insurance companies regarding claim status and appeals; perform daily reconciliation and eliminate billing backlogs; follow up on payment errors, low reimbursement, and denials; review EOBs and initiate appeals; take and resolve patient billing calls; troubleshoot billing operations issues; analyze trends and present opportunities for performance improvement; report key metrics (AR days, cash collections, denials, write-offs); coordinate with accounting for month-end financial reports.
Seniority
Senior, hands-on IC