Revenue Cycle Specialist III
Core
Perform billing functions to minimize accounts receivable and enhance collection performance for a community health center.
Role type
Senior IC revenue cycle specialist (medical billing)
Builds
Clean claim submissions and resolved accounts receivable
Domain
Healthcare administration / Medical billing
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Epic PB Resolute, ICD-10 coding, CPT/HCPCS coding, insurance rules interpretation, claim adjudication, data trend analysis
Preferred skills
Medical billing proficiency, process improvement, project coordination
Technologies
Epic, MS Excel, MS Word, payor websites
Responsibilities
Verify insurance eligibility, research and appeal denied claims, resolve claim edits, apply invoice adjustments, coordinate special billing projects, report on insurance regulation impacts
Seniority
Mid-level, hands-on IC