Revenue Cycle Specialist III
Core
Perform a wide spectrum of 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, resolved accounts receivable, and optimized billing workflows for patient accounts.
Domain
Healthcare / Medical Billing
Required skills
Epic PB Resolute, Medical Billing, ICD-10, CPT, HCPCS, Revenue Codes, Modifiers, Insurance Rules, Claim Adjudication, Data Analysis
Preferred skills
Medical Billing, ICD and CPT coding
Technologies
Epic, MS Office (Excel), Payor Websites
Responsibilities
Manage Epic work queues including insurance verification, denials research, claim edits, and transaction history; Research payor policies and coverage eligibility; Apply transfers and adjustments to invoices; Coordinate data for special billing projects; Interpret new insurance regulations and report impacts; Collaborate with leadership and payors on updates; Provide feedback to improve financial service operations.
Seniority
Mid-Senior level, hands-on IC