Specialist, Revenue Cycle

📋 Description

• Independently manage routine revenue cycle activities in accordance with procedures, payer
• Verify patient eligibility and benefits and determine steps for coverage and reimbursement.
• Manage prior authorization and referrals from initiation through completion, tracking info
• Review documentation for billing readiness and resolve routine deficiencies for accurate charge
• Perform timely charge entry using CPT coding for pulmonary rehabilitation and related services.
• Prepare and submit claims, monitor status, and resolve edits, rejections, and denials.

🎯 Requirements

• At least 3 years in healthcare revenue cycle, medical billing, patient access, or related admin
• Experience handling multiple revenue cycle functions independently (eligibility, authorizations
• Experience using EMRs, practice management platforms, or billing systems.
• Experience researching resolving payer, billing, authorization, and reimbursement issues.
• Knowledge of revenue cycle processes, medical terminology, CPT/ICD-10 coding.
• Strong analytical and problem-solving abilities; able to research issues and determine next steps.

🎁 Benefits

• Hourly compensation range of $19.65–$33.50 depending on qualifications, experience, location, and
• Full-time remote work environment.
• Medical coverage with HMO and POS options; employee-only coverage fully paid for eligible full-time
• Dental and vision insurance with preventive care and allowances.
• Health Care and Dependent Care Flexible Spending Accounts.
• Disability coverage; 401(k) with investment options.