Revenue Cycle Specialist

📋 Description

• Process patient demographic and insurance information accurately and within required timelines.
• Verify patient eligibility and insurance benefits, completing reverification when needed.
• Prepare and submit clean claims to insurance payers through electronic and mailed channels.
• Maintain professional and effective relationships with insurance companies and other relevant payer
• Follow up on denied and rejected claims, investigate issues, and take appropriate action to support
• Monitor patient accounts receivable and follow up on outstanding balances to reduce delinquency and

🎯 Requirements

• High school diploma or GED is required; a bachelor’s degree in business or a related discipline
• At least 3 years of experience in revenue cycle operations, particularly benefits verification
• Experience working with CPT and ICD-10 coding and familiarity with medical terminology.
• Strong understanding of insurance eligibility, claims submission, payer follow-up, denials, and
• Excellent attention to detail and a high level of accuracy when handling patient, insurance, and
• Strong investigative and problem-solving skills, with the ability to identify billing issues and

🎁 Benefits

• Compensation and benefits are provided as part of the overall employment package.
• Opportunity to contribute to efficient revenue cycle operations and improved reimbursement outcomes.
• Collaborative work with revenue cycle, admissions, utilization review, compliance, and other
• Professional environment offering exposure to healthcare billing, insurance processes, claims
• Opportunity to develop expertise across medical billing, payer relationships, denial resolution