Position Type: Full-Time | Monday–Friday | On-site
MD Management, LTD is seeking a highly motivated and detail-oriented Full-Cycle Revenue Cycle Management (RCM) Specialist to join our expert team of medical billing professionals. This is a full-time, onsite position located in Lombard, IL, ideal for someone who thrives in a fast-paced environment and is passionate about optimizing financial outcomes for healthcare providers.
Position Overview:
As a Full-Cycle RCM Specialist, you will take ownership of the entire revenue cycle process—from coding and charge entry through claims submission, adjudication, appeals, and A/R follow-up. You will work closely with providers, clinical teams, and payers to ensure accurate billing and timely reimbursement. This role requires comprehensive knowledge of medical billing workflows, excellent analytical and communication skills, and a relentless commitment to accuracy and efficiency.
Key Responsibilities:
- Manage full-cycle medical billing processes including coding validation, charge entry, claims submission, and payment posting.
- Conduct thorough A/R follow-up, including tracking unpaid claims, identifying denial trends, and initiating appeals when necessary.
- Collaborate with providers and clinical staff to resolve coding and documentation discrepancies.
- Work directly with payers to investigate, appeal, and resolve denied or underpaid claims.
- Ensure compliance with payer-specific guidelines and industry regulations (e.g., Medicare, Commercial Insurers, HIPAA).
- Utilize EHR and Practice Management systems to document, monitor, and manage claim activity accurately.
- Generate reports and analysis to assess billing performance and identify opportunities for revenue optimization.
- Respond promptly to internal and client inquiries regarding claim status, billing policies, and reimbursement procedures.
Required Qualifications:
- Minimum of 3 years’ experience in medical revenue cycle management, preferably in a third-party billing or multi-specialty setting.
- Extensive knowledge of the full medical claims lifecycle including coding, charge entry, adjudication, appeals, and collections.
- Demonstrated expertise in reviewing EOBs, remits, and payer-specific adjudication logic.
- Strong analytical skills and attention to detail with the ability to work independently and manage competing priorities.
- Excellent written and verbal communication skills, with a focus on client service and results
Preferred Qualifications:
- Prior experience working with the specialties of Vascular Surgery, Interventional Radiology, or Phlebology (Surgical Treatment of Varicose Veins).
- Familiarity with eClinicalWorks.
- Certification in medical billing, coding, or revenue cycle management is a plus.
The Ideal Candidate:
- You are self-motivated, results-driven, and passionate about delivering excellence in revenue cycle management. You take initiative to investigate and resolve claim issues, understand payer policies inside and out, and strive to improve processes and outcomes for every client you support. You thrive in a team environment where attention to detail and communication are key to success.
What We Offer:
- Competitive compensation with performance-based incentives.
- Comprehensive benefits package.
- Paid time off, holidays, and a supportive work culture.
- Opportunities for professional development and industry certification.
- The chance to be part of a growing company focused on client success and innovation in medical billing.
How to Apply:
Submit your resume and a brief cover letter to [email protected].
Job Type: Full-time
Pay: $25.00 - $29.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Professional development assistance
- Referral program
- Vision insurance
Application Question(s):
- Do you have experience using eClinicalWorks software?
Ability to Commute:
- Lombard, IL 60148 (Required)
Work Location: In person
