Department: Revenue Cycle Management / Healthcare Billing
Employment Type: Full-Time
Schedule: M-F; 8:00 AM to 5:00 PM Central Time, with occasional weekends as needed unless otherwise stated by management.
Must reside in the U.S.
Who We Are
We are a growing healthcare organization committed to accurate billing, efficient reimbursement, and exceptional patient care. Our team supports operational excellence through strong revenue cycle management, claims resolution, reimbursement analysis, and collaborative problem-solving.
Position Overview
The Medical Billing & Revenue Cycle Specialist is responsible for managing the full cycle of claims processing, accounts receivable follow-up, payment posting, coding, reconciliation, denial management, and reimbursement activities.
The ideal candidate is detail-oriented, organized, and experienced in healthcare billing operations and payer communication.
Key Responsibilities
- Review and submit insurance claims accurately and timely.
- Verify patient demographics, insurance eligibility, authorizations, and billing information.
- Post patient and insurance payments, including EFTs and electronic remittances.
- Review and process EOBs and ERAs while ensuring accurate payment application.
- Research and resolve denied, unpaid, or underpaid claims.
- Follow up with insurance carriers regarding outstanding accounts receivable balances.
- Navigate payer portals to verify claim status and obtain remittance details.
- Maintain detailed account documentation and reconciliation records.
- Collaborate with billing, coding, analyst, and payment posting teams to improve operational efficiency.
- Identify reimbursement trends and recommend process improvements.
- Maintain HIPAA, PHI, and CMS compliance standards.
- Provide professional communication and customer service to patients, providers, insurance carriers, and internal departments.
Required Qualifications
- Minimum 3–5 years of healthcare billing, accounts receivable, payment posting, or revenue cycle experience preferred.
- Experience with Medicare, Medicaid, Managed Care, and commercial insurance billing.
- Strong understanding of EOBs, ERAs, CPT, ICD-10, HCPCS, modifiers, and denial management.
- Experience working with insurance portals and EDI tools such as Availity, Optum, Payspan, or similar systems.
- Strong analytical, organizational, and problem-solving skills.
- Ability to multitask and work effectively in a fast-paced healthcare environment.
- Proficiency in Microsoft Office, especially Excel and Outlook.
- Strong written and verbal communication skills.
- High School Diploma or equivalent required
Benefits:
- 401(k) matching
- Dental insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Retirement plan
- Vision insurance
Application Question(s):
- How many years of experience do you have managing the "full cycle" as a Revenue Cycle Specialist?
- Do you have a coding experience as a Revenue Cycle speicialist and CPC - Certified Professional Coder - Both are required
Work Location: Remote
