Top 149 Revenue cycle Jobs in Memphis, Tn

Revenue Cycle Specialist
Eye Specialty Group —Memphis, TN
- Ability to walk for extended periods
- Research
- Mid-level
Quick Apply
Billing Specialist
Eye Specialty Group —Memphis, TN
- Full-time
- Ability to walk for extended periods
- Writing skills
- HIPAA
Quick Apply
9d
Analyst-Revenue Cycle Financial
Baptist Memorial Health Care —Memphis, TN
- Computer literacy
- Mid-level
- Finance
Epic Denials Management Operator
Deloitte —Memphis, TN
- $70,000 - $90,000 a year
- Full-time
- Microsoft Excel
- Mid-level
- Bachelor's degree
Specialist-Revenue Cycle BOC
Baptist Memorial Health Care —Memphis, TN
- Senior level
- Associate's degree
- 10 years
Registration Specialist
Baptist Memorial Health Care —Memphis, TN
- Word processing
- Clinic experience
- Mid-level
Associate,Accounts Receivable
Newmark —Memphis, TN
- Full-time
- Hybrid work
- Oracle
- Microsoft Outlook
- English
Insurance Billing Specialist
LifeLinc Corporation —Memphis, TN
- Full-time
- Computer literacy
- Medical office experience
- Mid-level
Epic Denials Management Coordinator
Deloitte —Memphis, TN
- $50,000 - $60,000 a year
- Full-time
- Microsoft Excel
- Mid-level
- Bachelor's degree
Epic Resolute Hospital Billing Associate Analyst
Deloitte —Memphis, TN
- $50,000 - $60,000 a year
- Full-time
- Computer Science
- Mid-level
- Bachelor's degree
Specialist-Payer Enrollment
Baptist Memorial Health Care —Memphis, TN
- Mid-level
- High school diploma or GED
- Organizational skills
Medical Insurance Verification Specialist
Center for Orthotics & Prosthetics, Inc. —Memphis, TN
- $18 - $20 an hour
- Full-time
- Background check
- Customer service
- Medical office experience
- Health insurance
- 401(k)
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23h
Administrative Operations Manager
SHELBY COUNTY HEALTH CARE CORPORATION —Memphis, TN
- Full-time
- Customer service
- Outpatient experience
- Bachelor's degree
14d
Provider Revenue Integrity Manager
Methodist Le Bonheur Healthcare —Memphis, TN
- Full-time
- Office
- Master's degree
- High school diploma or GED
Quick Apply
Medical & Dental Billing Specialist
East Arkansas Family Health Center Inc —Marion, AR
- $20 - $22 an hour
- Full-time
- Writing skills
- High school diploma or GED
- Organizational skills
- Paid holidays
- Disability insurance
Quick Apply
Senior Patient Access Specialist
Ensemble RCM LLC —Memphis, TN
- $18.65 - $19.90 an hour
- Full-time
- Management
- Customer service
- Mid-level
- Tuition reimbursement
Front Desk Rep.
Eye Specialty Group —Memphis, TN
- Full-time
- Ability to walk for extended periods
- Writing skills
- HIPAA
Quick Apply
20h
Practice Administrator
Baptist Memorial Health Care —Memphis, TN
- Mid-level
- Clinic
- Bachelor's degree
Collection AR Supervisor
East Memphis Surgery Center —Memphis, TN
- Full-time
- Mid-level
- Leadership
- Medical terminology
- Health savings account
- Dental insurance
Quick Apply
Associate Director / Director – Revenue Cycle Management (RCM)
HealthRecon Connect —Memphis, TN
- Full-time
- Hybrid work
- Finance
- Analysis skills
- Bachelor's degree

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Revenue Cycle Specialist

Eye Specialty Group -
Memphis, TN

Quick Apply

Job Details

Qualifications

Medicare
Phone communication
Spreadsheets
Practice management software
Patient management software
Research
High school diploma or GED
Medicare regulations
Centers for Medicare & Medicaid Services (CMS) billing regulations
Medicaid regulations
Medicaid
Productivity software
Analytics

Full Job Description

Description:

Revenue Cycle Specialist

E/O/E

Position Summary

The Revenue Cycle Specialist is responsible for managing outstanding accounts receivable by responding to payer requests, reviewing and auditing medical records, resolving claim denials, and pursuing reimbursement opportunities. This position serves as a key liaison between providers, coding, billing, and insurance payers to ensure claims are submitted accurately, payer inquiries are addressed timely, and all appropriate reimbursement opportunities are maximized.

Essential Duties and Responsibilities

Payer Requests and Medical Record Review

Monitor and respond to outstanding payer requests for medical records, claim documentation, and additional information.
Review patient charts for completeness, accuracy, and compliance prior to submission to insurance payers.
Audit clinical documentation to ensure it supports billed services, diagnosis codes, procedure codes, and payer requirements.
Coordinate with providers and clinical staff to obtain missing documentation and resolve chart deficiencies.
Ensure all payer requests are completed and submitted within required filing deadlines.

Denial Management and Claim Resolution

Investigate denied, rejected, and underpaid claims to determine root causes and identify corrective actions.
Analyze payer denial trends and recommend process improvements to reduce future denials.
Review denied claims and determine opportunities for claim correction, rebilling, appeal, or alternative reimbursement.
Research appropriate CPT, HCPCS, ICD-10, and modifier usage to support accurate claim reconstruction and resubmission.
Rebill and resubmit claims when documentation supports reimbursement opportunities.

Appeals and Follow-Up

Prepare and submit first-level, second level, and payer-specific appeals with supporting documentation.
Draft appeal letters and compile medical records, coding references, and payer guidelines as necessary.
Track appeal status and follow up with payers to ensure timely review and resolution.
Maintain detailed documentation of all appeal activities and payer communications.

Accounts Receivable and Claims Follow-Up

Perform follow-up activities on outstanding claims to secure payment and reduce aging accounts receivable.
Contact insurance companies regarding claim status, payment delays, denials, and reimbursement discrepancies.
Identify and resolve billing edits, claim rejections, and payer processing issues.
Monitor claim inventory to ensure timely account resolution and adherence to filing deadlines.
Escalate complex reimbursement issues to leadership as appropriate.

Compliance and Reporting

Maintain compliance with federal, state, payer, and organizational billing requirements.
Stay current on payer policies, coding updates, and reimbursement regulations.
Assist with reporting related to denials, appeals, payer requests, and accounts receivable performance.
Participate in revenue cycle improvement initiatives to increase reimbursement and reduce claim denials.

Requirements:

Education

High School Diploma or GED required.
Associate’s or Bachelor’s degree in Healthcare Administration, Business, Health Information Management, or related field preferred.
COT/COA or equivalent experience preferred

Experience

Minimum of 2 years of experience in medical billing, revenue cycle, accounts receivable, denial management, or insurance follow-up required.
Experience with medical record review, payer audits, appeals, and claim correction preferred.
Experience with EMR and practice management systems required.

Knowledge, Skills, and Abilities

Strong knowledge of CPT, HCPCS, ICD-10, modifiers, and payer billing guidelines.
Understanding of commercial, Medicare, Medicaid, and managed care reimbursement methodologies.
Ability to analyze denials and identify reimbursement opportunities.
Strong investigative, analytical, and problem-solving skills.
Excellent written and verbal communication skills.
Ability to manage multiple priorities while meeting deadlines.
Proficiency in Microsoft Office applications, particularly Excel.

Physical Requirements:

Ability to sit/stand/walk as the job requires for long periods of time, as well as, climb/balance, lift, push/pull and stoop/crouch as needed.
Corrected or uncorrected visual acuity in at least one eye of 20/40 or better.
Ability to operate office equipment requiring the use of one hand.
Ability to work in a moderate noise level clinic.
Corrected or uncorrected hearing/speaking capacity to enable suitable telephone communication skills.

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Refine Your Search

revenue cycle jobs in memphis, tn

Revenue Cycle Specialist

Billing Specialist

Analyst-Revenue Cycle Financial

Epic Denials Management Operator

Specialist-Revenue Cycle BOC

Registration Specialist

Associate,Accounts Receivable

Insurance Billing Specialist

Epic Denials Management Coordinator

Epic Resolute Hospital Billing Associate Analyst

Specialist-Payer Enrollment

Medical Insurance Verification Specialist

Administrative Operations Manager

Provider Revenue Integrity Manager

Medical & Dental Billing Specialist

Senior Patient Access Specialist

Front Desk Rep.

Practice Administrator

Collection AR Supervisor

Associate Director / Director – Revenue Cycle Management (RCM)

I want to receive the latest job alert for revenue cycle in memphis, tn

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