Revenue Cycle Account Specialist

Azalea Health Innovations Inc • Sandy Springs, GA

7d

About The Position

The Revenue Cycle Account Specialist executes day-to-day revenue cycle functions for assigned client accounts, ensuring accurate, timely, and compliant processing of billing activities. Serving as a primary point of contact for clients, the specialist manages charge entry, claims submission, payment posting, denial follow-up, and accounts receivable resolution.

The role supports the financial health of client accounts by maintaining efficient workflows, resolving routine issues, and following established billing guidelines and performance standards. It requires strong attention to detail, effective communication, and a solid understanding of revenue cycle processes to provide high-quality service and client satisfaction.

Requirements

• High school diploma or GED.
• 3–5 years of experience in medical billing or collections practices and customer service.
• Computer data-entry skills.
• Understanding of payment application processes.
• Working knowledge of Microsoft Office and Google Workspace.
• Ability to follow instructions and adhere to company policies and procedures.
• Team-oriented approach and willingness to learn and take on new responsibilities.
• Problem-solving and analytical skills.
• Strong oral and written communication skills.
• Familiarity with medical insurance coverage and benefits.
• Intermediate to advanced medical billing knowledge.
• Accounting knowledge.
• Ability to represent the company professionally at all times.

Nice To Haves

• For the Fertility role: knowledge of case rate management, medical record management, cycle management/treatment mapping, fertility coding, global/bundled services management, genetic testing management, embryology billing, ASC/facility billing, and fertility accounts receivable follow-up.
• For the Rural Health Center role: knowledge of Medicare RHC bundling rules, UB04/institutional billing, Medicare Advantage bundling rules, Medicaid bundling rules, RHC accounts receivable, AIR rate and RHC reimbursement, RHC qualifying visits, RHC modifiers, RHC provider eligibility, and RHC lab billing.

Responsibilities

• Serve as the primary liaison between revenue cycle management and the client.
• Build relationships with physicians, practice administrators, and office staff.
• Manage assigned accounts to complete revenue cycle tasks accurately and on time, in alignment with established benchmarks and KPIs.
• Manage all charge processes.
• Post electronic remittance advice (ERA) and paper payments accurately and promptly.
• Submit insurance claims electronically or on paper as required.
• Monitor clearinghouse reports for claim confirmation and acceptance.
• Work rejected claims received through the clearinghouse.
• Research and resolve denied and outstanding claims, identify trends, and escalate issues as appropriate.
• Clean up outstanding accounts receivable and maintain performance against division benchmarks.
• Generate patient statements.
• Process patient and insurance refunds.
• Complete month-end processing and reporting.
• Identify and escalate complex issues or trends to leadership for review and resolution.
• Follow client-specific workflows and billing guidelines to ensure consistency and compliance.
• Resolve issues promptly to prevent escalation to management.
• Respond promptly to patient, insurance, and client inquiries while maintaining a high level of customer service.
• Assist with billing system maintenance as required.
• Follow company policies, procedures, and protocols, and report compliance issues.
• Protect patient confidentiality and comply with HIPAA regulations.
• Participate in educational opportunities.
• Follow client-specific workflow schedules and perform duties in a timely manner as required by clients and the company.
• Perform other duties as assigned.

Benefits

• Medical, dental, vision, and life insurance coverage options.
• Employer-sponsored subsidy toward employee medical insurance premiums.
• Azalea Health pays 100% of Life AD&D and Long-Term Disability premiums for eligible full-time employees.
• Paid time off with flexible use.
• Competitive total rewards package and advancement opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED