Revenue Cycle Account Specialist

Azalea Health Innovations•Atlanta, GA

About The Position

The Revenue Cycle Account Specialist executes day-to-day revenue cycle functions for assigned client accounts, ensuring accurate, timely, and compliant billing. The role is a primary point of contact for clients and manages charge entry, claims submission, payment posting, denial follow-up, and accounts receivable resolution. It supports the financial health of client accounts by maintaining efficient workflows, resolving routine issues, and following billing guidelines and performance standards. The specialist works with clients, physicians, practice administrators, and office staff to complete revenue cycle tasks, resolve inquiries, and maintain client-specific workflows. The position requires attention to detail, effective communication, and knowledge of revenue cycle processes to provide quality service and support client satisfaction.

Requirements

High school diploma or GED.
3–5 years of experience in medical billing or collection 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 RCM and the client and build relationships with physicians, practice administrators, and office staff.
Manage assigned accounts to complete revenue cycle tasks accurately and on time, in accordance with established benchmarks and KPIs.
Complete charge processes and post electronic remittance advice (ERA) and paper payments accurately and promptly.
Submit claims to insurance companies electronically or on paper as required.
Monitor clearinghouse reports for claim confirmation and acceptance and work rejected claims.
Research and resolve denied and outstanding claims, identify trends, and escalate issues when appropriate.
Clean up outstanding accounts receivable and maintain performance against division benchmarks.
Generate patient statements and 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, billing guidelines, and schedules to ensure consistency and compliance.
Resolve routine issues and patient, insurance, and client inquiries promptly and professionally.
Assist with billing system maintenance as required.
Follow company policies, procedures, and protocols, and report compliance issues.
Protect confidential patient information in accordance with HIPAA regulations.
Participate in educational opportunities and perform duties in a timely manner as required by clients and the company.
Perform other duties as assigned.