Revenue Cycle Coordinator/Specialist

40 Dreams Catering LLC•Westfield, NJ

18h•$20 - $30

About The Position

The Revenue Cycle Specialist II supports the full revenue cycle in a Medicaid insurance billing environment. The role includes claims submission, payment posting, accounts receivable, denial resolution, and payer follow-up. It focuses on improving reimbursement accuracy, maintaining billing compliance, and supporting cash flow through reporting, analysis, and process improvement. The position also supports EMR billing workflows, monitors revenue cycle performance, and may oversee data entry and administrative support staff.

Requirements

At least 3 years of revenue cycle experience.
Reliable commute to Westfield, New Jersey.
Strong communication skills.
Advanced Excel skills, including Pivot Tables, accounts receivable tracking dashboards, reporting, and trend analysis.
At least 3 years of EMR billing workflow or implementation experience.
Strong analytical, organizational, and problem-solving skills.
Working knowledge of CPT, HCPCS, and ICD-10 coding.
Strong knowledge of billing, accounts receivable, collections, and denial management.
Ability to manage deadlines and multiple priorities.
A high school diploma with strong relevant experience is acceptable.

Nice To Haves

At least 5 years of healthcare billing experience.
Associate’s degree preferred.
Bachelor’s degree in Healthcare Administration, Finance, Business, or a related field preferred.
Preferred certifications: CPB (Certified Professional Biller), CPC (Certified Professional Coder), CRCR (Certified Revenue Cycle Representative), or CHFP (Certified Healthcare Financial Professional).

Responsibilities

Submit accurate claims to Medicaid and commercial payers.
Maintain accounts receivable aging within organizational benchmarks.
Post payments and reconcile billing activity.
Resolve claim denials, rejections, and payment discrepancies.
Monitor accounts receivable and follow up on unpaid or underpaid claims.
Track billing performance, denials, and reimbursement trends.
Identify root causes and recommend process improvements.
Use Excel, including Pivot Tables, for reporting, reconciliation, and trend analysis.
Build and maintain accounts receivable tracking dashboards and revenue cycle reports.
Maintain accurate billing, insurance, and client data in the EMR.
Maintain complete and accurate billing documentation.
Ensure compliance with payer guidelines, HIPAA, and New Jersey Medicaid requirements.
Support EMR billing workflows, audits, and system updates.
Partner with leadership, finance, and administrative teams to resolve billing issues.
May oversee data entry and administrative support staff.
Support staff on billing workflows and documentation requirements.