Revenue Cycle Specialist

Spectrum Medical Care Center•Phoenix, AZ

17h•Onsite

About The Position

Revenue Cycle Specialist: Spectrum Medical Care Center is seeking a Revenue Cycle Specialist to join our growing revenue cycle team. This role is ideal for a detail-oriented billing professional who thrives in a fast-paced medical office setting and enjoys working collaboratively to ensure accurate and timely reimbursement. As a key member of the billing department, you will handle physician billing, manage denials and appeals, process insurance claims, and maintain precise patient account records.

Requirements

Minimum of 2 years of experience in medical billing or accounts receivable in a healthcare setting.
Strong knowledge of insurance billing processes, claim submission, and denial management.
Excellent problem-solving, time management, and organizational skills.
Proficiency with medical billing software, EHR systems, and Microsoft Office Suite.
Strong written and verbal communication skills.
High attention to detail and accuracy in data entry and documentation.
High School Diploma or GED (required)
On-site role in a professional office environment.
Regular use of computers, phones, and standard office equipment.
Ability to sit or stand for extended periods.

Nice To Haves

Medical Billing and/or Coding Certificate from an accredited program (preferred)
Bilingual (English/Spanish) preferred but not required.

Responsibilities

Process insurance and patient billing data accurately and efficiently.
Review and resolve denied claims through resubmissions and appeals.
Manage patient accounts and respond to billing-related inquiries.
Interpret and act on Explanations of Benefits (EOBs) to resolve underpaid or denied claims.
Handle incoming calls and correspondence from patients and insurance companies.
Enter and verify patient demographic and insurance information with accuracy.
Utilize payer portals, websites, and phone verification to confirm insurance eligibility.
Work on assigned billing reports and escalate any unresolved issues to the Practice Administrator.
Maintain current knowledge of payer requirements, HIPAA regulations, and company policies.
Perform accurate charge entries, manage A/R financial classes (Private Pay, Medicare, Medicaid, Commercial, etc.), and ensure compliance with all billing procedures.
Support the patient support team with special projects and additional duties as assigned.