Revenue Cycle Specialist

Harbor Village Inc • Miami, FL

2d

About The Position

The Revenue Cycle Specialist plays a critical role in managing and optimizing the financial processes related to patient services within healthcare organizations. This position is responsible for ensuring accurate and timely billing, coding, and collection activities to maximize revenue and minimize delays or denials. The specialist collaborates closely with clinical, administrative, and financial teams to streamline workflows and resolve discrepancies in patient accounts. By analyzing revenue cycle data and identifying trends, the specialist contributes to improving overall financial performance and compliance with regulatory requirements. Ultimately, this role supports the organization's financial health by maintaining efficient revenue cycle operations and enhancing patient satisfaction through transparent billing practices.

Requirements

• High school diploma or equivalent; associate degree or higher preferred.
• Minimum of 2 years experience in healthcare revenue cycle management or medical billing.
• Strong knowledge of medical billing codes (CPT, ICD-10) and insurance claim processes.
• Familiarity with electronic health record (EHR) systems and billing software.
• Excellent communication and organizational skills.
• Expertise in medical billing codes and insurance processes.
• Strong analytical skills.
• Communication skills.
• Familiarity with EHR and billing software.
• Knowledge of healthcare regulations.

Nice To Haves

• Certification such as Certified Revenue Cycle Specialist (CRCS) or Certified Professional Biller (CPB).
• Experience working with multiple insurance payers including Medicare and Medicaid.
• Proficiency in data analysis tools and reporting software.
• Understanding of healthcare compliance regulations such as HIPAA and the Affordable Care Act.
• Bachelor’s degree in healthcare administration, business, or related field.

Responsibilities

• Manage the end-to-end revenue cycle process including patient registration, insurance verification, coding, billing, and collections.
• Review and analyze patient accounts to identify and resolve discrepancies, denials, or delays in payment.
• Collaborate with healthcare providers, insurance companies, and patients to ensure accurate and timely reimbursement.
• Maintain compliance with healthcare regulations, payer policies, and internal procedures related to revenue cycle management.
• Generate and analyze reports on revenue cycle performance metrics to identify opportunities for process improvements.

What This Job Offers

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